JESSE LOGAN FORMANEK RBT
NPI 1306476502
Behavior Technician in Saint Cloud, MN
NPI Status: Active since January 16, 2020
Contact Information
3721 23RD ST S APT 201
SAINT CLOUD, MN
ZIP 56301
Phone: (218) 457-2185
Fax: (605) 271-3956
- Individual
- Male
- Behavior Technician
About JESSE FORMANEK
This page provides the complete NPI Profile along with additional information for Jesse Formanek, a provider established in Saint Cloud, Minnesota with a medical specialization in Behavior Technician. The healthcare provider is registered in the NPI registry with number 1306476502 assigned on January 2020. The practitioner's primary taxonomy code is 106S00000X with license number RBT-20-110353 (MN). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1306476502
- Provider Name
- JESSE LOGAN FORMANEK RBT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3721 23RD ST S APT 201 SAINT CLOUD, MN 56301
- Location Phone
- (218) 457-2185
- Location Fax
- (605) 271-3956
- Mailing Address
- 2804 E 26TH ST STE 1 SIOUX FALLS, SD 57103
- Mailing Phone
- (605) 271-2690
- Mailing Fax
- (605) 271-3956
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-16-2020
- Last Update Date
- 01-16-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Behavior Technician
- Taxonomy Code
- 106S00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- RBT-20-110353
- License State
- MN
- Taxonomy Description
- 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 0 | 6 | 4 | 7 | 6 | 5 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 0 | 6 | 8 | 7 | 12 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 0 + 6 + 8 + 7 + 1 + 2 + 5 + 0 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1306476502 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427699438 | MARK D ORZOLEK RBT Individual | Behavior Technician | 3721 23RD ST S APT 201 SAINT CLOUD, MN 56301 (605) 271-2690 |
| 1003463571 | KAYLA RENGEL RBT Individual | Behavior Technician | 3721 23RD ST S APT 201 SAINT CLOUD, MN 56301 (605) 271-2690 |
| 1497397871 | COURTNEY ELISABETH WELCH RBT Individual | Behavior Technician | 3721 23RD ST S APT 201 SAINT CLOUD, MN 56301 (218) 457-2185 |
| 1740811876 | DANIELLE R GUTZKOW RBT Individual | Behavior Technician | 3721 23RD ST S APT 201 SAINT CLOUD, MN 56301 (218) 457-2185 |
| 1225669245 | ZACHARY PETER DEJONG RBT Individual | Behavior Technician | 3721 23RD ST S APT 201 SAINT CLOUD, MN 56301 (218) 457-2185 |
| 1285123232 | BREANA RUUD BCBA Individual | Behavior Analyst | 3721 23RD ST S APT 201 SAINT CLOUD, MN 56301 (218) 457-2185 |
| 1932731023 | CELIA JOY ROSE RBT Individual | Behavior Technician | 3721 23RD ST S APT 201 SAINT CLOUD, MN 56301 (218) 457-2185 |
| 1104458637 | JESSICA ELAINE TUNNELL RBT Individual | Behavior Technician | 3721 23RD ST S APT 201 SAINT CLOUD, MN 56301 (218) 457-2185 |
| 1124654934 | TAMMY CAROL JOHANNES RBT Individual | Behavior Technician | 3721 23RD ST S APT 201 SAINT CLOUD, MN 56301 (218) 457-2185 |
| 1710539473 | MICHAEL LAVERDIERE BCBA Individual | Behavior Analyst | 3721 23RD ST S APT 201 SAINT CLOUD, MN 56301 (218) 457-2185 |
| 1447878897 | WHITNEY HUGHES RBT Individual | Behavior Technician | 3721 23RD ST S APT 201 SAINT CLOUD, MN 56301 (218) 457-2185 |
| 1962969923 | JOCELYN SHEEHAN RBT Individual | Behavior Technician | 3721 23RD ST S APT 201 SAINT CLOUD, MN 56301 (218) 457-2185 |
| 1952919748 | ABREYANNA POTTER RBT Individual | Behavior Technician | 3721 23RD ST S APT 201 SAINT CLOUD, MN 56301 (218) 457-2185 |
| 1699381343 | HAILEY MOREHOUSE RBT Individual | Behavior Technician | 3721 23RD ST S APT 201 SAINT CLOUD, MN 56301 (218) 457-2185 |
| 1528656212 | ELISSA KELLER RBT Individual | Behavior Technician | 3721 23RD ST S APT 201 SAINT CLOUD, MN 56301 (218) 457-2185 |
| 1114519857 | MELANIE GOEHRINGER RBT Individual | Behavior Technician | 3721 23RD ST S APT 201 SAINT CLOUD, MN 56301 (218) 457-2185 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306476502, enumerated in the NPI registry as an "individual" on January 16, 2020
The provider is located at 3721 23rd St S Apt 201 Saint Cloud, Mn 56301 and the phone number is (218) 457-2185
The provider's speciality is Behavior Technician with taxonomy code 106S00000X
This NPI record was last updated on January 16, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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