ELIZABETH OBERNDORFER (NPI# 1801439336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801439336 |
| Entity Type | Individual |
| Full Name | ELIZABETH OBERNDORFER |
| Practice Address |
1499 6th St Green Bay WI 54304-2252 |
| Practice Telephone | 9204976161 |
| Mailing Telephone | 9204976161 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1499 6TH ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-2252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093869588 | Innovative Counseling Inc | Community/Behavioral Health | 1499 6th St, Innovative Counseling Inc, Green Bay, WI 54304-2252 | 2007-01-22 |
| 1891302196 | Katrina Verhagen | Behavioral Analyst | 1499 6th St, Green Bay, WI 54304-2252 | 2020-09-30 |
| 1134733595 | Kayla Testroete | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2020-09-03 |
| 1609485846 | Taylor Beadles | Behavioral Analyst | 1499 6th St, Green Bay, WI 54304-2252 | 2020-07-23 |
| 1053938142 | Tianna Abts | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2020-07-06 |
| 1447886635 | Rachel Gregory | Social Worker | 1499 6th St, Green Bay, WI 54304-2252 | 2020-03-19 |
| 1326688466 | Kristie Durst | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2020-01-07 |
| 1659915130 | Claire Schrier | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2019-10-29 |
| 1285278630 | Nicholas Hugo | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2019-10-29 |
| 1073156501 | Valyssa Biese | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2019-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| 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 |
|---|---|---|---|---|
| 1134733595 | Kayla Testroete | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2020-09-03 |
| 1053938142 | Tianna Abts | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2020-07-06 |
| 1326688466 | Kristie Durst | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2020-01-07 |
| 1659915130 | Claire Schrier | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2019-10-29 |
| 1285278630 | Nicholas Hugo | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2019-10-29 |
| 1073156501 | Valyssa Biese | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2019-10-28 |
| 1811530348 | Casey Wittmer | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2019-10-28 |
| 1023651528 | Melinda Modaff | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2019-10-28 |
| 1407499932 | Allison Pierson | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2019-10-28 |
| 1316580848 | Sabrina Nash | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2019-10-28 |
| Find all providers in GREEN BAY | ||||
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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.