BREANA LEGE (NPI# 1629679568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629679568 |
| Entity Type | Individual |
| Full Name | BREANA LEGE |
| Practice Address |
941 Professional Park Dr Clarksville TN 37040-5137 |
| Practice Telephone | 6153760034 |
| Mailing Telephone | 6153760034 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
941 PROFESSIONAL PARK DR |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-5137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124688965 | Hannah Cromer | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-3704 | 2019-06-14 |
| 1649871062 | Erika Krstic | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-5137 | 2020-11-03 |
| 1922609346 | Lauren Langley | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-5137 | 2020-11-03 |
| 1538766001 | Alexis Gabelmann | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-5137 | 2020-10-07 |
| 1811503071 | Jordan Gibbs-francis | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-5137 | 2020-09-22 |
| 1841805520 | Lacey Long | Behavioral Analyst | 941 Professional Park Dr, Clarksville, TN 37040-5137 | 2020-09-10 |
| 1528670700 | Angel Buchanan | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-5137 | 2020-08-19 |
| 1720698343 | Jennifer Hicks | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-5137 | 2020-08-07 |
| 1962028860 | Kori Sumner | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-5137 | 2020-06-17 |
| 1265057848 | Katelynn Deep | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-5137 | 2020-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| 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 |
|---|---|---|---|---|
| 1770100018 | Brittany Brianna Forbus | Behavior Technician | 1047 E Monica Dr, Clarksville, TN 37042-6710 | 2020-07-02 |
| 1508491424 | Kathrine Jackson | Behavior Technician | 139 E Old Trenton Rd Unit B, Clarksville, TN 37043-5845 | 2020-03-11 |
| 1821620329 | Chelsea Toler | Behavior Technician | 632 Eastern Blvd Ste 220, Clarksville, IN 47129-2463 | 2020-02-12 |
| 1932746922 | Brittany Khanna | Behavior Technician | 2250 Wilma Rudolph Blvd # F259, Clarksville, TN 37040-8452 | 2019-12-09 |
| 1124688965 | Hannah Cromer | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-3704 | 2019-06-14 |
| 1235692005 | Bethany Pinkston | Behavior Technician | 2250 Wilma Rudolph Blvd Ste F259, Clarksville, TN 37040-8452 | 2019-04-09 |
| 1861957953 | Bailey Nicole Sternberg | Behavior Technician | 2250 Wilma Rudolph Blvd Ste F-259, Clarksville, TN 37040-8452 | 2019-02-04 |
| 1811468291 | Ashley Lynn Waterbury | Behavior Technician | 1584 Elberta Dr, Clarksville, TN 37042-5319 | 2018-12-11 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1336625714 | Jennifer Joan Lewis | Behavior Technician | 1117 Thornberry Dr, Clarksville, TN 37043-5631 | 2018-07-18 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
Please comment or provide details below to improve the information on BREANA LEGE.
| 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.