MR. WILLIAM GUY TIDWELL (NPI# 1700154986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700154986 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM GUY TIDWELL |
| Credential | M.A. |
| Practice Address |
5848 N Bogart Ln Boise ID 83714-3922 |
| Practice Telephone | 2088601349 |
| Mailing Telephone | 2088601349 |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962849463 | William James Tidwell | Dermatology | 26732 Crown Valley Pkwy Ste 571, Mission Viejo, CA 92691-7305 | 2013-05-24 |
| 1801072632 | William Tidwell | Radiology | 1800 12th St, Meridian, MS 39301-4158 | 2008-01-10 |
| 1326114448 | William Cleveland Tidwell Jr. | Counselor | 405 Alabama Avenue, Bremen, GA 30110 | 2006-11-28 |
| Street Address |
5848 N BOGART LN |
| City | BOISE |
| State | ID |
| Zip Code | 83714-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| 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.