SUZANNE CROCKER (NPI# 1952928368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952928368 |
| Entity Type | Individual |
| Full Name | SUZANNE CROCKER |
| Practice Address |
2800 Main Ave Fargo ND 58103-6811 |
| Practice Telephone | 7017401374 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | ND | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811385057 | Suzanne E Crocker | Nurse Practitioner | 201 Governors Dr Sw Ste 400, Huntsville, AL 35801-5183 | 2014-12-22 |
| Street Address |
2800 MAIN AVE |
| City | FARGO |
| State | ND |
| Zip Code | 58103-6811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972849131 | Leslie Ann Pladson Frie | Occupational Therapist | 2800 Main Ave, Fargo, ND 58103-6811 | 2012-12-17 |
| 1578164588 | Shayley Gifford | Behavior Technician | 2800 Main Ave, Fargo, ND 58103-6811 | 2020-11-05 |
| 1679174544 | Rylee Smith | Behavior Technician | 2800 Main Ave, Fargo, ND 58103-6811 | 2020-11-05 |
| 1407465396 | Jordey Skylar Brown-smith | Behavior Technician | 2800 Main Ave, Fargo, ND 58103-6811 | 2020-07-27 |
| 1033737333 | Anna Swanson | Behavior Technician | 2800 Main Ave, Fargo, ND 58103-6811 | 2020-07-13 |
| 1679191704 | Elizabeth Johnson | Behavior Technician | 2800 Main Ave, Fargo, ND 58103-6811 | 2020-07-06 |
| 1922624956 | Amanda Kelly Schulz | Behavior Technician | 2800 Main Ave, Fargo, ND 58103-6811 | 2020-06-25 |
| 1538785696 | Kathleen Schostag | Behavior Technician | 2800 Main Ave, Fargo, ND 58103-6811 | 2020-06-24 |
| 1518580091 | Kelli J O'toole | Behavior Technician | 2800 Main Ave, Fargo, ND 58103-6811 | 2020-05-19 |
| 1073135547 | Keanna Groft | Behavior Technician | 2800 Main Ave, Fargo, ND 58103-6811 | 2020-05-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| 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 |
|---|---|---|---|---|
| 1275173569 | Emma Ruth Carlson | Behavior Technician | 2800 Main Ave Ste 400, Fargo, ND 58103-6811 | 2020-01-14 |
| 1952806309 | Mary-bianca Gabrielle Fuller | Behavior Technician | 4152 30th Ave S Ste 104, Fargo, ND 58104-8403 | 2018-03-28 |
| 1780055749 | Joni Britton | Behavior Technician | 4141 31st Ave S Ste 104, Fargo, ND 58104-8778 | 2015-10-15 |
| 1578164588 | Shayley Gifford | Behavior Technician | 2800 Main Ave, Fargo, ND 58103-6811 | 2020-11-05 |
| 1154922201 | Hailen Matthew Ackerman | Behavior Technician | 4725 Amber Valley Pkwy S Ste B, Fargo, ND 58104-8614 | 2020-11-05 |
| 1679174544 | Rylee Smith | Behavior Technician | 2800 Main Ave, Fargo, ND 58103-6811 | 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 |
| Find all providers in FARGO | ||||
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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.