MIRANDA RENAE THOMPSON (NPI# 1841838208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841838208 |
| Entity Type | Individual |
| Full Name | MIRANDA RENAE THOMPSON |
| Credential | M.ED., RBT |
| Practice Address |
2904 Foltz Dr Edgewood KY 41017-2525 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 8597953000 |
| Practice Fax Number | 3175208200 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 3175208200 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-17-42418 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RBT CERTIFICATE | RBT-17-42418 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497256846 | Miranda J Thompson | Registered Nurse | 4002 Beaver Dr, Amarillo, TX 79107-7310 | 2018-02-21 |
| 1740672427 | Miranda Thompson | Nurse Practitioner | 425 E 61st St, Suite 403, New York, NY 10065-8722 | 2015-03-04 |
| Street Address |
2904 FOLTZ DR |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017-2525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134427628 | Katelyn Rose Mullen | Behavioral Analyst | 2904 Foltz Dr, Edgewood, KY 41017-2525 | 2011-03-07 |
| 1063029445 | Sydney Renee Ely | Behavior Technician | 2904 Foltz Dr, Edgewood, KY 41017-2525 | 2020-09-29 |
| 1548877103 | Bailey Nicole Dorsey | Behavior Technician | 2904 Foltz Dr, Edgewood, KY 41017-2525 | 2020-09-28 |
| 1881200939 | Callie Nicole Bolling | Behavior Technician | 2904 Foltz Dr, Edgewood, KY 41017-2525 | 2020-09-23 |
| 1053927103 | Allason Paige Toler | Behavior Technician | 2904 Foltz Dr, Edgewood, KY 41017-2525 | 2020-09-23 |
| 1588279186 | Megan Nicole Bosma | Behavior Technician | 2904 Foltz Dr, Edgewood, KY 41017-2525 | 2020-09-10 |
| 1255943981 | Morgan Christian Calhoun | Behavior Technician | 2904 Foltz Dr, Edgewood, KY 41017-2525 | 2020-08-24 |
| 1275143836 | Leah Brianna Dale | Behavior Technician | 2904 Foltz Dr, Edgewood, KY 41017-2525 | 2020-08-07 |
| 1235749896 | Griffin Neal Stanley | Behavior Technician | 2904 Foltz Dr, Edgewood, KY 41017-2525 | 2020-08-07 |
| 1174149330 | Courtney Lynn Gerbus | Behavior Technician | 2904 Foltz Dr, Edgewood, KY 41017-2525 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| 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 |
|---|---|---|---|---|
| 1467060855 | Melanie Paggett | Behavior Technician | 906 Olive Branch Ct, Edgewood, MD 21040-3816 | 2020-07-21 |
| 1770120495 | William P Stewart | Behavior Technician | 2826 Profitt Path, Edgewood, MD 21040-3428 | 2019-12-02 |
| 1649762774 | Samantha Marie Garrett | Behavior Technician | 19 Sage Ct, Edgewood, NM 87015-8035 | 2018-06-04 |
| 1053812560 | Britney Nichole Little | Behavior Technician | 1113 Chipper Dr, Edgewood, MD 21040-1200 | 2018-02-21 |
| 1063029445 | Sydney Renee Ely | Behavior Technician | 2904 Foltz Dr, Edgewood, KY 41017-2525 | 2020-09-29 |
| 1548877103 | Bailey Nicole Dorsey | Behavior Technician | 2904 Foltz Dr, Edgewood, KY 41017-2525 | 2020-09-28 |
| 1881200939 | Callie Nicole Bolling | Behavior Technician | 2904 Foltz Dr, Edgewood, KY 41017-2525 | 2020-09-23 |
| 1053927103 | Allason Paige Toler | Behavior Technician | 2904 Foltz Dr, Edgewood, KY 41017-2525 | 2020-09-23 |
| 1588279186 | Megan Nicole Bosma | Behavior Technician | 2904 Foltz Dr, Edgewood, KY 41017-2525 | 2020-09-10 |
| 1255943981 | Morgan Christian Calhoun | Behavior Technician | 2904 Foltz Dr, Edgewood, KY 41017-2525 | 2020-08-24 |
| Find all providers in EDGEWOOD | ||||
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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.