LANDON PENN (NPI# 1912558156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912558156 |
| Entity Type | Individual |
| Full Name | LANDON PENN |
| Credential | RBT |
| Practice Address |
1250 S Aw Grimes Blvd Round Rock TX 78664-7429 |
| Practice Telephone | 5124013612 |
| Practice Fax Number | 5127175553 |
| Mailing Telephone | 5124013612 |
| Mailing Fax Number | 5127175553 |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-98849 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1250 S AW GRIMES BLVD |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664-7429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922659374 | Sarah Hobbs | Behavior Technician | 1250 S Aw Grimes Blvd, Round Rock, TX 78664-7429 | 2019-09-26 |
| 1083250641 | Kai Ueno | Behavior Technician | 1250 S Aw Grimes Blvd, Round Rock, TX 78664-7429 | 2019-11-19 |
| 1457997017 | Lauren Davies | Behavior Technician | 1250 S Aw Grimes Blvd, Round Rock, TX 78664-7429 | 2019-11-19 |
| 1699311258 | Essence Nettles | Behavior Technician | 1250 S Aw Grimes Blvd, Round Rock, TX 78664-7429 | 2019-11-19 |
| 1114563772 | Vritsy Farias | Behavior Technician | 1250 S Aw Grimes Blvd, Round Rock, TX 78664-7429 | 2019-11-19 |
| 1659917250 | Topanga Montgomery | Behavior Technician | 1250 S Aw Grimes Blvd, Round Rock, TX 78664-7429 | 2019-11-19 |
| 1417508714 | Brittney Hufford | Behavior Technician | 1250 S Aw Grimes Blvd, Round Rock, TX 78664-7429 | 2019-09-27 |
| 1346891660 | Jason Green | Behavior Technician | 1250 S Aw Grimes Blvd, Round Rock, TX 78664-7429 | 2019-09-27 |
| 1023669363 | Kelli Clark | Behavior Technician | 1250 S Aw Grimes Blvd, Round Rock, TX 78664-7429 | 2019-09-27 |
| 1902457203 | Nathaly Jaimes | Behavior Technician | 1250 S Aw Grimes Blvd, Round Rock, TX 78664-7429 | 2019-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| Find all providers in zip 78664 | ||||
| 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 |
|---|---|---|---|---|
| 1861035065 | Dylan R Hulme | Behavior Technician | 170 Deep Wood Dr, Round Rock, TX 78681-4944 | 2019-10-21 |
| 1922659374 | Sarah Hobbs | Behavior Technician | 1250 S Aw Grimes Blvd, Round Rock, TX 78664-7429 | 2019-09-26 |
| 1407310147 | Ahadi Angels Incorporated | Behavior Technician | 405 Winterfield Dr # 204, Round Rock, TX 78634 | 2019-01-28 |
| 1689274789 | Aleksa Yandrisovitz | Behavior Technician | 170 Deep Wood Dr, Round Rock, TX 78681-4944 | 2020-10-28 |
| 1801496914 | Savanna Mitchell | Behavior Technician | 170 Deep Wood Dr, Round Rock, TX 78681-4944 | 2020-10-28 |
| 1598370124 | Kiara Monroy | Behavior Technician | 170 Deep Wood Dr, Round Rock, TX 78681-4944 | 2020-09-10 |
| 1427663053 | Ashley Nicole Aguirre | Behavior Technician | 170 Deep Wood Dr, Round Rock, TX 78681-4944 | 2020-09-10 |
| 1831704634 | Erica Marrujo | Behavior Technician | 170 Deep Wood Dr Ste 104, Round Rock, TX 78681-4949 | 2020-09-09 |
| 1457962375 | Jasmine Leticia Vargas | Behavior Technician | 170 Deep Wood Dr Ste 104, Round Rock, TX 78681-4949 | 2020-08-13 |
| 1346851748 | Danielle Hladek | Behavior Technician | 1510 Greenlawn Blvd, Round Rock, TX 78664-7072 | 2020-08-11 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
Please comment or provide details below to improve the information on LANDON PENN.
| 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.