MR. MICHAEL KENT DYER (NPI# 1295001352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295001352 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL KENT DYER |
| Credential | BCBA |
| Practice Address |
1420 Funston Dr Santa Rosa CA 95407-6980 |
| Practice Telephone | 7075280723 |
| Mailing Telephone | 7075280723 |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-08-4738 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225231988 | Michael Adam Dyer | Chiropractor | 255 Thalia St, Suite B, Laguna Beach, CA 92651-2715 | 2007-06-08 |
| 1669518023 | Michael Earl Dyer | Dentist | 3003 Dawn Dr Ste 106, Georgetown, TX 78628-2800 | 2007-01-30 |
| 1447865738 | Michael Jeffrey Dyer | Pharmacist | 300 Fairmont Ave, Fairmont, WV 26554-2713 | 2020-09-13 |
| 1831698380 | Michael Sullivan Dyer | Behavior Technician | 1010 S L St Ste G, Tacoma, WA 98405-4366 | 2018-02-09 |
| 1598213837 | Michael Dyer Jr. | Social Worker | 23704 Ocean Gtwy, Mardela, MD 21837-2101 | 2016-09-15 |
| 1336530617 | Michael Dyer | Counselor | 3613 Hessmer Ave Ste 101, Metairie, LA 70002-4732 | 2015-02-09 |
| 1083952766 | Michael Ray Dyer | Counselor | 245 W Wilshire Blvd Ste A, Oklahoma City, OK 73116-7754 | 2013-01-30 |
| 1851659130 | Michael Dyer | Radiology | 830 Harrison Avenue, Moakley Ll100, Boston, MA 02118-2905 | 2012-04-24 |
| 1518936061 | Michael Lewis Dyer | Pathology | 501 19th St, Suite 301, Knoxville, TN 37916-1854 | 2006-03-16 |
| Street Address |
1420 FUNSTON DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407-6980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| Find all providers in zip 95407 | ||||
| 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 |
|---|---|---|---|---|
| 1093340440 | Sujey Arzeta | Behavioral Analyst | 1965 Zinfandel Ave Apt 201, Santa Rosa, CA 95403-7247 | 2020-03-05 |
| 1912564808 | Ceci Yazmin Godoy Barragan | Behavioral Analyst | 1316 Edwards Ave Apt A, Santa Rosa, CA 95401-4260 | 2019-05-25 |
| 1609432681 | Sarah Renee Briggs | Behavioral Analyst | 1721 Mesa Way, Santa Rosa, CA 95407-7141 | 2019-05-15 |
| 1619532439 | Marisol Aguirre | Behavioral Analyst | 737 Hewett St, Santa Rosa, CA 95401-5364 | 2019-05-07 |
| 1962066142 | Helen Gebretensai Gubsa | Behavioral Analyst | 8 Woodwardia Sq, Santa Rosa, CA 95409-5328 | 2019-04-23 |
| 1689133076 | Lattice Educational Services | Behavioral Analyst | 3273 Airway Dr Ste A, Santa Rosa, CA 95403-2080 | 2019-03-15 |
| 1033681267 | Ilany Prieto Altamirano | Behavioral Analyst | 2603 Northcoast St, Santa Rosa, CA 95403-3305 | 2018-12-28 |
| 1427525328 | Christopher William Schouest | Behavioral Analyst | 5424 Sharon St., Santa Rosa, CA 95409 | 2018-10-29 |
| 1063997856 | Taralyn Marie Kolster | Behavioral Analyst | 2001 Piner Rd Apt 148, Santa Rosa, CA 95403-6962 | 2018-09-27 |
| 1578047940 | Jenifer Catherine Hamilton | Behavioral Analyst | 160 Wikiup Dr Ste 102, Santa Rosa, CA 95403-7776 | 2018-09-20 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
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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.