JESSICA BRADLEY (NPI# 1093265357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093265357 |
| Entity Type | Individual |
| Full Name | JESSICA BRADLEY |
| Practice Address |
1055 Cornell Rd Autism Collaborative Center Ypsilanti MI 48197-1657 |
| Mailing Address |
197 Frontenac St Howell MI 48843-2513 |
| Practice Telephone | 7344872890 |
| Mailing Telephone | 5173919293 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |
| 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 |
|---|---|---|---|---|
| 1023575404 | Jessica Latisha Bradley | Social Worker | 7 Grand Teton Ave, Howell, NJ 07731-9002 | 2019-02-21 |
| 1821487182 | Jessica Bradley | Pharmacist | 2094 Ee Wallace Blvd N, Ferriday, LA 71334-2233 | 2015-01-09 |
| 1679186712 | Jessica Lanae Bradley | Massage Therapist | 83 Keene Rd, Richland, WA 99352-5006 | 2020-08-28 |
| 1467063362 | Jessica Renee Bradley | Counselor | 30 Stonecrest Ct Ste 100, Shelbyville, KY 40065-8128 | 2020-08-13 |
| 1144864000 | Jessica Bradley | Counselor | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2019-11-04 |
| 1578037784 | Jessica Marie Bradley | Nurse Practitioner | 101 Wellness Way Ste 300, Milford, DE 19963-4366 | 2019-01-22 |
| 1841700879 | Jessica Bradley | Dietitian, Registered | 1500 Museum Rd Ste 104, Conway, AR 72032-4761 | 2017-10-04 |
| 1972957652 | Jessica Bradley | Registered Nurse | 5 Medical Park Drive, Columbia, SC 29203 | 2016-04-19 |
| 1306269972 | Jessica Lee Bradley | Nurse Practitioner | 2324 Us Highway 17, Richmond Hill, GA 31324-3398 | 2014-02-01 |
| 1285076083 | Jessica Nicole Bradley | Pharmacist | 4500 S Lancaster Rd, Pharmacy Service Rm. 119c, Dallas, TX 75216-7167 | 2013-07-22 |
| Street Address |
1055 CORNELL RD AUTISM COLLABORATIVE CENTER |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699804377 | Marta Anderson Muusz | Occupational Therapist | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2007-03-05 |
| 1275173742 | Jaimie Barr | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2020-01-13 |
| 1275175846 | Regan Mcgill | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2019-10-15 |
| 1821630674 | Emily Callis | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2019-10-14 |
| 1831740901 | Rebekah Marlene Mccoy | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2019-09-20 |
| 1205487378 | Emma Danielle Abad | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2019-09-20 |
| 1811559818 | Mia Kristine Padgett | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2019-07-01 |
| 1700445228 | Baylee Renee Johnston | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2019-06-08 |
| 1023675444 | Jurilda Mehmeti | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2019-05-21 |
| 1760956825 | Marissa Dulcamaro | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2019-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| 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 |
|---|---|---|---|---|
| 1619527678 | Lauryn Clark | Behavior Technician | 1287 Hunter Ave, Ypsilanti, MI 48198-3156 | 2019-09-12 |
| 1801360185 | Latasha Lynn Golden | Behavior Technician | 1558 Sheffield Dr, Ypsilanti, MI 48198-3630 | 2019-01-19 |
| 1598244485 | Kayla L Fox | Behavior Technician | 1296 Leforge Rd Apt B5, Ypsilanti, MI 48198-3568 | 2018-08-10 |
| 1720565765 | Nour Ehab Samaha | Behavior Technician | 216 Nura Ct, Ypsilanti, MI 48197-7464 | 2018-07-23 |
| 1356831366 | Sarah Andreanna Geiser | Behavior Technician | 1218 Westmoorland St, Ypsilanti, MI 48197-4652 | 2018-05-15 |
| 1649779794 | Sara Kolesar | Behavior Technician | 9511 Lakeside Dr, Ypsilanti, MI 48197-3033 | 2018-02-05 |
| 1154838837 | Yousra Nasir | Behavior Technician | 4754 Azalea Dr, Ypsilanti, MI 48197-7480 | 2018-01-04 |
| 1629588991 | Derek Wayne Gramza | Behavior Technician | 2610 International Dr, Ypsilanti, MI 48197-3111 | 2017-10-02 |
| 1043745045 | Nicole Marie-weston Finkbeiner | Behavior Technician | 2105 Harmon St, Ypsilanti, MI 48198-8122 | 2017-04-27 |
| 1215479324 | Kara Gardner | Behavior Technician | 111 S Wallace Blvd, Ypsilanti, MI 48197-4644 | 2016-11-07 |
| Find all providers in YPSILANTI | ||||
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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.