RANDY COLEMAN (NPI# 1922545318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922545318 |
| Entity Type | Individual |
| Full Name | RANDY COLEMAN |
| Practice Address |
2612 Wyoming St Saint Louis MO 63118-2402 |
| Practice Telephone | 3145887111 |
| Mailing Telephone | 3145887111 |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |
| Gender Code | M |
| 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 |
2612 WYOMING ST |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63118-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750739611 | Keyuante Marion | Specialist | 2612 Wyoming St, Saint Louis, MO 63118-2402 | 2016-06-01 |
| 1447884622 | Ebony Weston | Specialist | 2612 Wyoming St, Saint Louis, MO 63118-2402 | 2020-02-26 |
| 1558993048 | Jamie Lynn Baumeister | Specialist | 2612 Wyoming St, Saint Louis, MO 63118-2402 | 2020-02-12 |
| 1780224428 | James Patrick Greco Sr. | Specialist | 2612 Wyoming St, Saint Louis, MO 63118-2402 | 2020-01-10 |
| 1962044842 | Britney Brown | Specialist | 2612 Wyoming St, Saint Louis, MO 63118-2402 | 2019-10-12 |
| 1457838419 | Erika Donaldson | Specialist | 2612 Wyoming St, Saint Louis, MO 63118-2402 | 2018-07-23 |
| 1659895779 | Marc D Reynolds | Specialist | 2612 Wyoming St, Saint Louis, MO 63118-2402 | 2017-07-31 |
| 1275056012 | Leslie Vogan | Specialist | 2612 Wyoming St, Saint Louis, MO 63118-2402 | 2017-07-24 |
| 1679093256 | Chandra Dupree | Specialist | 2612 Wyoming St, Saint Louis, MO 63118-2402 | 2017-06-23 |
| 1255878625 | Peter & Paul Community Service | Community/Behavioral Health | 2612 Wyoming St, Saint Louis, MO 63118-2402 | 2017-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1154839488 | Serenity Gardens Home Health Services LLC. | Home Health | 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 | 2018-01-22 |
| 1861917759 | Freedom Day Center, LLC | Meals | 3309 Meramec Street, Saint Louis, MO 63118 | 2017-08-11 |
| 1669901450 | Stanley Eziukwu | Student in an Organized Health Care Education/Training Program | 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 | 2017-06-06 |
| 1467987651 | Hinna Shahid | Internal Medicine | 3545 South Jefferson Ave, St. Louis, MO 63118 | 2017-04-25 |
| 1225436959 | Shelley Stretch | Counselor | 4066 Dunnica Avenue, St. Louis, MO 63118 | 2014-12-11 |
| 1821406174 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4066 Dunnica, Saint Louis, MO 63118 | 2014-07-31 |
| 1275898173 | Stephanie Lynn Cullinan | Optometrist | 3122 S Grand, St. Louis, MO 63118 | 2012-07-07 |
| 1174822555 | Morgan Patrick Morris | Chiropractor | 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 | 2011-03-24 |
| 1043481955 | Victor Rivera Md LLC | Obstetrics & Gynecology | 3535 S Jefferson, Suite 106, St Louis, MO 63118 | 2008-03-19 |
| Find all providers in zip 63118 | ||||
| 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 |
|---|---|---|---|---|
| 1881207264 | Kenyatta Dakesha Cole | Behavior Technician | 4889 Kossuth Ave Fl 1, Saint Louis, MO 63115-2107 | 2020-08-26 |
| 1326658527 | Danielle Rose Vaughn | Behavior Technician | 4251 Botanical Ave Apt B, Saint Louis, MO 63110-3520 | 2020-08-03 |
| 1023636412 | Abby Bialeschki | Behavior Technician | 7043 Creekview Trl Apt 204, Saint Louis, MO 63123-2459 | 2020-07-11 |
| 1104449156 | Parker Ryan Light | Behavior Technician | 518 Selma Ave, Saint Louis, MO 63119-4142 | 2020-05-26 |
| 1033738794 | Megan Biscan | Behavior Technician | 7566 Cornell Ave, Saint Louis, MO 63130-2813 | 2020-04-13 |
| 1275163867 | Dex West | Behavior Technician | 4728 Milentz Ave, Saint Louis, MO 63116-1209 | 2020-01-22 |
| 1427696756 | Jamila Moore | Behavior Technician | 3934 Pennsylvania Ave Apt 2fl, Saint Louis, MO 63118-4445 | 2019-12-17 |
| 1376192849 | Michael Stuart Shadwell | Behavior Technician | 3814 Wilmington Ave, Saint Louis, MO 63116-3221 | 2019-09-08 |
| 1710452016 | Fayshia Latise Jones | Behavior Technician | 2912 Arsenal St, Saint Louis, MO 63118-2203 | 2018-10-12 |
| 1235617812 | Khadijah Motley | Behavior Technician | 2 Cityplace Dr Fl 2, Saint Louis, MO 63141-7390 | 2018-08-05 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63118 |
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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.