SHAQUILLA BOWMAN (NPI# 1053927681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053927681 |
| Entity Type | Individual |
| Full Name | SHAQUILLA BOWMAN |
| Practice Address |
5943 Stadium Dr Kalamazoo MI 49009-3016 |
| Practice Telephone | 2693899102 |
| Mailing Telephone | 2693899102 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| 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 |
5943 STADIUM DR |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49009-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083722839 | Christopher K Beamish | Physician Assistant | 5943 Stadium Dr, Ste 3, Kalamazoo, MI 49009-3016 | 2006-08-29 |
| 1154920999 | Hannah Vanhoorne | Behavior Technician | 5943 Stadium Dr, Kalamazoo, MI 49009-3016 | 2020-10-22 |
| 1679172415 | Alexis Cornwell | Behavior Technician | 5943 Stadium Dr, Kalamazoo, MI 49009-3016 | 2020-10-22 |
| 1841899507 | Marissa Ebels | Behavior Technician | 5943 Stadium Dr, Kalamazoo, MI 49009-3016 | 2020-10-22 |
| 1497354252 | Morgan Palmer | Behavior Technician | 5943 Stadium Dr, Kalamazoo, MI 49009-3016 | 2020-10-22 |
| 1881293645 | Kayla Bolden | Behavior Technician | 5943 Stadium Dr, Kalamazoo, MI 49009-3016 | 2020-10-22 |
| 1275149809 | Sage Fahey | Behavior Technician | 5943 Stadium Dr, Kalamazoo, MI 49009-3016 | 2020-09-18 |
| 1750997532 | Olivia Reams | Behavior Technician | 5943 Stadium Dr, Kalamazoo, MI 49009-3016 | 2020-09-17 |
| 1376159152 | Amber Deroos | Behavior Technician | 5943 Stadium Dr, Kalamazoo, MI 49009-3016 | 2020-09-17 |
| 1467068239 | Maria Valentina Rojas-mendoza | Behavior Technician | 5943 Stadium Dr, Kalamazoo, MI 49009-3016 | 2020-09-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235222 | Cherian Counseling Pllc | Marriage & Family Therapist | 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 | 2018-05-16 |
| 1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
| 1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
| 1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
| 1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
| 1558732297 | West Point Optical Group | Optometrist | 575 S Drake Rd, Kalamazoo, MI 49009 | 2015-10-07 |
| 1386021012 | Leonora Tarantino | Physical Therapist | 9303 W P Ave, Kalamazoo, MI 49009 | 2015-05-01 |
| 1720474836 | Alyssa Sutter | Rehabilitation Practitioner | 5990 Venture Park Dr., Kalamazoo, MI 49009 | 2015-04-15 |
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| 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 |
|---|---|---|---|---|
| 1760089213 | Cassondra Hunter | Behavior Technician | 3225 Bronson Blvd, Kalamazoo, MI 49008-2975 | 2020-10-07 |
| 1902412075 | Alicia Marie Hartranft | Behavior Technician | 1602 Knollwood Ave Apt M6, Kalamazoo, MI 49006-5605 | 2020-09-23 |
| 1598370132 | Brittany Rochelle Tyson | Behavior Technician | 805 Sunnock Ave, Kalamazoo, MI 49001-4805 | 2020-09-10 |
| 1396368965 | Elizabeth Carpenter | Behavior Technician | 2657 Hickory Nut Ln, Kalamazoo, MI 49004-3739 | 2020-05-18 |
| 1063033041 | Beth Anne Vantuyle | Behavior Technician | 3731 Greenleaf Cir Apt 209, Kalamazoo, MI 49008-2565 | 2020-05-01 |
| 1376175380 | Arianna Nia Wright | Behavior Technician | 3105 S Park St, Kalamazoo, MI 49001-4775 | 2020-02-07 |
| 1083244156 | Corey Aaron Thomas | Behavior Technician | 5827 Copper Beech Blvd Apt F, Kalamazoo, MI 49009-5747 | 2020-01-17 |
| 1205476892 | Bethany D'alessandro | Behavior Technician | 5525 Sierra Madre Trl, Kalamazoo, MI 49009-6700 | 2020-01-10 |
| 1174163109 | Ramina Asdou | Behavior Technician | 4248 Hidden Hills Dr Apt 302, Kalamazoo, MI 49006-6766 | 2020-01-07 |
| 1144871617 | Erum Shah | Behavior Technician | 6468 W Q Ave, Kalamazoo, MI 49009-8994 | 2019-09-25 |
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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.