WILD SUN BEHAVIORAL SERVICES, LLC (NPI# 1790348258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790348258 |
| Entity Type | Organization |
| Organization Name | WILD SUN BEHAVIORAL SERVICES, LLC |
| Practice Address |
685 Briggs St Erie CO 80516 |
| Mailing Address |
707 Starkey Ct Erie CO 80516-7229 |
| Practice Telephone | 7207874939 |
| Practice Fax Number | 7207874192 |
| Mailing Telephone | 7208492668 |
| Mailing Fax Number | 7207874192 |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2019-04-19 |
| Authorized Official Name | DANIEL M KURTY (CEO) |
| Authorized Official Telephone | 7208492668 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| wild Sun Behavioral Services, LLC. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366932303 | Wild Sun Behavioral Services, LLC | Behavioral Analyst | 707 Starkey Ct, Erie, CO 80516-7229 | 2018-05-15 |
| 1790299246 | Wild Sun Behavioral Services, LLC | Behavioral Analyst | 707 Starkey Ct, Erie, CO 80516-7229 | 2017-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | WILD SUN BEHAVIORAL SERVICES, LLC | 707 Starkey Ct, Erie, CO 80516 |
| Street Address |
685 BRIGGS ST |
| City | ERIE |
| State | CO |
| Zip Code | 80516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861039158 | Jordyn Adams | Behavioral Analyst | 685 Briggs St, Erie, CO 80516 | 2019-12-05 |
| 1316583628 | University Physicians Incorporated | Psychologist | 685 Briggs St, Erie, CO 80516 | 2019-11-21 |
| 1275186363 | Aubrie Tarantino | Counselor | 685 Briggs St, Erie, CO 80516 | 2019-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605411 | Casey Elizabeth Dunne | Behavior Technician | 685 Briggs Street, Erie, CO 80516 | 2020-09-28 |
| 1972153799 | Brynn Lay | Chiropractor | 615 Briggs St., Ste. B, Erie, CO 80516 | 2019-09-13 |
| 1013561414 | Giselle Serrano | Dentist | 1927 Colorado State Hwy 7 Ste 101, Ste 101, Erie, CO 80516 | 2019-07-25 |
| 1174011274 | Erie Modern Dentistry, LLP | Dentist | 1927 Colorado State Hwy 7, Suite 101, Erie, CO 80516 | 2018-04-25 |
| 1255843975 | Colorado Dental Professionals, LLC | Dentist | 440 Erie Pkwy, Erie, CO 80516 | 2017-11-03 |
| 1902315476 | Elizabeth Ann Shedd | Nurse Practitioner | 2303 Dogwood Drive, Erie, CO 80516 | 2017-09-27 |
| 1174041073 | Anna Geheren | Registered Nurse | 764 High St, Erie, CO 80516 | 2017-08-31 |
| 1033659321 | T. Brian Cope D.d.s. P.C. | Dentist | 71 Erie Parkway, Suite 101, Erie, CO 80516 | 2017-03-06 |
| 1962959569 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1981 State Hwy 7, Erie, CO 80516 | 2016-09-01 |
| 1326429671 | Neal Patel | Dentist | 440 Erie Parkway, Erie, CO 80516 | 2015-06-12 |
| Find all providers in zip 80516 | ||||
| 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 |
|---|---|---|---|---|
| 1730719428 | Lina Hoblos | Behavioral Analyst | 4102 Aveniel Ct, Erie, PA 16506-4640 | 2020-01-22 |
| 1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
| 1538525852 | Lisa Schroder | Behavioral Analyst | 3913 Trask Ave, Erie, PA 16508-3135 | 2016-01-04 |
| 1811367600 | Daniel Kurty | Behavioral Analyst | 707 Starkey Ct, Erie, CO 80516-7229 | 2015-10-06 |
| 1467835645 | Ashley Olsen | Behavioral Analyst | 96 Bonanza Dr, Erie, CO 80516-8446 | 2015-07-07 |
| 1316374663 | Raeann Barnes | Behavioral Analyst | 1326 W 30th St, Erie, PA 16508-1412 | 2013-10-02 |
| 1407281074 | Jeremy William Perry | Behavioral Analyst | 5142 Buffalo Rd, Erie, PA 16510-2308 | 2013-09-13 |
| 1932543238 | Christina Ann Colon | Behavioral Analyst | 1905 Roberts Rd, Apartment B, Erie, PA 16510-2347 | 2013-04-18 |
| 1245579135 | Melissa Anne Shrout | Behavioral Analyst | 1029 Smithson Ave, Erie, PA 16511-1977 | 2013-02-12 |
| 1518223619 | Jonathan William Ivy | Behavioral Analyst | 2014 W 29th St, Erie, PA 16508-1008 | 2012-04-03 |
| Find all providers in ERIE | ||||
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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.