HEATHER WILDE (NPI# 1629573902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629573902 |
| Entity Type | Individual |
| Full Name | HEATHER WILDE |
| Credential | RBT |
| Practice Address |
1-611 Inoaole St Waimanalo HI 96795 |
| Mailing Address |
41-611 Inoaole St Waimanalo HI 96795-1211 |
| Practice Telephone | 8088924059 |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106S00000X | Behavior Technician | HI | Behavioral Health & Social Service Providers | |
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1-611 INOAOLE ST |
| City | WAIMANALO |
| State | HI |
| Zip Code | 96795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730724345 | Maisa Leilani Thayer | Social Worker | Ho'omau Therapy, LLC 41-038 Wailea Street C, Waimanalo, HI 96795 | 2019-11-07 |
| 1538677455 | Andrea Lawrence | Behavioral Analyst | 41-1611 Inoaole St, Waimanalo, HI 96795 | 2018-01-12 |
| 1992221782 | Rebecca To | Behavioral Analyst | 41-611 Inoaole Street, Waimanalo, HI 96795 | 2017-08-14 |
| 1942657879 | Tammy Chang | Behavioral Analyst | 41-611 Inoaole St, Waimanalo, HI 96795 | 2016-05-20 |
| 1265730576 | Rhonda Linne Waldinger | Acupuncturist | 41-921 Laumilo Street, Waimanalo, HI 96795 | 2011-03-10 |
| 1285870287 | Charlotte Savage | Psychologist | 41-1295 Kalanianaole Hwy, Waimanalo, HI 96795 | 2008-12-21 |
| 1457575763 | France Annie Caires | Contractor | 600, Kailua Rd. #204, #204, Kailua, HI 96795 | 2007-04-11 |
| 1477694339 | Waimanalo Pharmacy Inc | Pharmacy | 41 1610 Kalanianaole Hwy, Waimanalo, HI 96795 | 2007-02-12 |
| 1699836031 | Gerald M B Wong | Dentist | 411537 Kalanianaole Highway, Suite 10b, Waimanalo, HI 96795 | 2006-12-12 |
| 1316908296 | Michael Ellsworth Clarke | Oral & Maxillofacial Surgery | 24 N Church St, #206, Wailuku, HI 96795 | 2006-03-30 |
| Find all providers in zip 96795 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316554769 | Sarah Malik | Behavior Technician | 41-611 Inoaole St, Waimanalo, HI 96795-1211 | 2020-09-29 |
| 1962018689 | Gabrielle Garcia | Behavior Technician | 41-611 Inoaole St, Waimanalo, HI 96795-1211 | 2020-09-17 |
| 1942827290 | Laura Vanhorn | Behavior Technician | 41-611 Inoaole St, Waimanalo, HI 96795-1211 | 2020-07-02 |
| 1235764192 | Mari Shimazu | Behavior Technician | 41-611 Inoaole St, Waimanalo, HI 96795-1211 | 2020-03-11 |
| 1083249031 | Jordan S Conley | Behavior Technician | 41-611 Inoaole St, Waimanalo, HI 96795-1211 | 2020-03-10 |
| 1295365211 | Kawika Kamali'i Muneyasu Machida | Behavior Technician | 41-611 Inoaole St, Waimanalo, HI 96795-1211 | 2020-01-17 |
| 1285273664 | Katharine Finesilver | Behavior Technician | 41-611 Inoaole St, Waimanalo, HI 96795-1211 | 2020-01-02 |
| 1962052050 | Jennifer Perez | Behavior Technician | 41-611 Inoaole St, Waimanalo, HI 96795-1211 | 2019-09-19 |
| 1083262182 | Shaianne Kealoha | Behavior Technician | 41-611 Inoaole St, Waimanalo, HI 96795-1211 | 2019-09-01 |
| 1679121248 | Kiersten Leeanna Matthews | Behavior Technician | 41-611 Inoaole St, Waimanalo, HI 96795-1211 | 2019-08-27 |
| Find all providers in WAIMANALO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.