ABBIE KETCHEN (NPI# 1114485430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114485430 |
| Entity Type | Individual |
| Full Name | ABBIE KETCHEN |
| Practice Address |
11226 Interroad Trl Wolverine MI 49799-8101 |
| Practice Telephone | 2318813951 |
| Mailing Telephone | 2318813951 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |
| 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 |
11226 INTERROAD TRL |
| City | WOLVERINE |
| State | MI |
| Zip Code | 49799-8101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396292777 | Thunder Bay Community Health Service, Inc | Clinic/Center | 13131 Brook St, Wolverine, MI 49799-8406 | 2016-09-02 |
| 1578992418 | Annette Northrop | Occupational Therapist | 15798 S. Wurm Road, Wolverine, MI 49799-8703 | 2013-11-01 |
| 1750864112 | Thunder Bay Community Health Service, Inc | Clinic/Center | 5993 W Sholes St, Wolverine, MI 49799-9549 | 2018-09-12 |
| 1518342005 | Denise Harig | Counselor | 9936 Afton Rd, Wolverine, MI 49799-9569 | 2015-07-25 |
| 1902026982 | Barrie Dunseath | Family Medicine | 7162 Silver Lake Rd, Wolverine, MI 49799-9618 | 2007-05-01 |
| 1801374657 | Heather Maccallum | Behavior Technician | 8739 Brudy Rd, Wolverine, MI 49799-9753 | 2018-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750864112 | Thunder Bay Community Health Service, Inc | Clinic/Center | 5993 W Sholes St, Wolverine, MI 49799-9549 | 2018-09-12 |
| 1801374657 | Heather Maccallum | Behavior Technician | 8739 Brudy Rd, Wolverine, MI 49799-9753 | 2018-08-03 |
| 1396292777 | Thunder Bay Community Health Service, Inc | Clinic/Center | 13131 Brook St, Wolverine, MI 49799-8406 | 2016-09-02 |
| 1518342005 | Denise Harig | Counselor | 9936 Afton Rd, Wolverine, MI 49799-9569 | 2015-07-25 |
| 1578992418 | Annette Northrop | Occupational Therapist | 15798 S. Wurm Road, Wolverine, MI 49799-8703 | 2013-11-01 |
| 1902026982 | Barrie Dunseath | Family Medicine | 7162 Silver Lake Rd, Wolverine, MI 49799-9618 | 2007-05-01 |
| 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 |
|---|---|---|---|---|
| 1801374657 | Heather Maccallum | Behavior Technician | 8739 Brudy Rd, Wolverine, MI 49799-9753 | 2018-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194365 | Melissa Krzysik | Behavior Technician | 634 Parkside Ct, Chelsea, MI 48118-2126 | 2020-11-03 |
| 1508467093 | Leah Jueckstock | Behavior Technician | 1703 N Greenfield Cir Ne Apt 102, Grand Rapids, MI 49505-5690 | 2020-11-03 |
| 1518568112 | Makayla Randall | Behavior Technician | 215 E Congress St, Caro, MI 48723-1800 | 2020-11-02 |
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1962001685 | Taylor Angel Smith | Behavior Technician | 669 Murner Rd, Gaylord, MI 49735-9357 | 2020-10-23 |
| 1669071635 | Kaley Jo Belton | Behavior Technician | 11165 E Dr S, Ceresco, MI 49033-9788 | 2020-10-21 |
| 1487253340 | Shannon Worden | Behavior Technician | 4246 Jeffery Rd, Harrison, MI 48625-8689 | 2020-10-21 |
| 1427657451 | Connor Matthew Wright | Behavior Technician | 326 S Waverly Rd, Eaton Rapids, MI 48827-9241 | 2020-10-21 |
| 1750980736 | Lucas Mccarry | Behavior Technician | 1821 Valley View Rd, Boyne Falls, MI 49713-9794 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ABBIE KETCHEN.
| 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.