CHAQUARIA A EDWARDS (NPI# 1255846804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255846804 |
| Entity Type | Individual |
| Full Name | CHAQUARIA A EDWARDS |
| Practice Address |
2284 S Ballenger Hwy Flint MI 48503-3446 |
| Mailing Address |
1317 Pickwick Pl Flint MI 48507-3703 |
| Practice Telephone | 8666474872 |
| Mailing Telephone | 8104061225 |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 25144 | 05 |
| Street Address |
2284 S BALLENGER HWY |
| City | FLINT |
| State | MI |
| Zip Code | 48503-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992774194 | Janice Kay Shimoda | General Practice | 2284 S Ballenger Hwy, Suite H, Flint, MI 48503-4653 | 2006-03-17 |
| 1558993139 | Hailee Strong | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2020-02-11 |
| 1083258784 | Larissa Cottrell | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-11-05 |
| 1649813775 | Omar Mohamed-f Elnour | Technician, Other | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-10-22 |
| 1386287670 | Najla Collins | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-10-20 |
| 1417599705 | Saundra Marie Harris | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-10-08 |
| 1558913624 | Elonda Clemons | Technician, Health Information | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-07-09 |
| 1720640386 | Nadia M Johnson | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-07-03 |
| 1013579879 | Chester Watson IIi | Technician, Other | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-07-02 |
| 1972162287 | Zakory Mitchel Dippold | Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-06-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
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| 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 |
|---|---|---|---|---|
| 1215450721 | Lauren Kristi Phillips | Behavioral Analyst | 4511 Miller Rd Ste 11, Flint, MI 48507-1107 | 2017-07-18 |
| 1396142998 | Brianna Louise Dunham | Behavioral Analyst | 4048 Carmanwood Dr, Flint, MI 48507-5502 | 2014-11-25 |
| 1558923219 | Nur Ziadeh | Behavioral Analyst | 2284 S Ballenger Hwy Ste G, Flint, MI 48503-3446 | 2019-07-02 |
| 1881152601 | Mary Frances Sesti | Behavioral Analyst | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-03-11 |
| 1033613252 | Cierra Banks | Behavioral Analyst | 420 W 5th Ave, Flint, MI 48503-2445 | 2018-03-21 |
| 1467955948 | Dana Slagg | Behavioral Analyst | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503-2190 | 2018-03-12 |
| 1588176960 | Tracy Marie Frazier | Behavioral Analyst | 420 W 5th Ave, Flint, MI 48503-2445 | 2017-10-25 |
| 1568981009 | Margee Keoshian | Behavioral Analyst | 4511 Miller Rd Ste 11, Flint, MI 48507-1107 | 2017-09-15 |
| 1306379466 | Amanda Lukaschewski | Behavioral Analyst | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503 | 2017-04-06 |
| 1013468917 | Ian Mcelfish | Behavioral Analyst | 2700 Robert T Longway Blvd, Flint, MI 48503-2190 | 2016-10-17 |
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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.