NICOLE MARIE MCCLELLAN (NPI# 1053923789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053923789 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE MCCLELLAN |
| Practice Address |
2460 Burton St Se Ste 101 Grand Rapids MI 49546-4800 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 6162781201 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083954457 | Nicole Hart Mcclellan | Pharmacist | 1030 Jefferson Ave, Va Medical Center Memphis-pharmacy (119), Memphis, TN 38104-2127 | 2013-02-22 |
| Street Address |
2460 BURTON ST SE STE 101 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578676797 | Haith Place Inc | Psychiatry & Neurology | 2460 Burton St Se Ste 101, Grand Rapids, MI 49546-4806 | 2006-08-15 |
| 1205435039 | Cameran Tompkins | Behavior Technician | 2460 Burton St Se Ste 101, Grand Rapids, MI 49546-4800 | 2020-10-22 |
| 1760097091 | Laura Elizabeth Gonyon | Behavioral Analyst | 2460 Burton St Se Ste 101, Grand Rapids, MI 49546-4800 | 2020-09-14 |
| 1598370256 | Dawn M Gainor | Behavior Technician | 2460 Burton St Se Ste 101, Grand Rapids, MI 49546-4800 | 2020-09-10 |
| 1558975847 | Ryleigh Elisabeth Galer | Behavioral Analyst | 2460 Burton St Se Ste 101, Grand Rapids, MI 49546-4800 | 2020-09-03 |
| 1841802717 | Jenna Sobocinski | Behavior Technician | 2460 Burton St Se Ste 101, Grand Rapids, MI 49546-4800 | 2020-08-20 |
| 1285252759 | Gina Anne Chan | Behavioral Analyst | 2460 Burton St Se Ste 101, Grand Rapids, MI 49546-4800 | 2020-07-10 |
| 1508492307 | Catherine Anneliese Hill | Behavior Technician | 2460 Burton St Se Ste 101, Grand Rapids, MI 49546-4800 | 2020-03-12 |
| 1073147328 | Makeila V Onuoha | Behavior Technician | 2460 Burton St Se Ste 101, Grand Rapids, MI 49546-4800 | 2020-02-25 |
| 1235762683 | Alindia Forrest | Behavior Technician | 2460 Burton St Se Ste 101, Grand Rapids, MI 49546-4800 | 2020-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| 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 |
|---|---|---|---|---|
| 1508467093 | Leah Jueckstock | Behavior Technician | 1703 N Greenfield Cir Ne Apt 102, Grand Rapids, MI 49505-5690 | 2020-11-03 |
| 1700492824 | Silas Mittelstaedt | Behavior Technician | 916 Benjamin Ave Se, Grand Rapids, MI 49506-3221 | 2020-09-23 |
| 1902413065 | Esther Kim | Behavior Technician | 3201 Burton St Se # Phi33, Grand Rapids, MI 49546-4301 | 2020-09-23 |
| 1619587995 | Taylor Villano | Behavior Technician | 2544 Sagewood Ave Ne Unit 618, Grand Rapids, MI 49525-2976 | 2020-08-03 |
| 1336757632 | Donte Castleberry | Behavior Technician | 415 Bradford St Ne, Grand Rapids, MI 49503-1638 | 2020-07-22 |
| 1467079574 | Kendall Romano | Behavior Technician | 1528 Hidden Creek Circle Dr Ne Apt F, Grand Rapids, MI 49505-5478 | 2020-07-06 |
| 1457976268 | Anna Wolff | Behavior Technician | 951 Sherman St Se, Grand Rapids, MI 49506-2603 | 2020-06-08 |
| 1194348763 | Alex Leahy | Behavior Technician | 255 Lane Ave Nw, Grand Rapids, MI 49504-7206 | 2020-05-18 |
| 1669095238 | Sarah Jackson | Behavior Technician | 234 Market Ave Sw Apt 49503, Grand Rapids, MI 49503-4080 | 2020-05-18 |
| 1952921926 | Vivian Horsch | Behavior Technician | 15 Gunnison Ave Sw, Grand Rapids, MI 49504-6217 | 2020-04-20 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on NICOLE MARIE MCCLELLAN.
| 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.