SPENCER BURK (NPI# 1649775230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649775230 |
| Entity Type | Individual |
| Full Name | SPENCER BURK |
| Credential | RBT |
| Practice Address |
9905 Fall Creek Rd Indianapolis IN 46256-4804 |
| Practice Telephone | 3178134690 |
| Mailing Telephone | 3178134690 |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-16-11775 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598031742 | Spencer Mark Burk | Anesthesiology | 6000 Us-98, Pensacola, FL 32512-0001 | 2012-03-31 |
| Street Address |
9905 FALL CREEK RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46256-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700250438 | Jesseca Lea Hartman | Behavioral Analyst | 9905 Fall Creek Rd, Indianapolis, IN 46256-4804 | 2015-11-18 |
| 1366932972 | Leslie Nation | Behavior Technician | 9905 Fall Creek Rd, Indianapolis, IN 46256-4804 | 2018-05-18 |
| 1871083477 | James Landon Jay | Behavior Technician | 9905 Fall Creek Rd, Indianapolis, IN 46256-4804 | 2018-05-18 |
| 1073003927 | Kayla Elaine Cooke | Behavior Technician | 9905 Fall Creek Rd, Indianapolis, IN 46256-4804 | 2018-05-16 |
| 1417447285 | Iyeshia Glover | Behavior Technician | 9905 Fall Creek Rd, Indianapolis, IN 46256-4804 | 2018-05-16 |
| 1366932261 | Jazzmin Willliams | Behavior Technician | 9905 Fall Creek Rd, Indianapolis, IN 46256-4804 | 2018-05-16 |
| 1336639236 | Whitney Lewis | Behavior Technician | 9905 Fall Creek Rd, Indianapolis, IN 46256-4804 | 2018-05-16 |
| 1922598739 | Amanda Michelle Love | Behavior Technician | 9905 Fall Creek Rd, Indianapolis, IN 46256-4804 | 2018-05-16 |
| 1467942367 | Bethanie Denise Tansy | Behavior Technician | 9905 Fall Creek Rd, Indianapolis, IN 46256-4804 | 2018-05-16 |
| 1134619901 | James Evans | Behavior Technician | 9905 Fall Creek Rd, Indianapolis, IN 46256-4804 | 2018-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790316859 | Jacob R Weeks | Behavior Technician | 9769 Crosspointed Blvd, Fishers, IN 46256 | 2020-01-28 |
| 1780236620 | Amare Hospice & Palliative Care | Family Medicine | 10475 Crosspoint Boulevard, Suite 250, Indianapolis, IN 46256 | 2019-07-11 |
| 1588226864 | Accutreat LLC | Clinical Medical Laboratory | 9661 Crosspoint Blvd, Indianapolis, IN 46256 | 2019-07-08 |
| 1447732557 | Kathleen O'hara | Marriage & Family Therapist | 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 | 2018-09-05 |
| 1205313608 | Healing Bridges Counseling, LLC | Marriage & Family Therapist | 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 | 2018-07-27 |
| 1477062123 | Rosalee Ann Miller | Social Worker | 8202 Clearvista Parkway, Suite 6a, Indianapolis, IN 46256 | 2017-09-26 |
| 1760900039 | Amye Litherland | Registered Nurse | 7525 E. 82nd St Ste A, Indianapolis, IN 46256 | 2017-09-06 |
| 1275074239 | Jason Dempsey | Hearing Instrument Specialist | 8202 Clearvista Pkwy 3a, Indianapolis, IN 46256 | 2017-03-10 |
| 1578922761 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 | 2016-02-16 |
| 1477925071 | Samantha Kitcoff | Physician Assistant | 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 | 2015-10-22 |
| Find all providers in zip 46256 | ||||
| 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 |
|---|---|---|---|---|
| 1790383289 | True Legacy Family Services LLC | Behavior Technician | 9165 Otis Ave Ste 202, Indianapolis, IN 46216-2312 | 2020-10-15 |
| 1205442894 | Victoria Whittaker | Behavior Technician | 1543 Spann Ave, Indianapolis, IN 46203-1248 | 2020-09-18 |
| 1376160259 | Brenda Van Schaick-bianchi | Behavior Technician | 2425 Boyer Ln, Indianapolis, IN 46217-8793 | 2020-06-26 |
| 1861015471 | Samaria Hamilton | Behavior Technician | 4245 Blue Note Dr, Indianapolis, IN 46239-9815 | 2020-05-19 |
| 1518592138 | Tiara Nicole Schafer | Behavior Technician | 9850 Westpoint Dr, Indianapolis, IN 46256-3364 | 2020-03-04 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1972142347 | Karina Kay Smith | Behavior Technician | 9769 Crosspoint Blvd, Indianapolis, IN 46256-3346 | 2020-01-02 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1487203139 | Elizabeth Ann Wilson | Behavior Technician | 120 N East St Ste 1233, Indianapolis, IN 46204 | 2019-09-05 |
| 1679039473 | Synetra Benson | Behavior Technician | 8527 Franklin Cove Way, Indianapolis, IN 46239-2261 | 2019-02-16 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46256 |
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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.