LAURA LEE WILCKE (NPI# 1780228270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780228270 |
| Entity Type | Individual |
| Full Name | LAURA LEE WILCKE |
| Other Name | LAURA LEE KORTH |
| Credential | BCBA |
| Practice Address |
1020 Buddy Holly Place Clear Lake IA 50428 |
| Mailing Address |
Po Box 622 Clear Lake IA 50428 |
| Practice Telephone | 6413551201 |
| Practice Fax Number | 8556961392 |
| Mailing Telephone | 6413551201 |
| Mailing Fax Number | 8556961392 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2020-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 098512 | IA | Behavioral Health & Social Service Providers |
| Street Address |
1020 BUDDY HOLLY PLACE |
| City | CLEAR LAKE |
| State | IA |
| Zip Code | 50428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912528266 | One Vision | Intermediate Care Facility, Mentally Retarded | 755 Pebblestone Lane, Garner, IA 50428 | 2020-04-28 |
| 1578120978 | Jon Secory | Pharmacist | 20 S. 4th St, Clear Lake, IA 50428 | 2019-05-22 |
| 1285109207 | Julie Livingston | Registered Nurse | Thrifty White Drug, 1907 Us Highway 18 East, Clear Lake, IA 50428 | 2018-10-05 |
| 1720580277 | Kelly Nieman | Nurse Practitioner | 1410 6th Ave South, Clear Lake, IA 50428 | 2018-03-01 |
| 1427439892 | Christopher Fischer | Physical Therapist | 7 S 8th St Ste C, Clear Lake, IA 50428 | 2015-06-11 |
| 1609114958 | Hasco Inc. | Pharmacy | 8 North 4th St, Clear Lake, IA 50428 | 2013-01-22 |
| 1295097970 | Alexander Macrae Harvin | Radiology | 5095 S Shore Dr, Clear Lake, IA 50428 | 2012-06-08 |
| 1679707947 | Integrative Medicine Consultants, Inc. | Physician Assistant | 507 Main Avenue, Clear Lake, IA 50428 | 2009-05-14 |
| 1326204686 | Anjali S. Henry | Pediatrics | 418 North Shore Drive, Clear Lake, IA 50428 | 2008-08-05 |
| 1750433413 | Todd Darwin Hocraffer | Chiropractor | 1524 W Highway 18, Clear Lake, IA 50428 | 2007-01-16 |
| Find all providers in zip 50428 | ||||
| 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 |
|---|---|---|---|---|
| 1699372185 | Kathleen Maureen Vantol | Behavioral Analyst | 548 6th St Nw, Sioux Center, IA 51250-1950 | 2020-10-07 |
| 1588261705 | Mobile Therapy Centers of Iowa LLC | Behavioral Analyst | 3520 Inverness Rd, Waterloo, IA 50701-4634 | 2020-10-01 |
| 1396352779 | Dordt University | Behavioral Analyst | 1124 7th Ave Ne, Sioux Center, IA 51250-2118 | 2020-09-29 |
| 1902415409 | Carissa Lynne Serbousek | Behavioral Analyst | 700 Bell Dr Sw, Cedar Rapids, IA 52404-7406 | 2020-07-30 |
| 1831716356 | Tina Ann Cobbs | Behavioral Analyst | 2610 Chicago Ave, Sioux City, IA 51106-1006 | 2020-06-30 |
| 1265056113 | Ashley M Andrew | Behavioral Analyst | 29295 I Ave, Adel, IA 50003-5539 | 2020-06-05 |
| 1518515691 | Sue's Kids | Behavioral Analyst | 1806 Sycamore Ave, Atlantic, IA 50022-2828 | 2019-08-31 |
| 1114490992 | Behavior Associates of Iowa LLC | Behavioral Analyst | 2844 104th St, Urbandale, IA 50322-3813 | 2019-01-04 |
| 1205303641 | Sarah Marie Hawley | Behavioral Analyst | 138 1st Ave Se, Sioux Center, IA 51250-1521 | 2018-10-24 |
| 1922580489 | Exceptional Kids LLC | Behavioral Analyst | 1916 Brown Deer Rd, Coralville, IA 52241-1161 | 2018-08-31 |
| Find all providers with the same taxonomy | ||||
| City | CLEAR LAKE |
| Zip Code | 50428 |
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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.