KELLY JO MIKELSON (NPI# 1962044834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962044834 |
| Entity Type | Individual |
| Full Name | KELLY JO MIKELSON |
| Practice Address |
4270 Warmoth Ln Winnemucca NV 89445-4096 |
| Practice Telephone | 2092719015 |
| Mailing Telephone | 2092719015 |
| Enumeration Date | 2019-10-12 |
| Last Update Date | 2019-10-12 |
| 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 |
4270 WARMOTH LN |
| City | WINNEMUCCA |
| State | NV |
| Zip Code | 89445-4096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386202398 | Marie Stone | Behavior Technician | 7430 Sunflower Ct, Winnemucca, NV 89445 | 2019-06-04 |
| 1174010052 | Joseph Ricioli | Student in an Organized Health Care Education/Training Program | Humboldt General Hospital, 118 East Haskell Street, Winnemucca, NV 89445 | 2018-04-17 |
| 1144768573 | Northern Nevada Eyecare Ltd | Optometrist | 50 E Haskell St Suite A, Winnemucca, NV 89445 | 2017-02-06 |
| 1942653449 | Michael Cogsdill | Community Health Worker | 118 East Haskell Streey, Winnemucca, NV 89445 | 2016-07-20 |
| 1861534240 | Susan Louise Jancar | Dentist | 50 E Haskell St, Winnemucca, NV 89445 | 2007-02-13 |
| 1790833275 | Jennifer J Hood | Marriage & Family Therapist | 51 E Haskell St, Ste A, Winnemucca, NV 89445 | 2007-01-08 |
| 1881762409 | Charles Adnan Stringham | Internal Medicine | 51 E Haskell Street, Suite A, Winnemucca, NV 89445 | 2006-12-01 |
| 1255343174 | James Maurice Langevin | Surgery | 118 E Haskell St Ste D, Winnemucca, NV 89445 | 2006-08-12 |
| 1780211680 | Mich Andrew Gehrig Jr. | Student in an Organized Health Care Education/Training Program | Humboldt General Hospital, 118 East Haskell St, Winnemucca, NV 89445 | 2020-03-23 |
| 1457543712 | Dan W Debonis Dds Ltd | Dentist | 530 Melarkey St, Winnemucca, NV 89445 | 2007-08-10 |
| Find all providers in zip 89445 | ||||
| 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 |
|---|---|---|---|---|
| 1609476993 | Christopher Robert Harmon | Behavior Technician | 4050 Nancy St, Winnemucca, NV 89445-4012 | 2020-10-27 |
| 1205434834 | Kalie Ann Sullivan | Behavior Technician | 202 Florence Ct, Winnemucca, NV 89445-3825 | 2020-10-15 |
| 1740812577 | Tammy Lea Palm | Behavior Technician | 3080 Summerwind Cir, Winnemucca, NV 89445-7611 | 2020-02-10 |
| 1750926358 | Angela G Bauman | Behavior Technician | 3345 Bruce Dr, Winnemucca, NV 89445-8663 | 2019-11-07 |
| 1922640838 | Valarie Lockaby | Behavior Technician | 1360 Mizpah St, Winnemucca, NV 89445-3215 | 2019-10-11 |
| 1376194761 | Lisa Marie Mcfarlen | Behavior Technician | 171 Paradise Ave, Winnemucca, NV 89445-2711 | 2019-09-26 |
| 1427610609 | Tamara Mae Crouch | Behavior Technician | 664 Camelot Way, Winnemucca, NV 89445-2640 | 2019-07-08 |
| 1386202398 | Marie Stone | Behavior Technician | 7430 Sunflower Ct, Winnemucca, NV 89445 | 2019-06-04 |
| 1992362479 | Shannon White | Behavior Technician | 2987 Frontier St, Winnemucca, NV 89445-6168 | 2019-05-21 |
| 1659845089 | Katherine Mallorie Garner | Behavior Technician | 1809 Harmony Rd, Winnemucca, NV 89445-3850 | 2019-01-18 |
| Find all providers in WINNEMUCCA | ||||
| City | WINNEMUCCA |
| Zip Code | 89445 |
Please comment or provide details below to improve the information on KELLY JO MIKELSON.
| 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.