GISELLE GARK (NPI# 1285277616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285277616 |
| Entity Type | Individual |
| Full Name | GISELLE GARK |
| Practice Address |
8939 Brockway Rd Brockway MI 48097-2403 |
| Mailing Address |
Po Box 663 Lakeland MI 48143-0663 |
| Practice Telephone | 8103041697 |
| Mailing Telephone | 8105992129 |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |
| 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 |
8939 BROCKWAY RD |
| City | BROCKWAY |
| State | MI |
| Zip Code | 48097-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215065271 | Tracy Lynn Krause | Physical Therapist | 7609 Brockway Road, Yale, MI 48097 | 2007-03-01 |
| 1336247485 | Alan Rutledge Bredin | Dentist | 333 Gordon Dr., Suite B, Yale, MI 48097 | 2006-09-20 |
| 1154425312 | Hubert Frederick Conlee | Chiropractor | 211 Brockway Rd, Yale, MI 48097 | 2006-09-11 |
| 1902882814 | Seema K Doshi | Internal Medicine | 333 Gordon Drive, Yale, MI 48097 | 2005-12-22 |
| 1093887598 | Winfred Darryl Williams | Family Medicine | 333 Gordon Drive, Yale, MI 48097 | 2006-11-14 |
| 1326146317 | Mary L. Vinckier, D.d.s., P.C. | Dentist | 333 Gordon Dr., Suite B, Yale, MI 48097 | 2006-09-21 |
| 1467559849 | Mary L. Vinckier | Dentist | 333 Gordon Drive, Suite B, Yale, MI 48097 | 2006-09-20 |
| 1811346471 | Ashley Jones | Technician, Other | 12383 Jeddo Rd, Brockway, MI 48097-2410 | 2016-06-05 |
| 1275990921 | Keith Laurain | Specialist | 11339 Jeddo Rd, Brockway, MI 48097-2511 | 2016-01-26 |
| 1871553495 | Medilodge of Yale Inc | Skilled Nursing Facility | 90 Jean St, Yale, MI 48097-2932 | 2006-03-27 |
| Find all providers in zip 48097 | ||||
| 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 |
|---|---|---|---|---|
| 1871194365 | Melissa Krzysik | Behavior Technician | 634 Parkside Ct, Chelsea, MI 48118-2126 | 2020-11-03 |
| 1508467093 | Leah Jueckstock | Behavior Technician | 1703 N Greenfield Cir Ne Apt 102, Grand Rapids, MI 49505-5690 | 2020-11-03 |
| 1518568112 | Makayla Randall | Behavior Technician | 215 E Congress St, Caro, MI 48723-1800 | 2020-11-02 |
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1962001685 | Taylor Angel Smith | Behavior Technician | 669 Murner Rd, Gaylord, MI 49735-9357 | 2020-10-23 |
| 1669071635 | Kaley Jo Belton | Behavior Technician | 11165 E Dr S, Ceresco, MI 49033-9788 | 2020-10-21 |
| 1487253340 | Shannon Worden | Behavior Technician | 4246 Jeffery Rd, Harrison, MI 48625-8689 | 2020-10-21 |
| 1427657451 | Connor Matthew Wright | Behavior Technician | 326 S Waverly Rd, Eaton Rapids, MI 48827-9241 | 2020-10-21 |
| 1750980736 | Lucas Mccarry | Behavior Technician | 1821 Valley View Rd, Boyne Falls, MI 49713-9794 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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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.