TRAVIS FADER (NPI# 1205454345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205454345 |
| Entity Type | Individual |
| Full Name | TRAVIS FADER |
| Practice Address |
400 N Colony Dr Apt 2b Saginaw MI 48638-7122 |
| Practice Telephone | 9899804300 |
| Mailing Telephone | 9899804300 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |
| 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 |
| Street Address |
400 N COLONY DR APT 2B |
| City | SAGINAW |
| State | MI |
| Zip Code | 48638-7122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235604547 | Kristina Susan Spohn | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2018-10-12 |
| 1538686803 | Jennifer A Nickels | Behavioral Analyst | 300 Saint Andrews Rd Ste 409, Saginaw, MI 48638 | 2017-08-27 |
| 1013209634 | Ryan D Michelson Dds Plc | Dentist | 65 North Frost Drive, Saginaw, MI 48638 | 2011-05-16 |
| 1477645539 | Mark Walter Pankonin | Family Medicine | 1600 Midland Rd, Saginaw, MI 48638 | 2006-09-28 |
| 1386735579 | John Edwin Galsterer | Dentist | 5605 Colony Drive North, Saginaw, MI 48638 | 2006-09-27 |
| 1699873075 | Phadej Keopunna | Urology | 70 North Frost Dr, Saginaw, MI 48638 | 2006-09-20 |
| 1790881902 | Jeffrey John Dwan | Dentist | 595 N Center Rd, Ste 5, Saginaw, MI 48638 | 2006-09-15 |
| 1396705364 | Christina Marie Barba | Physical Therapist | 4884 Gratiot Avenue, Suite 19, Saginaw, MI 48638 | 2006-03-24 |
| 1538136353 | Joseph E Oesterling | Specialist | 1740 Midland Rd, Saginaw, MI 48638 | 2006-03-01 |
| 1558916650 | Kayela Lynn Oberloier | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2019-08-06 |
| Find all providers in zip 48638 | ||||
| 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 |
|---|---|---|---|---|
| 1821601915 | Marisa A Cardinalli | Behavior Technician | 202 Garden Ln, Saginaw, MI 48602-1800 | 2020-08-28 |
| 1831700426 | Annalee Werth | Behavior Technician | 7670 Davis Rd, Saginaw, MI 48604-9259 | 2020-08-16 |
| 1316558901 | Cameron Paige Whitten | Behavior Technician | 5805 Ambassador Dr Apt 3, Saginaw, MI 48603-3533 | 2020-08-16 |
| 1588287155 | Nicholas Robert Mauro | Behavior Technician | 3332 Crooked Tree Ln Unit 13, Saginaw, MI 48604-9582 | 2020-05-18 |
| 1588202006 | Katherine Silva | Behavior Technician | 103 Provincial Ct Unit 24, Saginaw, MI 48638-6132 | 2019-12-16 |
| 1699319905 | Haley Rose Cameron | Behavior Technician | 4600 Seidel Pl, Saginaw, MI 48638-5674 | 2019-10-30 |
| 1568017648 | Tiana' A Duffey | Behavior Technician | 5100 Pheasant Run Dr, Saginaw, MI 48638-6361 | 2019-08-06 |
| 1255993978 | Alexandra Nicole Radina | Behavior Technician | 2553 Sierra Dr, Saginaw, MI 48609-7022 | 2019-07-02 |
| 1992366942 | Hanah Marie Walker | Behavior Technician | 3267 Schust Rd Apt 107, Saginaw, MI 48603-8110 | 2019-06-20 |
| 1215498126 | Kayla Rose Shoaff | Behavior Technician | 6350 Fox Glen Dr Apt 46, Saginaw, MI 48638-4395 | 2019-03-26 |
| Find all providers in SAGINAW | ||||
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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.