DUSTIN BROWN (NPI# 1922621663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922621663 |
| Entity Type | Individual |
| Full Name | DUSTIN BROWN |
| Credential | RBT |
| Practice Address |
145 Springfield Ct O Fallon IL 62269-2495 |
| Practice Telephone | 6183676587 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704475 | Dustin Lee Brown | Pharmacist | 292 S Van Buren St, Nashville, IN 47448-7038 | 2019-08-06 |
| 1700243359 | Dustin Brown | Pharmacist | 600 Highway 365, Mayflower, AR 72106-9595 | 2016-01-26 |
| 1033774138 | Dustin Alan Brown | Occupational Therapist | 2900 Delaware Ave, Buffalo, NY 14217-2309 | 2019-05-03 |
| 1316477011 | Dustin Paul Brown | Student in an Organized Health Care Education/Training Program | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2017-06-14 |
| 1821523697 | Dustin Brown | Family Medicine | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2017-04-28 |
| 1760925705 | Dustin Wayne Brown | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-23 |
| 1417499211 | Dustin Richard Brown | Physical Therapist | 11808 Grant St, #100, Omaha, NE 68164-3613 | 2016-11-09 |
| 1245681881 | Dustin Edward Brown | Optometrist | 428 Windmere Dr, State College, PA 16801-7644 | 2016-06-24 |
| 1982010708 | Dustin Brown | Counselor | 2001 W Blue Heron Blvd, Riviera Beach, FL 33404-5003 | 2014-07-02 |
| 1912258930 | Dustin James Brown | Psychologist | 2108 W Vista St, Springfield, MO 65807 | 2012-10-01 |
| Street Address |
145 SPRINGFIELD CT |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-2495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619432945 | Megan Abrahamian | Behavior Technician | 145 Springfield Ct, O Fallon, IL 62269-2495 | 2019-01-31 |
| 1720693666 | Deysi Nava | Behavior Technician | 145 Springfield Ct, O Fallon, IL 62269-2495 | 2020-09-08 |
| 1033728167 | Alexandra Thompson | Behavioral Analyst | 145 Springfield Ct, O Fallon, IL 62269-2495 | 2020-07-24 |
| 1851919609 | Kenzie Rankin | Behavior Technician | 145 Springfield Ct, O Fallon, IL 62269-2495 | 2020-07-08 |
| 1063051191 | Jessica Mundy | Behavior Technician | 145 Springfield Ct, O Fallon, IL 62269-2495 | 2020-01-07 |
| 1386283794 | Ryan Sean Potts | Behavior Technician | 145 Springfield Ct, O Fallon, IL 62269-2495 | 2020-01-02 |
| 1265071633 | Karijo Krebs | Behavior Technician | 145 Springfield Ct, O Fallon, IL 62269-2495 | 2020-01-02 |
| 1659918977 | Daniel Mikel Childress | Behavioral Analyst | 145 Springfield Ct, O Fallon, IL 62269-2495 | 2019-12-05 |
| 1295380863 | Shyla Rose Bougor | Behavior Technician | 145 Springfield Ct, O Fallon, IL 62269-2495 | 2019-08-09 |
| 1740835313 | Tessa Wilson | Behavior Technician | 145 Springfield Ct, O Fallon, IL 62269-2495 | 2019-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| 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 |
|---|---|---|---|---|
| 1619432945 | Megan Abrahamian | Behavior Technician | 145 Springfield Ct, O Fallon, IL 62269-2495 | 2019-01-31 |
| 1992210272 | Alexzandra Brawley | Behavior Technician | 634 N Main St Ste 4, O Fallon, IL 62269-3746 | 2017-12-07 |
| 1831604412 | Melissa Norwood | Behavior Technician | 1201 Loblolly Ct, O Fallon, IL 62269-3480 | 2017-12-05 |
| 1588192272 | Michelle Lee Pedersen | Behavior Technician | 416 N Vine St, O Fallon, IL 62269-1341 | 2017-05-25 |
| 1790383131 | Suzannah Ashley Frazier | Behavior Technician | 6 Eagle Ctr, O Fallon, IL 62269-1945 | 2020-10-16 |
| 1699373845 | Nicole Ann Strubinger | Behavior Technician | 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 | 2020-10-10 |
| 1932715232 | Shaionica Dashell Brown | Behavior Technician | 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 | 2020-09-22 |
| 1275148470 | Gwendolyn Musick | Behavior Technician | 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 | 2020-09-14 |
| 1598370843 | Danielle Ditterline | Behavior Technician | 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 | 2020-09-14 |
| 1710592092 | Tremiya Renae Winbush | Behavior Technician | 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 | 2020-09-13 |
| Find all providers in O FALLON | ||||
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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.