DANA RISEDORF (NPI# 1770040107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770040107 |
| Entity Type | Individual |
| Full Name | DANA RISEDORF |
| Practice Address |
7200 E Dry Creek Rd Centennial CO 80112-2537 |
| Mailing Address |
3833 S Nelson Ct Lakewood CO 80235-1150 |
| Practice Telephone | 8663000822 |
| Practice Fax Number | 3036009933 |
| Mailing Telephone | 7202614153 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-18-72182 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | BACB | 106S00000X | 01 |
| Street Address |
7200 E DRY CREEK RD |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80112-2537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689829624 | Brian Ray Berlener | Chiropractor | 7200 E Dry Creek Rd, A101, Centennial, CO 80112-2537 | 2008-11-18 |
| 1265949978 | Nicholas Lea | Behavior Technician | 7200 E Dry Creek Rd, Centennial, CO 80112-2537 | 2018-01-03 |
| 1144737065 | Jessica Lynne Schamp | Behavior Technician | 7200 E Dry Creek Rd, Centennial, CO 80112-2537 | 2017-12-30 |
| 1831618800 | Carol Lynn Howard | Massage Therapist | 7200 E Dry Creek Rd, Centennial, CO 80112-2537 | 2017-09-11 |
| 1972951002 | Megan Davey Franklin | Counselor | 7200 E Dry Creek Rd, Suite C202, Centennial, CO 80112-2537 | 2016-05-31 |
| 1295189611 | Behavioral Growing Tree | Community/Behavioral Health | 7200 E Dry Creek Rd, E104, Centennial, CO 80112-2537 | 2016-04-21 |
| 1912351735 | Amanda Montoya | Behavioral Analyst | 7200 E Dry Creek Rd, Centennial, CO 80112-2537 | 2016-04-18 |
| 1700263290 | Charismatic Counseling, Pllc | Counselor | 7200 E Dry Creek Rd, Suite C-202, Centennial, CO 80112-2537 | 2015-05-04 |
| 1194125864 | Emma Rowe | Counselor | 7200 E Dry Creek Rd, Suite C-202, Centennial, CO 80112-2537 | 2014-08-29 |
| 1609297969 | Spine Re-new LLC | Chiropractor | 7200 E Dry Creek Rd, A101, Centennial, CO 80112-2537 | 2014-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921177 | Natalie Jo Stevenson | Social Worker | 12835 E Arapahoe Rd., Tower 2, Suite 400, Centennial, CO 80112 | 2020-01-14 |
| 1033757109 | Sauder Psychology, Inc | Psychologist | 9085 E. Mineral Cir, Suite 235, Centennial, CO 80112 | 2019-12-19 |
| 1588213581 | Myappstorebiz | Special Hospital | 13033 E Adam Aircraft Circle B 53, Englewood, CO 80112 | 2019-09-11 |
| 1669930319 | Linked To Craig 501c3 | Dentist | 9085 E. Mineral Circle, Suite 350, Centennial, CO 80112 | 2019-03-12 |
| 1528538311 | Cherish Mitchell | Behavior Technician | 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 | 2018-12-05 |
| 1144706920 | Margaret Mary Froehlke | Homemaker | 6278 E Jamison Dr, Centennial, CO 80112 | 2018-07-16 |
| 1376038240 | Elizabeth Ann Dickason | Physician Assistant | 9094 East Mineral Avenue, #100, Englewood, CO 80112 | 2018-06-24 |
| 1770075467 | Dry Creek Surgery Center, LLC | Clinic/Center | 125 Inverness Dr E Ste 150, Englewood, CO 80112 | 2018-05-30 |
| 1639669476 | Uchealth Ambulatory Surgery Centers | Clinic/Center | 175 Inverness Drive West, Englewood, CO 80112 | 2018-05-17 |
| 1427545227 | Patterns Behavioral Services Colorado Inc | Assistant Behavior Analyst | 7600 E Arapahoe Rd Ste 211, Centennial, CO 80112 | 2018-04-17 |
| Find all providers in zip 80112 | ||||
| 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 |
|---|---|---|---|---|
| 1841754694 | Tashay Brown | Behavior Technician | 5321 S Danube Ct, Centennial, CO 80015-4811 | 2019-01-25 |
| 1528538311 | Cherish Mitchell | Behavior Technician | 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 | 2018-12-05 |
| 1871078931 | Tonya Cushman Keith | Behavior Technician | 6017 S Walden Ct, Centennial, CO 80016-1188 | 2018-09-25 |
| 1942788450 | Nicolas Kang | Behavior Technician | 12650 E Briarwood Ave # 470-0578, Centennial, CO 80112-6792 | 2018-08-06 |
| 1285126672 | Carolina Hernandez | Behavior Technician | 6874 S Ulster Cir, Centennial, CO 80112-1364 | 2018-06-01 |
| 1609375211 | Kelsy Drummond | Behavior Technician | 12650 E Briarwood Ave Ste 2017, Centennial, CO 80112-6792 | 2018-02-08 |
| 1275040156 | Alexandria Christine Miller | Behavior Technician | 7200 E Dry Creek Rd Ste E104, Centennial, CO 80112-2568 | 2018-01-02 |
| 1033654546 | Aracely Alvidrez | Behavior Technician | 304 Inverness Way S Ste 124, Centennial, CO 80112-5828 | 2016-12-20 |
| 1992193908 | Danielle Vicaro | Behavior Technician | 12650 E Briarwood Ave Unit 207, Centennial, CO 80112-6792 | 2014-12-26 |
| 1912508292 | Grant Maller | Behavior Technician | 8008 E Arapahoe Ct, Centennial, CO 80112-6839 | 2020-11-04 |
| Find all providers in CENTENNIAL | ||||
| City | CENTENNIAL |
| Zip Code | 80112 |
Please comment or provide details below to improve the information on DANA RISEDORF.
| 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.