MADISON VAN BATAVIA (NPI# 1861050080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861050080 |
| Entity Type | Individual |
| Full Name | MADISON VAN BATAVIA |
| Practice Address |
4725 Amber Valley Pkwy S Ste B Fargo ND 58104-8614 |
| Practice Telephone | 7013416025 |
| Mailing Telephone | 7014780221 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
4725 AMBER VALLEY PKWY S STE B |
| City | FARGO |
| State | ND |
| Zip Code | 58104-8614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538310792 | Rachel Haman | Speech-Language Pathologist | 4725 Amber Valley Pkwy S Ste B, Fargo, ND 58104-8614 | 2008-10-07 |
| 1154922201 | Hailen Matthew Ackerman | Behavior Technician | 4725 Amber Valley Pkwy S Ste B, Fargo, ND 58104-8614 | 2020-11-05 |
| 1891393112 | Jessica Socorro Mas | Behavior Technician | 4725 Amber Valley Pkwy S Ste B, Fargo, ND 58104-8614 | 2020-10-09 |
| 1700483237 | Brea Christine Frederick | Behavior Technician | 4725 Amber Valley Pkwy S Ste B, Fargo, ND 58104-8614 | 2020-10-07 |
| 1346855434 | Morgyn Miller | Behavior Technician | 4725 Amber Valley Pkwy S Ste B, Fargo, ND 58104-8614 | 2020-09-15 |
| 1003420175 | Alexis Berg | Behavior Technician | 4725 Amber Valley Pkwy S Ste B, Fargo, ND 58104-8614 | 2020-09-04 |
| 1407472236 | Sheyanne Wendt | Behavior Technician | 4725 Amber Valley Pkwy S Ste B, Fargo, ND 58104-8614 | 2020-06-17 |
| 1467077412 | Karly Havens | Behavior Technician | 4725 Amber Valley Pkwy S Ste B, Fargo, ND 58104-8614 | 2020-06-15 |
| 1841815214 | Erin Keely Dahlquist | Behavior Technician | 4725 Amber Valley Pkwy S Ste B, Fargo, ND 58104-8614 | 2020-06-11 |
| 1417579020 | Chantell Blayne Aaker | Behavior Technician | 4725 Amber Valley Pkwy S Ste B, Fargo, ND 58104-8614 | 2020-05-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
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| 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 |
|---|---|---|---|---|
| 1558818781 | Allison Smith | Behavioral Analyst | 2405 W Country Club Dr S, Fargo, ND 58103-5738 | 2016-09-06 |
| 1396304853 | Britney Bachmeier | Behavioral Analyst | 4725 Amber Valley Pkwy S Ste B, Fargo, ND 58104 | 2019-06-10 |
| 1679036784 | Enable Aba Services Pllc | Behavioral Analyst | 112 University Dr N, Fargo, ND 58102-4661 | 2019-04-08 |
| 1396228847 | Allison Moum-kasin | Behavioral Analyst | 3401 45th St S Ste A, Fargo, ND 58104-8970 | 2018-09-11 |
| 1649799495 | Jeryca J Martell | Behavioral Analyst | 4725 Amber Valley Pkwy S Ste B, Fargo, ND 58104-8614 | 2017-09-13 |
| 1467978551 | Teresa Radtke | Behavioral Analyst | 3401 45th St S, Fargo, ND 58104 | 2017-08-21 |
| 1376069468 | Jessica M Venaas | Behavioral Analyst | 4725 Amber Valley Pkwy S Ste B, Fargo, ND 58104-8614 | 2017-08-21 |
| 1205351798 | Amanda Lea Hamre | Behavioral Analyst | 3401 45th St S, Fargo, ND 58104-8970 | 2017-08-07 |
| 1356866784 | Morgan Braton | Behavioral Analyst | 4152 30th Ave S, 102, Fargo, ND 58104 | 2017-08-07 |
| 1629440359 | Marie Kauhako | Behavioral Analyst | 1330 Page Dr S, Fargo, ND 58103-3500 | 2015-10-21 |
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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.