DIANE HERDEGEN (NPI# 1679109136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679109136 |
| Entity Type | Individual |
| Full Name | DIANE HERDEGEN |
| Practice Address |
1930 Frequent Flyer Pt Colorado Springs CO 80915-1500 |
| Practice Telephone | 8003450448 |
| Mailing Telephone | 8003450448 |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1930 FREQUENT FLYER PT |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80915-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073028080 | Katherine Lindsey Broadwell | Behavioral Analyst | 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500 | 2017-12-13 |
| 1558960872 | Kristian Carroll | Behavior Technician | 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500 | 2020-10-19 |
| 1063025195 | Ascend Aba Colorado LLC | Behavioral Analyst | 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500 | 2020-08-28 |
| 1518579846 | Timothy Baugher | Behavior Technician | 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500 | 2020-08-18 |
| 1063023695 | Trinity S. Griffin | Behavior Technician | 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500 | 2020-08-17 |
| 1336750728 | Malcolm Bernard Jordan | Behavior Technician | 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500 | 2020-08-11 |
| 1255942785 | Mikayla Ashleigh Griffith | Behavior Technician | 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500 | 2020-08-10 |
| 1861002495 | Jennifer Meyers | Behavior Technician | 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500 | 2020-08-07 |
| 1962011767 | Kaylyn Richmond | Behavior Technician | 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500 | 2020-07-28 |
| 1477188381 | Kayla Diane Akerboom | Behavior Technician | 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500 | 2020-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073911418 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5050 Edison Ave, Suite 116, Colorado Springs, CO 80915 | 2014-12-17 |
| 1114202041 | Stateserv Medical of Colorado LLC | Durable Medical Equipment & Medical Supplies | 920 Ford St., Suite A, Colorado Springs, CO 80915 | 2011-10-11 |
| 1447550355 | Andrew Timothy Huwe | Pharmacist | 665 N Murray Blvd, Colorado Springs, CO 80915 | 2010-10-26 |
| 1891005013 | Community Services & Supports | Day Training, Developmentally Disabled Services | 4575 Galley Rd., Suite 400a, Colorado Springs, CO 80915 | 2010-10-21 |
| 1891022505 | South Powers Dental Prof LLC | Dentist | 1580 Space Center Drive, Suite 107, Colorado Springs, CO 80915 | 2009-11-17 |
| 1720212780 | Nicole Marie Malyj | Counselor | 1520 E. Owen Circle, Colorado Springs, CO 80915 | 2009-05-06 |
| 1134325848 | Catherine M Cortese | Audiologist | 1695 Leoti Drive, Colorado Springs, CO 80915 | 2007-06-21 |
| 1306965108 | Jeanie Bein | Psychologist | 4520 Brady Rd, Colorado Springs, CO 80915 | 2007-03-29 |
| 1982749909 | Clint L Kasza | Optometrist | Vision Center At Wal-mart, 1575 Space Center Drive, Colorado Springs, CO 80915 | 2007-02-20 |
| 1013063130 | Miriam Owens | Counselor | 1611 Sanderson Avenue, Colorado Springs, CO 80915 | 2007-01-25 |
| Find all providers in zip 80915 | ||||
| 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 |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1821610734 | Kyndal Elizabeth Strossner | Behavior Technician | 1203 Lawn Lake Trl, Colorado Springs, CO 80921-3672 | 2020-05-13 |
| 1750903944 | Lakyn Rae Arthur | Behavior Technician | 1915 Aerotech Dr, Colorado Springs, CO 80916-4219 | 2020-05-11 |
| 1821619321 | Kayla Sanchez | Behavior Technician | Keystone Achievements, 5526 N. Academy Blvd, Colorado Springs, CO 80918 | 2020-05-06 |
| 1336778885 | Hannah Besse | Behavior Technician | 2207 W Bijou St, Colorado Springs, CO 80904-3443 | 2020-04-06 |
| 1417581844 | Elijah Abendroth | Behavior Technician | 1915 Aerotech Dr Ste 180, Colorado Springs, CO 80916-4213 | 2020-02-25 |
| 1629608898 | Victoria Joy Jenkins | Behavior Technician | 2515 Oak Hills Dr, Colorado Springs, CO 80919-3480 | 2020-01-16 |
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1942843008 | Erika Barse | Behavior Technician | 7011 Campus Dr Apt 447, Colorado Springs, CO 80920-3162 | 2019-10-22 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80915 |
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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.