KRISTIN M MARTIN (NPI# 1851893903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851893903 |
| Entity Type | Individual |
| Full Name | KRISTIN M MARTIN |
| Other Name | KRISTIN GAGNON |
| Credential | RBT |
| Practice Address |
3441 Fort Campbell Blvd Ste F3 Clarksville TN 37042-6684 |
| Practice Telephone | 9314490063 |
| Mailing Telephone | 9314490063 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-15-07321 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BACB | RBT-15-07321 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568616654 | Kristin King Martin | Nurse Practitioner | 17505 Jefferson Hwy, Prairieville, LA 70769-3930 | 2008-11-17 |
| 1063012532 | Kristin Elizabeth Martin | Counselor | 575 E Main Rd, Middletown, RI 02842-5528 | 2020-10-26 |
| 1679110217 | Kristin Anne Martin | Counselor | 312 Iowa Ave, Muscatine, IA 52761-3836 | 2019-12-02 |
| 1417421272 | Kristin Elaine Martin | Speech-Language Pathologist | 813 N Franklin St, Van Wert, OH 45891-1303 | 2019-01-15 |
| 1811410939 | Kristin Lillian Martin | Behavioral Analyst | 33 Perry Ave, Attleboro, MA 02703-2417 | 2017-07-20 |
| 1720439045 | Kristin Martin | Nurse Practitioner | 105 W 8th Ave, Suite 200, Spokane, WA 99204-2302 | 2016-06-28 |
| 1033590104 | Kristin Lorraine Martin | Obstetrics & Gynecology | 100 N Academy Ave, Danville, PA 17822-6202 | 2015-06-15 |
| 1033549126 | Kristin Martin | Pharmacist | 1801 E Parks Hwy, Wasilla, AK 99654-7350 | 2013-11-26 |
| 1184867657 | Kristin Ann Martin | Speech-Language Pathologist | 6000 Babcock Blvd, Pittsburgh, PA 15237-2564 | 2009-04-14 |
| 1063655645 | Kristin Martin | Occupational Therapist | 3 Brazier Ln, Kennebunk, ME 04043-7095 | 2009-04-13 |
| Street Address |
3441 FORT CAMPBELL BLVD STE F3 |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37042-6684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427202134 | Curtis J Harris | Behavioral Analyst | 3441 Fort Campbell Blvd Ste F3, Clarksville, TN 37042-6684 | 2008-11-07 |
| 1942824099 | Brittany Hicks | Behavior Technician | 3441 Fort Campbell Blvd Ste F3, Clarksville, TN 37042-6684 | 2020-06-04 |
| 1285257907 | Theresa Mccoin | Behavior Technician | 3441 Fort Campbell Blvd Ste F3, Clarksville, TN 37042-6684 | 2020-05-28 |
| 1487277133 | Amanda Keller | Behavior Technician | 3441 Fort Campbell Blvd Ste F3, Clarksville, TN 37042-6684 | 2020-05-28 |
| 1760038160 | Eliza C Sotomayor | Behavior Technician | 3441 Fort Campbell Blvd Ste F3, Clarksville, TN 37042-6684 | 2019-08-13 |
| 1326694720 | Kayla M Chavez | Behavior Technician | 3441 Fort Campbell Blvd Ste F3, Clarksville, TN 37042-6684 | 2019-08-13 |
| 1528520673 | Jamie B Etringer | Behavior Technician | 3441 Fort Campbell Blvd Ste F3, Clarksville, TN 37042-6684 | 2019-04-05 |
| 1578029690 | Harlie Dakota Baswell | Behavior Technician | 3441 Fort Campbell Blvd Ste F3, Clarksville, TN 37042-6684 | 2019-02-13 |
| 1043782071 | Rita Bacho | Behavior Technician | 3441 Fort Campbell Blvd Ste F3, Clarksville, TN 37042-6684 | 2019-01-02 |
| 1730659996 | Jessica M Golson | Behavior Technician | 3441 Fort Campbell Blvd Ste F3, Clarksville, TN 37042-6684 | 2018-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275186603 | Elizabeth Louise Eckart | Physical Therapist | 305 Rue Le Mans Dr., Clarksville, TN 37042 | 2019-07-24 |
| 1740844802 | Lana Sperry | Speech-Language Pathologist | 1255 Northfield Drive, Clarksville, TN 37042 | 2019-04-24 |
| 1497263941 | Cumberland Surgical Arts and Associates, Pllc | Oral & Maxillofacial Surgery | 1275 Parkway Place, Clarksville, TN 37042 | 2018-01-18 |
| 1336590058 | Bobby Bonner Jr. | Case Manager/Care Coordinator | 1697putnum Drive, Clarksville, TN 37042 | 2016-06-23 |
| 1184078040 | Sheena Williams | Counselor | 901 Martin St., Clarksville, TN 37042 | 2016-04-18 |
| 1568847069 | Sara Hyun Seung Oh | Dentist | 1692 Fort Campbell Blvd, Clarksville, TN 37042 | 2015-07-25 |
| 1346621323 | Rocky Mountain Holdings, LLC | Ambulance | 248 Outlaw Field Rd, Clarksville, TN 37042 | 2015-06-15 |
| 1528448974 | Tennessee State Veterans Home Board | Skilled Nursing Facility | 250 Arrowood Drive, Clarksville, TN 37042 | 2015-06-01 |
| 1851709331 | Brent Michael Hazlewood | Dentist | 466 Tiny Town Rd, Ste A, Clarksville, TN 37042 | 2014-07-28 |
| 1619304318 | Regina G Goldwire | Nurse Practitioner | 351 Dover Road, North Clarksville Medical Center, Clarksville, TN 37042 | 2013-09-26 |
| Find all providers in zip 37042 | ||||
| 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 |
|---|---|---|---|---|
| 1770100018 | Brittany Brianna Forbus | Behavior Technician | 1047 E Monica Dr, Clarksville, TN 37042-6710 | 2020-07-02 |
| 1508491424 | Kathrine Jackson | Behavior Technician | 139 E Old Trenton Rd Unit B, Clarksville, TN 37043-5845 | 2020-03-11 |
| 1821620329 | Chelsea Toler | Behavior Technician | 632 Eastern Blvd Ste 220, Clarksville, IN 47129-2463 | 2020-02-12 |
| 1932746922 | Brittany Khanna | Behavior Technician | 2250 Wilma Rudolph Blvd # F259, Clarksville, TN 37040-8452 | 2019-12-09 |
| 1124688965 | Hannah Cromer | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-3704 | 2019-06-14 |
| 1235692005 | Bethany Pinkston | Behavior Technician | 2250 Wilma Rudolph Blvd Ste F259, Clarksville, TN 37040-8452 | 2019-04-09 |
| 1861957953 | Bailey Nicole Sternberg | Behavior Technician | 2250 Wilma Rudolph Blvd Ste F-259, Clarksville, TN 37040-8452 | 2019-02-04 |
| 1811468291 | Ashley Lynn Waterbury | Behavior Technician | 1584 Elberta Dr, Clarksville, TN 37042-5319 | 2018-12-11 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1336625714 | Jennifer Joan Lewis | Behavior Technician | 1117 Thornberry Dr, Clarksville, TN 37043-5631 | 2018-07-18 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37042 |
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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.