MICHAEL COREY (NPI# 1124626502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124626502 |
| Entity Type | Individual |
| Full Name | MICHAEL COREY |
| Practice Address |
4618 W Gage St Boise ID 83706-2124 |
| Practice Telephone | 8436099331 |
| Mailing Telephone | 8436099331 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4618 W Gage St, Boise, ID 837062124 | 8436099331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184079204 | Michael David Corey | Technician, Other | 2397 Shirley Dr, Jackson, MI 49202-1521 | 2016-04-26 |
| 1275616062 | Michael A. Corey | Chiropractor | 2086 Morris Ave, Union, NJ 07083-6037 | 2006-10-23 |
| 1033382122 | Michael Richard Corey | Surgery | 61 Whitcher St Ne, Suite 2100, Marietta, GA 30060-1176 | 2008-04-09 |
| 1487740106 | Michael Kevin Corey | Chiropractor | 2552 Walnut Ave, Ste 145, Tustin, CA 92780-6983 | 2006-10-04 |
| Street Address |
4618 W GAGE ST |
| City | BOISE |
| State | ID |
| Zip Code | 83706-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| 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 |
|---|---|---|---|---|
| 1740889989 | Sarah Lorraine Gill | Behavior Technician | 1015 W University Dr, Boise, ID 83706-3006 | 2020-10-20 |
| 1396342077 | Laura Halsted | Behavior Technician | 3200 E Anemone Ct, Boise, ID 83716-6847 | 2020-10-05 |
| 1699372508 | Kayla Marie Ray | Behavior Technician | 7766 W Paloma St, Boise, ID 83704-0701 | 2020-10-04 |
| 1942807078 | Lauryn Temple | Behavior Technician | 7960 W Northview St, Boise, ID 83704-7242 | 2020-10-01 |
| 1386258705 | Amy Lytle | Behavior Technician | 1300 S Arcadia St, Boise, ID 83705-6051 | 2020-09-02 |
| 1194338400 | Sarah Janousek | Behavior Technician | 8701 W Brynwood Dr, Boise, ID 83704-3004 | 2020-08-26 |
| 1912517418 | Nicole Herring | Behavior Technician | 8300 W Grubstake St, Boise, ID 83709-4959 | 2020-08-09 |
| 1225651045 | Elizabeth Delaine Adams | Behavior Technician | 9857 W Granger Ave, Boise, ID 83704-5353 | 2020-05-27 |
| 1134742950 | Catherine Bird | Behavior Technician | 7622 W Settlers Ave, Boise, ID 83704-5819 | 2020-05-27 |
| 1669008603 | Sandra Leann Vernon | Behavior Technician | 12553 W Explorer Dr Ste 190, Boise, ID 83713-1612 | 2020-03-22 |
| Find all providers in BOISE | ||||
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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.