TAYLOR BEAUDOIN (NPI# 1184119786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184119786 |
| Entity Type | Individual |
| Full Name | TAYLOR BEAUDOIN |
| Practice Address |
1617 E Milham Ave Ste B Portage MI 49002-3049 |
| Practice Telephone | 2693899102 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
1617 E MILHAM AVE STE B |
| City | PORTAGE |
| State | MI |
| Zip Code | 49002-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336676311 | Jaysen King | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2017-05-22 |
| 1285100610 | Brian Walny | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2018-10-24 |
| 1356817787 | Madison Russell | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2018-10-24 |
| 1720554157 | Amy Wadaga | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2018-10-24 |
| 1881160273 | Brooklin Coss | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2018-10-23 |
| 1164998555 | Sydney Bardelli | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2018-10-23 |
| 1881169217 | Shannon Howell | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2018-10-12 |
| 1669956793 | Allie Creamer | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2018-09-25 |
| 1427532555 | Amy Hanson | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2018-09-25 |
| 1801370937 | Aimee Jarchow | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2018-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604204 | Susan Vandewalker | Physical Therapist | 8001 Angling Rd., Portage, MI 49002 | 2018-03-28 |
| 1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
| 1548620537 | Patricia Eid | Behavioral Analyst | 1016 E Milham Ave, Suite 2, Portage, MI 49002 | 2016-03-03 |
| 1386045383 | Pinnacle Senior Care of Kalamazoo, LLC | Home Health | 2725 Airview Blvd Ste 105b, Portage, MI 49002 | 2014-09-09 |
| 1104241611 | Meredith Ayers Holland | Behavioral Analyst | 9616 Portage Road, Portage, MI 49002 | 2014-02-20 |
| 1619211919 | Daketia L Thomas | Massage Therapist | 8314 Portage Rd, Suite D, Kalamazoo, MI 49002 | 2012-11-27 |
| 1831457142 | Kinetic Kids, LLC | Occupational Therapist | 540 East Milham, Portage, MI 49002 | 2012-04-25 |
| 1154689404 | Lauren Michelle Mattaliano | Occupational Therapist | 540 E. Milham Road, Portage, MI 49002 | 2012-04-24 |
| 1114219227 | South Michigan Psychiatric Services LLC | Psychiatry & Neurology | 5390 Lovers Ln, Third Floor, Portage, MI 49002 | 2011-05-07 |
| 1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
| Find all providers in zip 49002 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242216 | Brittany O'grady | Behavioral Analyst | 2314 Helen Ave Ste 100, Portage, MI 49002-1684 | 2020-07-06 |
| 1710529623 | Wesley Hyames | Behavioral Analyst | 5646 Bay Meadow Trl, Portage, MI 49024-1748 | 2019-10-11 |
| 1114375714 | Jacob Adams | Behavioral Analyst | 6544 Hampton St, Portage, MI 49024-2534 | 2016-05-25 |
| 1548620537 | Patricia Eid | Behavioral Analyst | 1016 E Milham Ave, Suite 2, Portage, MI 49002 | 2016-03-03 |
| 1104241611 | Meredith Ayers Holland | Behavioral Analyst | 9616 Portage Road, Portage, MI 49002 | 2014-02-20 |
| 1740539808 | Elian Aljadeff-abergel | Behavioral Analyst | 4415 Foxfire Trl, Portage, MI 49024-9572 | 2012-09-05 |
| 1033417092 | Jamie S Goecker | Behavioral Analyst | 526 W Centre Ave, Portage, MI 49024-5306 | 2011-03-01 |
| 1205069804 | Kari Carrington | Behavioral Analyst | 9616 Portage Rd, Portage, MI 49002-7257 | 2009-08-29 |
| 1164666558 | Zachariah Thomas Dugger | Behavioral Analyst | 1617 E Milham Ave., Suite B, Portage, MI 49002-4336 | 2009-04-29 |
| 1255495628 | Dianne Marie Wilson | Behavioral Analyst | 1617 E Milham Aver, Suite B, Portage, MI 49002 | 2006-12-20 |
| Find all providers in PORTAGE | ||||
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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.