ROBERT LEE SQUIRE III (NPI# 1720587702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720587702 |
| Entity Type | Individual |
| Full Name | ROBERT LEE SQUIRE III |
| Practice Address |
3425 Blake St Denver CO 80205 |
| Mailing Address |
3425 Blake St Denver CO 80205-2406 |
| Practice Telephone | 7204192196 |
| Mailing Telephone | 7204192196 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2019-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2121 S Blackhawk Suite 100, Aurora, CO 80014 | 3036324100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912230566 | Robert Squire | Pharmacist | 6301 E Baylor Dr, Tucson, AZ 85710-8702 | 2009-09-15 |
| 1750310082 | Robert Hall Squire | Emergency Medicine | 219 Weaver Ave, Emporia, VA 23847-1248 | 2006-06-30 |
| Street Address |
3425 BLAKE ST |
| City | DENVER |
| State | CO |
| Zip Code | 80205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205003845 | Anne Elizabeth Andrews | Behavioral Analyst | 3425 Blake St, Denver, CO 80205-2406 | 2008-05-13 |
| 1932708104 | Emily Morgan | Behavior Technician | 3425 Blake St, Denver, CO 80205-2406 | 2020-10-20 |
| 1326646159 | Melissa Peterson | Behavior Technician | 3425 Blake St, Denver, CO 80205-2406 | 2020-10-14 |
| 1164048369 | Autumn Lou Sutton | Behavior Technician | 3425 Blake St, Denver, CO 80205-2406 | 2020-06-23 |
| 1053951376 | Grace Krause | Behavior Technician | 3425 Blake St, Denver, CO 80205-2406 | 2020-01-14 |
| 1972142636 | Brittany Gotto | Behavior Technician | 3425 Blake St, Denver, CO 80205-2406 | 2019-12-29 |
| 1265088744 | Kara Watrud | Case Manager/Care Coordinator | 3425 Blake St, Denver, CO 80205-2406 | 2019-08-12 |
| 1306492889 | Anna Bulow | Case Manager/Care Coordinator | 3425 Blake St, Denver, CO 80205-2406 | 2019-08-12 |
| 1881253391 | Lucinda Lee Surprenant Nguyen | Case Manager/Care Coordinator | 3425 Blake St, Denver, CO 80205-2406 | 2019-06-08 |
| 1346709771 | Karen Burch | Case Manager/Care Coordinator | 3425 Blake St, Denver, CO 80205-2406 | 2019-03-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769233 | Abigail Eileen Taylor | Occupational Therapy Assistant | 3241 N York St, Denver, CO 80205 | 2020-01-19 |
| 1609415694 | Blushing Bodies | Clinic/Center | 2040 East 28th Ave, Denver, CO 80205 | 2019-12-23 |
| 1053966564 | Paul Deutsch | Social Worker | 3836 York St, Denver, CO 80205 | 2019-08-02 |
| 1770062085 | New Health Pain Treatment Centers, LLC | General Practice | 3605 S Teller, Englewood, CO 80205 | 2018-08-08 |
| 1710474374 | Paloma Dental | Dentist | 1225 35th Street, Denver, CO 80205 | 2018-04-19 |
| 1720516677 | Volunteers of America, Colorado Branch | Voluntary or Charitable | 2660 Larimer St., Denver, CO 80205 | 2017-05-23 |
| 1760917637 | Rino Dental | Dentist | 3258 Larimer St, Suite 300, Denver, CO 80205 | 2017-04-27 |
| 1891233193 | Barbara Jordan | Physical Therapist | 13123 East 16th Avenue, Box 295, Denver, CO 80205 | 2017-02-07 |
| 1255877635 | Kaiser Permanente | Clinic/Center | 1451 24th Street, Apt 146, Denver, CO 80205 | 2017-01-10 |
| 1255887501 | Stephanie W Kwong | Speech-Language Pathologist | 158 S Pacific Avenue, Denver, CO 80205 | 2016-08-28 |
| Find all providers in zip 80205 | ||||
| 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 |
|---|---|---|---|---|
| 1821697384 | Martha Sims | Behavior Technician | 2450 S University Blvd Unit 307, Denver, CO 80210-5490 | 2020-10-25 |
| 1487253274 | Karen Alaine Wallis | Behavior Technician | 2717 S Glencoe St, Denver, CO 80222-6848 | 2020-10-22 |
| 1699386490 | Bridget Joy Roggow | Behavior Technician | Technology Way Apt 301, Denver, CO 80237 | 2020-08-14 |
| 1124636535 | Alicia Arias-buckeye | Behavior Technician | 9100 E Florida Ave Apt 24-207, Denver, CO 80247-2880 | 2020-07-22 |
| 1386252237 | Michelle Jinsun Moon | Behavior Technician | 2975 Huron St Apt 433, Denver, CO 80202-1052 | 2020-07-16 |
| 1518585611 | Sierra Michelle Dwyer | Behavior Technician | 2020 Lawrence St Unit 510, Denver, CO 80205-2155 | 2020-07-06 |
| 1710504527 | Emily Elizabeth Sjolander | Behavior Technician | 3655 S Verbena St Apt I303, Denver, CO 80237-1568 | 2020-06-26 |
| 1992320428 | Renate Petters | Behavior Technician | 1799 S. Dayton St., Building 2 Unit 237, Denver, CO 80247 | 2020-06-10 |
| 1417571381 | Bonnae Marie Hammond | Behavior Technician | 1938 N Pennsylvania St Unit 4407, Denver, CO 80203-1324 | 2020-06-05 |
| 1437771292 | Jesseca Leutbecher | Behavior Technician | 3247 Kearney St Apt A, Denver, CO 80207-2188 | 2020-05-14 |
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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.