ELYSE VANBERG DOHERTY (NPI# 1700384989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700384989 |
| Entity Type | Individual |
| Full Name | ELYSE VANBERG DOHERTY |
| Credential | BCABA |
| Practice Address |
708 Broadwater Ave Billings MT 59101-2710 |
| Practice Telephone | 4062591680 |
| Mailing Telephone | 4062591680 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2019-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467804088 | Elyse Doherty | Physician Assistant | 75 Francis St, Boston, MA 02115-6110 | 2016-07-07 |
| Street Address |
708 BROADWATER AVE |
| City | BILLINGS |
| State | MT |
| Zip Code | 59101-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972544617 | David F. Johnson | Internal Medicine | 708 Broadwater Ave, Billings, MT 59101-2710 | 2006-06-10 |
| 1770182545 | Cathy Breeding | Behavior Technician | 708 Broadwater Ave, Billings, MT 59101-2710 | 2020-10-22 |
| 1467051441 | Meghan Knust | Behavior Technician | 708 Broadwater Ave, Billings, MT 59101-2710 | 2020-10-21 |
| 1396343968 | Morghan Huff | Behavior Technician | 708 Broadwater Ave, Billings, MT 59101-2710 | 2020-10-15 |
| 1124626122 | Saydee Preston | Behavior Technician | 708 Broadwater Ave, Billings, MT 59101-2710 | 2020-10-12 |
| 1437761954 | Josephine Kautsky | Physical Therapist | 708 Broadwater Ave, Billings, MT 59101-2710 | 2020-08-17 |
| 1447878665 | Kelly Rysavy | Behavior Technician | 708 Broadwater Ave, Billings, MT 59101-2710 | 2020-07-14 |
| 1447878798 | Amanda Iffland | Behavior Technician | 708 Broadwater Ave, Billings, MT 59101-2710 | 2020-07-13 |
| 1639795024 | Kourtney Friede | Behavior Technician | 708 Broadwater Ave, Billings, MT 59101-2710 | 2020-06-22 |
| 1144843905 | Alexis Egan | Behavior Technician | 708 Broadwater Ave, Billings, MT 59101-2710 | 2020-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950927 | Rayola Carol Grant | Student in an Organized Health Care Education/Training Program | Montana State University College of Nursing, Billing Ce, Ap 306 1500 University Drive, Billings, MT 59101 | 2020-07-29 |
| 1225652001 | Johnny L Talawyma Jr. | Peer Specialist | 1230 N. 30th St. Suite 100, Billings, MT 59101 | 2020-06-08 |
| 1306487962 | Jeannine L. Walter | Technician | 26 Peters St, Billings, MT 59101 | 2019-10-04 |
| 1912470089 | Deidre Jenae Johnson | Student in an Organized Health Care Education/Training Program | 1500 University Drive, Rimrock 503, Billings, MT 59101 | 2019-01-10 |
| 1649743964 | Annika Stampfel | Behavior Technician | 780 Broadwater Avenue, Billings, MT 59101 | 2019-01-09 |
| 1215436092 | Yellowstone City-county Health Department | Clinic/Center | 515 N 27th St, Billings, MT 59101 | 2018-02-07 |
| 1902305790 | Yellowstone City-county Health Department | Clinic/Center | 3005 1st Ave S, Billings, MT 59101 | 2018-02-07 |
| 1720587512 | Yellowstone City-county Health Department | Clinic/Center | 120 Jackson Street, Billings, MT 59101 | 2018-02-07 |
| 1508385477 | Jkw & Jira Inc. | Pharmacy | 1245 N 29th St Ste 100, Billings, MT 59101 | 2017-09-12 |
| 1487198610 | Rebecca Webber | Counselor | 251 Rolling Meadow Dr, Billings, MT 59101 | 2016-12-07 |
| Find all providers in zip 59101 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1366072563 | Carrie L Barton | Assistant Behavior Analyst | 1701 Avenue E Suite A, Billings, MT 59102 | 2020-01-16 |
| 1356835920 | Britney Morgan Sinclair | Assistant Behavior Analyst | 708 Broadwater Ave, Billings, MT 59101-2710 | 2018-06-18 |
| 1407355068 | Allyssa Ruiz | Assistant Behavior Analyst | 708 Broadwater Ave, Billings, MT 59101-2710 | 2018-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902372923 | Jennifer Morrison | Assistant Behavior Analyst | 1039 Stoneridge Dr Ste 5, Bozeman, MT 59718-7056 | 2018-10-17 |
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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.