AMANDA LUKASCHEWSKI (NPI# 1306379466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306379466 |
| Entity Type | Individual |
| Full Name | AMANDA LUKASCHEWSKI |
| Practice Address |
2700 Robert T Longway Blvd Ste C Flint MI 48503 |
| Mailing Address |
2700 Robert T Longway Blvd Ste C Flint MI 48503-2190 |
| Practice Telephone | 8104964955 |
| Mailing Telephone | 8104964955 |
| Mailing Fax Number | 8103213002 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2020-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-18-30628 | MI | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | RBT-15-06363 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 Renaissance Ctr Ste 2600, Detroit, MI 482431502 | 8558326727 | |
| 8285 S Saginaw St Ste 7, Grand Blanc, MI 48439 | 2485440360 | 2485440388 |
| Street Address |
2700 ROBERT T LONGWAY BLVD STE C |
| City | FLINT |
| State | MI |
| Zip Code | 48503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023424207 | Rebecca Ann Horning | Specialist/Technologist, Other | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503-2190 | 2014-07-08 |
| 1275038119 | Nikki Somers-klanseck | Behavior Technician | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503-2190 | 2018-03-23 |
| 1467955948 | Dana Slagg | Behavioral Analyst | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503-2190 | 2018-03-12 |
| 1871020149 | Jennifer Ferrier | Counselor | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503-2190 | 2017-05-17 |
| 1306387295 | Alyssa Taylor | Technician, Other | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503-2190 | 2017-03-13 |
| 1114386299 | Candace Elizabeth Prentice | Technician, Other | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503-2190 | 2016-02-17 |
| 1891152419 | Jennifer Jinerson | Technician, Other | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503-2190 | 2016-01-27 |
| 1811362932 | Leah Parry | Technician, Other | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503-2190 | 2015-12-01 |
| 1467822429 | Katherine Lee Matosz | Behavioral Analyst | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503-2190 | 2015-10-03 |
| 1922405182 | Mary Michelle Tallman | Occupational Therapist | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503-2190 | 2014-12-03 |
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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 |
| Find all providers in zip 48503 | ||||
| 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 |
| 1255846804 | Chaquaria A Edwards | Behavioral Analyst | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2017-12-05 |
| 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 |
| 1013468917 | Ian Mcelfish | Behavioral Analyst | 2700 Robert T Longway Blvd, Flint, MI 48503-2190 | 2016-10-17 |
| Find all providers in FLINT | ||||
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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.