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Holly Marie Creamer, BCBA
Child Mental Illness Respite Care in Russell, Kansas
NPI 1457820086

Holly Marie Creamer is a Child Mental Illness Respite Care based in Russell, KS and is specialized in Respite Care, Mental Illness, Child. Holly Marie Creamer practices in Russell, KS and has the professional credentials of BCBA. The NPI Number for Holly Marie Creamer is 1457820086 and holds a License No. (Kansas).

The current practice location address for Holly Marie Creamer is 971 E. Wichita Ave., Russell, KS and can be reached out via phone at 785-657-7464 and via fax at 785-445-4042. You can also correspond with Holly Marie Creamer through the mailing address at 971 E. WICHITA AVE., RUSSELL, KS - 67665 (mailing address contact number: 785-657-7464).

Location: 971 E. Wichita Ave., Russell, KS, 67665
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457820086
Provider Name
Holly Marie Creamer
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
971 E. Wichita Ave., Russell, KS, 67665
Phone Number
785-657-7464
Fax Number
785-445-4042
Provider Enumeration Date
11/13/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201234000A 05 KS
institution
Provider Business Practice Location Address Details
Address
971 E. Wichita Ave.
City
Russell
State
Kansas
Zip
67665
Phone Number
785-657-7464
Fax Number
785-445-4042
person
Provider Business Mailing Address Details
Address
971 E. Wichita Ave.
City
Russell
State
Kansas
Zip
67665
Phone Number
785-657-7464
Fax Number
785-445-4042
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Analyst
Speciality
-
Taxonomy
103K00000X
License No.
(Kansas)
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Developmental Therapist
Speciality
-
Taxonomy
222Q00000X
License No.
(Kansas)
Definition
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
person
Provider's Taxonomy Details 3
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
385HR2055X
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
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