MRS. CHARLOTTA P ZIMMERMAN (NPI# 1720519788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720519788 |
| Entity Type | Individual |
| Full Name | MRS. CHARLOTTA P ZIMMERMAN |
| Practice Address |
136 E School St Bonne Terre MO 63628-1724 |
| Practice Telephone | 6362325894 |
| Practice Fax Number | 3148453901 |
| Mailing Telephone | 6362325894 |
| Mailing Fax Number | 3148453901 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-17-30663 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1992256945 | 05 |
| Street Address |
136 E SCHOOL ST |
| City | BONNE TERRE |
| State | MO |
| Zip Code | 63628-1724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437675477 | Kybama, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 12729 Stoney Point Rd, Bonne Terre, MO 63628 | 2017-08-22 |
| 1295092500 | Jak Properties Inc | In Home Supportive Care | 522 Benham St, Suite B, Bonne Terre, MO 63628 | 2012-04-12 |
| 1013121599 | Joseph Richard Engel | Dentist | 20 W Johnson St, Bonne Terre, MO 63628 | 2007-05-10 |
| 1215093844 | Debra Long Morgan | Dentist | 20 West Johnson Street, Bonne Terre, MO 63628 | 2006-12-28 |
| 1497811459 | Robert Oliver Greenwald | Dentist | #20 W Johnson, Bonne Terre, MO 63628 | 2006-12-27 |
| 1255964508 | American Nursing & Rehab LLC | Assisted Living Facility | 10 Lake Drive, Bonne Terre, MO 63628 | 2020-02-14 |
| 1962679746 | Robert O Greenwald Dds PC | Dentist | #20 W Johnson, Bonne Terre, MO 63628 | 2008-05-12 |
| 1427045004 | Pairat Vibulakaopun | Internal Medicine | 527 Benham St, Bonne Terre, MO 63628-1205 | 2005-09-29 |
| 1124014030 | Kenny Ratana | Radiology | 527 Benham St # B, Bonne Terre, MO 63628-1205 | 2005-09-26 |
| 1669017315 | Patricia Ann Peterson | Nurse Practitioner | 527 Benham St, Bonne Terre, MO 63628-1205 | 2019-11-15 |
| Find all providers in zip 63628 | ||||
| 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 |
|---|---|---|---|---|
| 1851990386 | Brigitte A Thorn | Behavior Technician | 607 Vivian Ct, Park Hills, MO 63601-4441 | 2020-10-26 |
| 1558960906 | Joshua Kemp | Behavior Technician | 2957 Madison 208, Fredericktown, MO 63645-8478 | 2020-10-17 |
| 1649878158 | Bridget Heaton Garner | Behavior Technician | 33636 Country Club Rd, Slater, MO 65349-2238 | 2020-10-16 |
| 1356955967 | Mckayla Graves | Behavior Technician | 1640 Littleton Ct, Fenton, MO 63026-3015 | 2020-09-01 |
| 1922612787 | Julie Schrum | Behavior Technician | 751 Timberline Dr, Farmington, MO 63640-7800 | 2020-08-31 |
| 1508479528 | Alexis Marie Gallegos | Behavior Technician | 214 Ferrel St, Platte City, MO 64079-9511 | 2020-08-28 |
| 1881207264 | Kenyatta Dakesha Cole | Behavior Technician | 4889 Kossuth Ave Fl 1, Saint Louis, MO 63115-2107 | 2020-08-26 |
| 1336752872 | Jojinam Alicia Agbokou | Behavior Technician | 13087 Fox Haven Ct, Florissant, MO 63033-4800 | 2020-08-25 |
| 1912519372 | Chelsea Arnold | Behavior Technician | 1300 Locust St, Harrisonville, MO 64701-1366 | 2020-08-18 |
| 1629689633 | Veronica Lynn Kirk | Behavior Technician | 2270 Orleans Ln, Florissant, MO 63031-2114 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
| City | BONNE TERRE |
| Zip Code | 63628 |
Please comment or provide details below to improve the information on MRS. CHARLOTTA P ZIMMERMAN.
| 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.