KAELYN PHOMMAVONG LINARES (NPI# 1669080255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669080255 |
| Entity Type | Individual |
| Full Name | KAELYN PHOMMAVONG LINARES |
| Practice Address |
4003 W Stan Schlueter Loop Killeen TX 76549-6119 |
| Practice Telephone | 2546301578 |
| Practice Fax Number | 2542681091 |
| Mailing Telephone | 2546301578 |
| Mailing Fax Number | 2542681091 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-128507 | TX | Behavioral Health & Social Service Providers |
| Street Address |
4003 W STAN SCHLUETER LOOP |
| City | KILLEEN |
| State | TX |
| Zip Code | 76549-6119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877242 | Bianca Little | Behavior Technician | 4003 W Stan Schlueter Loop, Killeen, TX 76549-6119 | 2020-10-06 |
| 1588271845 | Aleksandra Bessent | Behavior Technician | 4003 W Stan Schlueter Loop, Suite 3, Killeen, TX 76549 | 2020-09-29 |
| 1710597067 | Kerryann Nneka Harry | Behavior Technician | 4003 W Stan Schlueter Loop, Killeen, TX 76549-6119 | 2020-08-02 |
| 1316555881 | James Ashe | Behavior Technician | 4003 W Stan Schlueter Loop, Killeen, TX 76549-6119 | 2020-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630191 | Joy Angolo | Registered Nurse | 1403 Chips Drive, Unit A, Killeen, TX 76549 | 2020-05-12 |
| 1215587308 | Jacqueline Nicole Estrella | Nurse Practitioner | Med Options Killeen Nursing Homes, Kileen, TX 76549 | 2019-09-19 |
| 1366924052 | Barbara Ann Vaughn | Licensed Vocational Nurse | 413 Apt A Study Hall Loop, Killeen, TX 76549 | 2018-08-30 |
| 1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
| 1518456961 | Robert Brott | Counselor | 1103west Stan Schuleter Loop, Building A, Suite 100, Killeen, TX 76549 | 2018-05-01 |
| 1922507417 | Family Endeavors, Inc. | Community/Behavioral Health | 1103 West Stan Schlueter Loop, Building A Suite 100, Killeen, TX 76549 | 2018-02-09 |
| 1285143859 | Jennifer Dawn Rothman | Behavioral Analyst | 4506 The Searchers Dr, Killeen, TX 76549 | 2017-09-26 |
| 1700307964 | City of Ennis | Skilled Nursing Facility | 5000 Thayer Dr, Killeen, TX 76549 | 2017-06-28 |
| 1790216190 | Neysa Stegmeyer | Nurse Practitioner | 4102 S. Clear Creek Road, Ste 107, Killeen, TX 76549 | 2017-03-27 |
| 1740721471 | Lspd At Killeen, Pllc | Dentist | 1103 West Stan Schlueter Loop Suite B-800, Killeen, TX 76549 | 2017-03-14 |
| Find all providers in zip 76549 | ||||
| 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 |
|---|---|---|---|---|
| 1144845462 | Allina Natalie Flores | Behavior Technician | 5007 Williamette Ln, Killeen, TX 76549-5693 | 2020-06-11 |
| 1811543598 | Trisha Libansky | Behavior Technician | 3310 E Rancier Ave Apt 436, Killeen, TX 76543-4118 | 2019-08-17 |
| 1073171161 | Cheyenne Lee Burton | Behavior Technician | 3106 S W S Young Dr Ste 204, Killeen, TX 76542-2008 | 2019-06-03 |
| 1891358339 | Mayumi Cristina Cervantes | Behavior Technician | 3106 S W S Young Dr # B204, Killeen, TX 76542-2000 | 2019-04-19 |
| 1003389586 | Joshua Taylor Bouse | Behavior Technician | 3106 S W S Young Dr Ste B204, Killeen, TX 76542-2000 | 2019-01-07 |
| 1508338443 | Chloe Bush | Behavior Technician | 1707 Spring Rose Cir Apt D, Killeen, TX 76543-8857 | 2018-12-17 |
| 1467920272 | Raynal Sanders | Behavior Technician | 2910 Blackburn Dr, Killeen, TX 76543-2696 | 2018-11-09 |
| 1003381765 | Rachel Williams | Behavior Technician | 310 W Central Texas Expressway, 1, Killeen, TX 76541-2573 | 2018-10-09 |
| 1912481623 | Karen Davis | Behavior Technician | 1704 Nina Dr, Killeen, TX 76549-2228 | 2018-09-18 |
| 1518440197 | Olivia Humphery | Behavior Technician | 1711 E Central Texas Expy Unit 300, Killeen, TX 76541-9166 | 2018-09-10 |
| Find all providers in KILLEEN | ||||
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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.