KELLEY ANNE DODSON (NPI# 1679040836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679040836 |
| Entity Type | Individual |
| Full Name | KELLEY ANNE DODSON |
| Credential | M.ED, BCBA |
| Practice Address |
7161 W Potomac Dr Boise ID 83704-9148 |
| Practice Telephone | 2086298225 |
| Mailing Telephone | 2086298225 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336528520 | Kelley Dodson | Counselor | 4330 S Lee St Bldg 600-a, Buford, GA 30518 | 2015-05-21 |
| 1386670248 | Kelley Melissa Dodson | Otolaryngology | 1201 E Marshall St, Suite 401, Richmond, VA 23219-2050 | 2006-06-23 |
| Street Address |
7161 W POTOMAC DR |
| City | BOISE |
| State | ID |
| Zip Code | 83704-9148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912331299 | Laura L. Allen-wade | Counselor | 7161 W Potomac Dr, Boise, ID 83704-9148 | 2013-08-22 |
| 1871013805 | Darren Adams | Counselor | 7161 W Potomac Dr, Boise, ID 83704-9148 | 2017-06-21 |
| 1760864946 | Lisa Simonson | Counselor | 7161 W Potomac Dr, Boise, ID 83704-9148 | 2015-06-24 |
| 1356722821 | Shanna Dee Pickren | Social Worker | 7161 W Potomac Dr, Ste. A, Boise, ID 83704-9148 | 2015-06-10 |
| 1548640964 | Starr Family Behavioral Health | Community/Behavioral Health | 7161 W Potomac Dr, Suite A, Boise, ID 83704-9148 | 2015-06-01 |
| 1760802383 | Jessica Rowland | Counselor | 7161 W Potomac Dr, Boise, ID 83704-9148 | 2014-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174411 | K-now Behavioral Solutions, LLC | Behavioral Analyst | 9917 W Antietam St, Boise, ID 83709-3405 | 2020-11-06 |
| 1063026730 | Jill Johnson | Behavioral Analyst | 3609 W Rose Hill St, Boise, ID 83705-1515 | 2020-09-01 |
| 1952911174 | Allyson Perreault | Behavioral Analyst | 3783 E Jump Creek Ln, Boise, ID 83716-5621 | 2020-08-03 |
| 1215546908 | Ashley Ramirez | Behavioral Analyst | 3394 S Annett Ave, Boise, ID 83705-4263 | 2020-07-28 |
| 1205487279 | Vanessa Kay Lewis | Behavioral Analyst | 6235 W Filly St, Boise, ID 83703-5049 | 2019-09-21 |
| 1912552266 | Karma R Hill | Behavioral Analyst | 5180 N Mountain View Dr, Boise, ID 83704-2311 | 2019-08-05 |
| 1447802038 | Brittney Ward | Behavioral Analyst | 1717 S Pacific St, Boise, ID 83705-2976 | 2019-07-12 |
| 1265904072 | Jenny Vickhammer | Behavioral Analyst | 12553 W Explorer Dr, Boise, ID 83713-1601 | 2018-12-19 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1386163772 | Jf Bcba Services | Behavioral Analyst | 2559 S Waterbury Ln, Boise, ID 83706-4981 | 2017-09-17 |
| Find all providers in BOISE | ||||
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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.