MS. NICOLE MARIE DESANA (NPI# 1063069615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063069615 |
| Entity Type | Individual |
| Full Name | MS. NICOLE MARIE DESANA |
| Practice Address |
18635 Bowie St Southgate MI 48195-2805 |
| Mailing Address |
25584 Meridian Rd Grosse Ile MI 48138-1694 |
| Practice Telephone | 7347857700 |
| Mailing Telephone | 7347780380 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |
| 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 |
18635 BOWIE ST |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982933925 | Dana Marie Toth | Psychologist | 18635 Bowie St, Southgate, MI 48195-2805 | 2009-12-22 |
| 1972142875 | Alejandra Nayeli Quiroz Zamarripa | Behavior Technician | 18635 Bowie St, Southgate, MI 48195-2805 | 2019-12-26 |
| 1184262933 | Sapna Atwal | Behavior Technician | 18635 Bowie St, Southgate, MI 48195-2805 | 2019-12-11 |
| 1861041154 | Amy E Knapp | Assistant Behavior Analyst | 18635 Bowie St, Southgate, MI 48195-2805 | 2019-09-09 |
| 1548824378 | Kertina Lynese Kimbrough | Counselor | 18635 Bowie St, Southgate, MI 48195-2805 | 2019-04-26 |
| 1396252615 | Molly Cronin Mcmahon | Social Worker | 18635 Bowie St, Southgate, MI 48195-2805 | 2018-01-09 |
| 1619407905 | Samantha Fleury | Behavior Technician | 18635 Bowie St, Southgate, MI 48195-2805 | 2017-06-19 |
| 1093244782 | Stanley Shane Mackey IIi | Technician, Other | 18635 Bowie St, Southgate, MI 48195-2805 | 2017-06-07 |
| 1275061483 | Rhiannon Rynicki-wilder | Technician, Other | 18635 Bowie St, Southgate, MI 48195-2805 | 2017-06-01 |
| 1558897819 | Kayla Walker | Behavior Technician | 18635 Bowie St, Southgate, MI 48195-2805 | 2017-05-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| 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 |
|---|---|---|---|---|
| 1942798277 | Hannah Gail Tolles | Behavior Technician | 13260 Castle St, Southgate, MI 48195-1129 | 2018-04-23 |
| 1972142875 | Alejandra Nayeli Quiroz Zamarripa | Behavior Technician | 18635 Bowie St, Southgate, MI 48195-2805 | 2019-12-26 |
| 1831737287 | Samantha Rose Higdon | Behavior Technician | 13101 Allen Rd, Southgate, MI 48195-2216 | 2019-12-17 |
| 1184262933 | Sapna Atwal | Behavior Technician | 18635 Bowie St, Southgate, MI 48195-2805 | 2019-12-11 |
| 1477194769 | Katelyn Marie Ashley | Behavior Technician | 13101 Allen Rd, Southgate, MI 48195-2216 | 2019-10-08 |
| 1568938082 | Savannah Forever Rodriguez | Behavior Technician | 13101 Allen Rd, Southgate, MI 48195-2216 | 2018-10-23 |
| 1144795097 | Jacob Simpson | Behavior Technician | 13101 Allen Rd, Southgate, MI 48195-2216 | 2018-10-08 |
| 1992288245 | Lashawntee N Griffin | Behavior Technician | 13101 Allen Rd, Southgate, MI 48195-2216 | 2018-09-12 |
| 1134615420 | Mackenzie Rae Narkun | Behavior Technician | 13101 Allen Rd, Southgate, MI 48195-2216 | 2018-07-10 |
| 1043706336 | Tiara Marie Runyon | Behavior Technician | 13101 Allen Rd, Southgate, MI 48195-2216 | 2018-07-10 |
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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.