JAIMIE ELIZABETH SULLIVAN (NPI# 1356907372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356907372 |
| Entity Type | Individual |
| Full Name | JAIMIE ELIZABETH SULLIVAN |
| Credential | LLBSW |
| Practice Address |
8415 Shirley Ct Apt 11 Portage MI 49024-4764 |
| Practice Telephone | 5869074369 |
| Mailing Telephone | 5869074369 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |
| 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 |
8415 SHIRLEY CT APT 11 |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-4764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| 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 |
|---|---|---|---|---|
| 1558976316 | Jacob Hurwitz | Behavior Technician | 6603 Cypress St, Portage, MI 49024-3203 | 2020-09-09 |
| 1669017240 | Kayla M Szatkiewicz | Behavior Technician | 526 W Centre Ave # I49024, Portage, MI 49024-5306 | 2019-11-07 |
| 1720639016 | Abby Rinderer | Behavior Technician | 363 Jason Ct, Portage, MI 49024-2815 | 2019-09-27 |
| 1962961417 | Mattie Ruth Darby | Behavior Technician | 3305 Portside Ct Apt 202, Portage, IN 46368-5223 | 2019-03-14 |
| 1336676311 | Jaysen King | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2017-05-22 |
| 1144829680 | Ericka Lynn Murnighan | Behavior Technician | 526 W Centre Ave, Portage, MI 49024-5306 | 2020-10-24 |
| 1841898954 | Mckenzie Logan | Behavior Technician | 526 W Centre Ave, Portage, MI 49024-5306 | 2020-10-12 |
| 1881291730 | Olivia Irene Morand | Behavior Technician | 526 W Centre Ave, Portage, MI 49024-5306 | 2020-10-05 |
| 1346857984 | Brandy Mae Manning | Behavior Technician | 526 W Centre Ave, Portage, MI 49024-5306 | 2020-09-28 |
| 1376159079 | Megan Kaye Shannon | Behavior Technician | 526 W Centre Ave, Portage, MI 49024-5306 | 2020-09-17 |
| Find all providers in PORTAGE | ||||
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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.