MICHAEL MANCHESTER (NPI# 1104463454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104463454 |
| Entity Type | Individual |
| Full Name | MICHAEL MANCHESTER |
| Practice Address |
9440 Marlboro Pike Suite 100 Upper Marlboro MD 21114 |
| Practice Telephone | 4106566264 |
| Mailing Telephone | 4106566264 |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-11 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1386879732 | Michael Warren Manchester | Counselor | 3074 W Lake Mary Blvd, 140, Lake Mary, FL 32746-6749 | 2009-05-28 |
| 1053325183 | Michael L Manchester | Dentist | 100 Elmwood Park Dr, West Carrollton, OH 45449-5402 | 2006-07-27 |
| Street Address |
9440 MARLBORO PIKE SUITE 100 |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 21114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972962728 | Lauren Haith | Psychologist | 9440 Marlboro Pike, Suite 100, Upper Marlboro, MD 20772 | 2016-02-22 |
| 1255944773 | Kyra Terrell | Behavior Technician | 9440 Marlboro Pike, Upper Marlboro, MD 20772 | 2020-08-25 |
| 1780292821 | Nyah Swann | Behavior Technician | 9440 Marlboro Pike, Suite 100, Upper Marlboro, MD 20772 | 2020-07-15 |
| 1386261444 | Alexis King | Behavior Technician | 9440 Marlboro Pike, Suite 100, Upper Marlboro, MD 20772 | 2020-07-06 |
| 1992338917 | Saffie Koroma | Behavior Technician | 9440 Marlboro Pike, Suite 100, Upper Marlboro, MD 20772 | 2020-02-18 |
| 1396385977 | Catherine Fowlkes | Behavior Technician | 9440 Marlboro Pike, Suite 100, Upper Marlboro, MD 20772 | 2020-01-10 |
| 1033758867 | Brittany Simms | Behavior Technician | 9440 Marlboro Pike, Suite 100, Upper Marlboro, MD 20772 | 2019-12-26 |
| 1740828524 | Bria Quarles | Behavior Technician | 9440 Marlboro Pike, Suite 100, Upper Marlboro, MD 20772 | 2019-12-12 |
| 1962048769 | Megan Lee | Behavior Technician | 9440 Marlboro Pike, Suite 100, Upper Marlboro, MD 20772 | 2019-11-27 |
| 1912542515 | Anne Bakiny | Behavior Technician | 9440 Marlboro Pike, Suite 100, Upper Marlboro, MD 20772 | 2019-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942857156 | Betty J Wanjau | Occupational Therapy Assistant | 2131 Davidsoville Rd, Crofton, MD 21114 | 2019-08-22 |
| 1972067494 | Brightview Crofton, LLC | Alzheimer Center (Dementia Center) | 1301 Clarity Drive, Crofton, MD 21114 | 2019-01-29 |
| 1225522147 | Jodie Rich | Pharmacist | Shoppers, 1649 Crofton Center, Crofton, MD 21114 | 2018-06-15 |
| 1447769054 | Danielle Ellen Barton | Counselor | 1627 Ardsley Place, Crofton, MD 21114 | 2017-09-26 |
| 1093250474 | Holistic, Re-education, & Empowering Serices, LLC | Community/Behavioral Health | 2305 Fairhaven Lane, Crofton, MD 21114 | 2016-12-21 |
| 1326594201 | Evette Shields | Adult Companion | 1617 Parkridge Circle #152, Crofton, MD 21114 | 2016-08-30 |
| 1861866832 | Kathryn Bucher | Occupational Therapist | 2435 Bolton Lane, Crofton, MD 21114 | 2015-11-13 |
| 1730512062 | James Martin Schwartz | Dentist | 1286 Route 3 North, Crofton, MD 21114 | 2013-08-09 |
| 1184923088 | Jean Louise Dela Torre | Speech-Language Pathologist | 1672 Carlyle Dr. Apt. E, Crofton, MD 21114 | 2011-03-18 |
| 1295033488 | Nancy Fox Royster | Registered Nurse | 1004 Broderick Court, Crofton, MD 21114 | 2011-03-11 |
| Find all providers in zip 21114 | ||||
| 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 |
|---|---|---|---|---|
| 1194322644 | Curtis Lee Knox | Behavior Technician | 31 Joyceton Way, Upper Marlboro, MD 20774-1442 | 2020-10-07 |
| 1912514910 | The Indigo Child Therapeutic LLC | Behavior Technician | 9722 Green Apple Turn, Upper Marlboro, MD 20772-4423 | 2020-09-24 |
| 1932727369 | Shaquitta Morton | Behavior Technician | 9440 Marlboro Pike 100, Upper Marlboro, MD 20772 | 2020-07-13 |
| 1487289187 | Rachael Veney | Behavior Technician | 4211 Bridle Ridge Rd, Upper Marlboro, MD 20772-8042 | 2020-03-03 |
| 1649810243 | Lakresha Antoinette Lucas | Behavior Technician | 4001 Ranch Rd, Upper Marlboro, MD 20772-8136 | 2020-01-10 |
| 1326682030 | Jamaal Devane Gooding | Behavior Technician | 10121 Prince Pl Apt 101, Upper Marlboro, MD 20774-1108 | 2019-11-05 |
| 1255944773 | Kyra Terrell | Behavior Technician | 9440 Marlboro Pike, Upper Marlboro, MD 20772 | 2020-08-25 |
| 1780292821 | Nyah Swann | Behavior Technician | 9440 Marlboro Pike, Suite 100, Upper Marlboro, MD 20772 | 2020-07-15 |
| 1386261444 | Alexis King | Behavior Technician | 9440 Marlboro Pike, Suite 100, Upper Marlboro, MD 20772 | 2020-07-06 |
| 1992338917 | Saffie Koroma | Behavior Technician | 9440 Marlboro Pike, Suite 100, Upper Marlboro, MD 20772 | 2020-02-18 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 21114 |
Please comment or provide details below to improve the information on MICHAEL MANCHESTER.
| 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.