KIMBERLY RENEE THELEN (NPI# 1003316241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003316241 |
| Entity Type | Individual |
| Full Name | KIMBERLY RENEE THELEN |
| Practice Address |
640 Seminole Rd Norton Shores MI 49441-4720 |
| Practice Telephone | 2317283501 |
| Mailing Telephone | 2317283501 |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
640 SEMINOLE RD |
| City | NORTON SHORES |
| State | MI |
| Zip Code | 49441-4720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477092054 | Jeremy Ladronka | Psychologist | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2017-02-16 |
| 1194348490 | Chelsea Samson-pechtel | Social Worker | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2020-05-20 |
| 1649825985 | Emily Reed | Behavioral Analyst | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2019-08-05 |
| 1336607530 | Alicia K. Wooten | Behavioral Analyst | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2019-03-06 |
| 1023517570 | Kay Lynn Mckinley | Behavior Technician | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2018-02-09 |
| 1437658382 | Kelsey Sue Rankin | Behavior Technician | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2018-02-06 |
| 1194224014 | Holly Renee Oyler | Behavior Technician | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2018-02-06 |
| 1548769631 | Tina M Ledford | Behavior Technician | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2018-02-05 |
| 1174041529 | Jennifer J Layne-roy | Behavioral Analyst | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2017-09-06 |
| 1811417678 | Kristin Adams | Behavioral Analyst | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2017-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1598222952 | Kimberlee K Erickson-worpel Ma,llp | Psychologist | 3611 Henry Street, Norton Shores, MI 49441 | 2019-02-21 |
| 1164921011 | Brittany Ann Bayne | Behavior Technician | 640 Seminole, Muskegon, MI 49441 | 2018-02-06 |
| 1497273403 | Rx Optical Laboratories, Inc. | Optometrist | 3445 Henry St, Norton Shores, MI 49441 | 2017-08-30 |
| 1801320072 | Gentle Souls Home Care, LLC | In Home Supportive Care | 2743 Henry Street Pmb #117, Muskegon, MI 49441 | 2017-04-14 |
| 1467814889 | Lyle Karp | Hearing Instrument Specialist | 3145 Henry St., Muskegon, MI 49441 | 2016-03-24 |
| 1649653817 | Jessica Marie Lambert | Dentist | 5978 Harvey St., Muskegon, MI 49441 | 2015-07-06 |
| 1114320595 | Mark Reider | Counselor | 3944 Grand Haven Rd Apt 204c, Norton Shores, MI 49441 | 2014-09-30 |
| 1679826002 | Kathleen M Dole | Social Worker | 800 E Ellis Rd Ste 222, Norton Shores, MI 49441 | 2012-10-23 |
| 1144523119 | Terri Lee Garza | Social Worker | 1095 Third St, Muskegon, MI 49441 | 2010-12-14 |
| Find all providers in zip 49441 | ||||
| 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 |
|---|---|---|---|---|
| 1023517570 | Kay Lynn Mckinley | Behavior Technician | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2018-02-09 |
| 1437658382 | Kelsey Sue Rankin | Behavior Technician | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2018-02-06 |
| 1194224014 | Holly Renee Oyler | Behavior Technician | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2018-02-06 |
| 1548769631 | Tina M Ledford | Behavior Technician | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2018-02-05 |
| 1285162818 | John Wade | Behavior Technician | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2017-05-26 |
| 1952836215 | Kevin Schneider | Behavior Technician | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2017-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194365 | Melissa Krzysik | Behavior Technician | 634 Parkside Ct, Chelsea, MI 48118-2126 | 2020-11-03 |
| 1508467093 | Leah Jueckstock | Behavior Technician | 1703 N Greenfield Cir Ne Apt 102, Grand Rapids, MI 49505-5690 | 2020-11-03 |
| 1518568112 | Makayla Randall | Behavior Technician | 215 E Congress St, Caro, MI 48723-1800 | 2020-11-02 |
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1962001685 | Taylor Angel Smith | Behavior Technician | 669 Murner Rd, Gaylord, MI 49735-9357 | 2020-10-23 |
| 1669071635 | Kaley Jo Belton | Behavior Technician | 11165 E Dr S, Ceresco, MI 49033-9788 | 2020-10-21 |
| 1487253340 | Shannon Worden | Behavior Technician | 4246 Jeffery Rd, Harrison, MI 48625-8689 | 2020-10-21 |
| 1427657451 | Connor Matthew Wright | Behavior Technician | 326 S Waverly Rd, Eaton Rapids, MI 48827-9241 | 2020-10-21 |
| 1750980736 | Lucas Mccarry | Behavior Technician | 1821 Valley View Rd, Boyne Falls, MI 49713-9794 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | NORTON SHORES |
| Zip Code | 49441 |
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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.