ELLISA D ISSA (NPI# 1225526833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225526833 |
| Entity Type | Individual |
| Full Name | ELLISA D ISSA |
| Practice Address |
36 E Elm Ave Monroe MI 48162-2649 |
| Practice Telephone | 7343078794 |
| Mailing Telephone | 7343078794 |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |
| 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 |
36 E ELM AVE |
| City | MONROE |
| State | MI |
| Zip Code | 48162-2649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| Find all providers in zip 48162 | ||||
| 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 |
|---|---|---|---|---|
| 1639797558 | Deidra Ann Lambert Pinion | Behavior Technician | 922 Amber Trl, Monroe, GA 30655-8481 | 2020-07-07 |
| 1164980967 | James Abrams | Behavior Technician | 2086 South Custer Road, Monroe, MI 48161 | 2019-03-11 |
| 1790242998 | Kaitlin N Faassen | Behavior Technician | 5005 Morning Dew Ln, Monroe, NC 28110-1302 | 2019-02-23 |
| 1528549763 | Megan Loreen Chisholm | Behavior Technician | 350 S Foothill Dr, Monroe, UT 84754-4466 | 2018-08-26 |
| 1184115404 | Miranda K Cicero | Behavior Technician | 2086 S Custer Rd, Monroe, MI 48161-1831 | 2018-05-22 |
| 1487144275 | Vinessa Jo Haack | Behavior Technician | 15384 S Dixie Hwy, Monroe, MI 48161-3773 | 2018-05-16 |
| 1013442300 | Tyler Crew | Behavior Technician | 1501 Mckeen Pl Apt 603, Monroe, LA 71201-4439 | 2017-04-25 |
| 1770017899 | Tommy Angelo Garcia | Behavior Technician | 3111 Old Sterlington Rd Apt 238, Monroe, LA 71203-2636 | 2017-04-14 |
| 1891228623 | Latesha Jackson | Behavior Technician | 119 Savannah St, Monroe, LA 71202-3921 | 2017-04-08 |
| 1588196166 | Tammy Briggs | Behavior Technician | 104 Preston Loop, Monroe, LA 71202-6912 | 2017-04-01 |
| Find all providers in MONROE | ||||
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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.