KATELYN MARY BOETTCHER (NPI# 1902453442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902453442 |
| Entity Type | Individual |
| Full Name | KATELYN MARY BOETTCHER |
| Practice Address |
1470 Industrial Dr Nw Rochester MN 55901-0700 |
| Mailing Address |
3822 Cameo Pl Ne Rochester MN 55906-5459 |
| Practice Telephone | 5073227751 |
| Mailing Telephone | 5072505538 |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-12-30 |
| 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 |
1470 INDUSTRIAL DR NW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55901-0700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435534 | Ge Yang | Technician, Other | 1470 Industrial Dr Nw, Rochester, MN 55901-0700 | 2020-10-19 |
| 1447857438 | Tanner Luke Allen | Technician, Other | 1470 Industrial Dr Nw, Rochester, MN 55901-0700 | 2020-10-03 |
| 1154928323 | Alexis Raziel Garcia | Behavior Technician | 1470 Industrial Dr Nw, Rochester, MN 55901-0700 | 2020-10-01 |
| 1154933752 | Kassandra Vicenec | Technician, Other | 1470 Industrial Dr Nw, Rochester, MN 55901-0700 | 2020-08-17 |
| 1356951982 | Taylor Peck | Behavior Technician | 1470 Industrial Dr Nw, Rochester, MN 55901-0700 | 2020-08-07 |
| 1396354841 | Hollywood Hermanson | Social Worker | 1470 Industrial Dr Nw, Rochester, MN 55901-0700 | 2020-07-29 |
| 1649889650 | Alyssa Renae Thevenot | Technician, Other | 1470 Industrial Dr Nw, Rochester, MN 55901-0700 | 2020-07-26 |
| 1992313118 | Sarah Beth Bailey | Technician, Other | 1470 Industrial Dr Nw, Rochester, MN 55901-0700 | 2020-07-14 |
| 1669090072 | Emma Louise Bartholomew | Technician, Other | 1470 Industrial Dr Nw, Rochester, MN 55901-0700 | 2020-07-13 |
| 1700404431 | Emma Downs | Technician, Other | 1470 Industrial Dr Nw, Rochester, MN 55901-0700 | 2020-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1629566872 | Juan Simon Rico Mesa | Student in an Organized Health Care Education/Training Program | 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901 | 2018-04-24 |
| 1336658277 | Minnesota Teen Challenge | Exclusive Provider Organization | 1542 Assisi Drive Nw, Rochester, MN 55901 | 2017-09-22 |
| 1235648270 | Mariah Adanene | Registered Nurse | 915 41st Street Nw, Rochester, MN 55901 | 2017-09-21 |
| 1912420639 | Anna Maria Schuman | Speech-Language Pathologist | 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 | 2017-07-25 |
| 1871013870 | Rhonda Keith | Counselor | 602 11th Avenue Nw #300, Rochester, MN 55901 | 2017-06-21 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1659810844 | Rx Team Home Health Care LLC | Home Health | 1027 7th St Nw Unit #204, Rochester, MN 55901 | 2017-02-21 |
| 1457713109 | Joshua Carter | Chiropractor | 3270 19th St Nw Ste 203, Rochester, MN 55901 | 2016-03-22 |
| Find all providers in zip 55901 | ||||
| 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 |
|---|---|---|---|---|
| 1386253649 | Jaclyn Schutzbach | Behavior Technician | 3490 Oakmonte Blvd, Rochester, MI 48306-4789 | 2020-07-23 |
| 1366074510 | Brandon C Zywicki | Behavior Technician | 2376 18th Ave Se, Rochester, MN 55904-5834 | 2020-02-06 |
| 1124666813 | Kelly Isrow | Behavior Technician | 1643 Deepwood Cir, Rochester, MI 48307-6097 | 2019-12-13 |
| 1710533971 | Sierra L Slade | Behavior Technician | 329 Elton Hills Dr Nw, Rochester, MN 55901-2477 | 2019-08-14 |
| 1679139661 | Jenni Ann Zakarin | Behavior Technician | 44 Congress Ave, Rochester, NY 14611-4045 | 2019-05-15 |
| 1134619927 | Tiffany Nicole Tocco | Behavior Technician | 433 Oak St Apt 1, Rochester, MI 48307-1971 | 2018-05-16 |
| 1497245542 | Karisa Hanson | Behavior Technician | 1470 Industrial Ave, Rochester, MN 55901-2616 | 2018-05-15 |
| 1457959892 | Elizabeth Anne Drouin | Behavior Technician | 31 Hiller Rd, Rochester, MA 02770-4024 | 2020-10-16 |
| 1154928323 | Alexis Raziel Garcia | Behavior Technician | 1470 Industrial Dr Nw, Rochester, MN 55901-0700 | 2020-10-01 |
| 1326653981 | Kiley Kozlowski | Behavior Technician | 31 Hiller Rd, Rochester, MA 02770-4024 | 2020-09-10 |
| Find all providers in ROCHESTER | ||||
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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.