MRS. KRISTEY LEE CLARK (NPI# 1639714298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639714298 |
| Entity Type | Individual |
| Full Name | MRS. KRISTEY LEE CLARK |
| Practice Address |
3 Butterfield Trail Blvd Ste 140 El Paso TX 79906-4951 |
| Mailing Address |
Po Box 515 Fairacres NM 88033-0515 |
| Practice Telephone | 8009916070 |
| Mailing Telephone | 5756449889 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-12-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
3 BUTTERFIELD TRAIL BLVD STE 140 |
| City | EL PASO |
| State | TX |
| Zip Code | 79906-4951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558531319 | Sadie Jewell-hight | Behavioral Analyst | 3 Butterfield Trail Blvd Ste 140, El Paso, TX 79906-4951 | 2008-03-07 |
| 1386125458 | Samantha Castillo | Behavior Technician | 3 Butterfield Trail Blvd Ste 140, El Paso, TX 79906-4951 | 2018-08-27 |
| 1750752747 | Jessica Gomez | Behavioral Analyst | 3 Butterfield Trail Blvd Ste 140, El Paso, TX 79906-4951 | 2015-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922562073 | Anthony Patrick Perales | Physical Therapist | 11133 Ssg Sims St, Fort Bliss, TX 79906 | 2019-01-23 |
| 1336610237 | Guadalupe Gomez | Social Worker | 1026 Chafee Rd, El Paso, TX 79906 | 2018-12-17 |
| 1598259525 | Phillip Harrison | Physician Assistant | Mendoza Clinic, 11335 Ssg Sims, Fort Bliss, TX 79906 | 2018-06-22 |
| 1447601950 | Kayla Gale Hone | Dental Hygienist | 11344 Ssg Sims, Fort Bliss, TX 79906 | 2016-06-27 |
| 1104283498 | Respira, Inc. | Durable Medical Equipment & Medical Supplies | 1611 Marshall Road, Fort Bliss, TX 79906 | 2016-01-19 |
| 1083967657 | National Vision, Inc. | Technician/Technologist | Fort Bliss Main Exchange, Bldg. 1616, Ste. F107, Fort Bliss, TX 79906 | 2012-10-19 |
| 1306074729 | Jennifer Stierwalt Domingo | Psychiatry & Neurology | Building 2489, Ricker Road, West Bliss Clinic, Fort Bliss, TX 79906 | 2009-06-24 |
| 1912176223 | Progreso Eyecare | Optometrist | Bldg. 1611 Marshall Road, Main Px Mall, Fort Bliss, TX 79906 | 2008-02-21 |
| 1932165651 | Gulabdas D Hariyani | General Practice | 6380 Morgan Ave, Suite E, El Paso, TX 79906 | 2006-04-21 |
| 1447750443 | Torey Elaina Sippio-james | Registered Nurse | 5613 Rattlesnake Springs Rd Apt D, El Paso, TX 79906-2106 | 2018-02-15 |
| Find all providers in zip 79906 | ||||
| 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 |
|---|---|---|---|---|
| 1033725551 | Gabriela Gasca | Behavior Technician | 2919 Jackson Ave Apt 1, El Paso, TX 79930-3945 | 2020-09-21 |
| 1447865514 | Edith Araceli Yee | Behavior Technician | 13716 Paseo De Fe Cir, El Paso, TX 79928-8401 | 2020-09-15 |
| 1366055444 | Deanna Talamantes | Behavior Technician | 12256 Saint Romeo, El Paso, TX 79936-6565 | 2020-08-28 |
| 1518578962 | Yvette Belinda Diaz | Behavior Technician | 5400 Suncrest Dr Ste D1andd2, El Paso, TX 79912-5614 | 2020-08-10 |
| 1205454063 | Nova Kaplan | Behavior Technician | 3817 Constitution Dr Ste 100, El Paso, TX 79922-1368 | 2020-07-08 |
| 1518582535 | Ricardo Alberto Alvarez | Behavior Technician | 5400 Suncrest Dr Ste D1&d2, El Paso, TX 79912-5614 | 2020-06-15 |
| 1154943546 | Halee Nicole Hester | Behavior Technician | 1035 Belvidere St Ste 100, El Paso, TX 79912-2433 | 2020-05-08 |
| 1134757677 | Sara Lynn Gomez | Behavior Technician | 1553 Rebecca Ann Dr Unit B, El Paso, TX 79936-6243 | 2020-03-30 |
| 1750915468 | Christina Marie Pauley | Behavior Technician | 6262 Woodrow Bean, El Paso, TX 79924-5058 | 2020-03-03 |
| 1801420096 | Sebastian Olguin | Behavior Technician | 1035 Belvidere St, El Paso, TX 79912-2431 | 2020-02-26 |
| Find all providers in EL PASO | ||||
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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.