MICHELLE WIETERS (NPI# 1356985956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356985956 |
| Entity Type | Individual |
| Full Name | MICHELLE WIETERS |
| Practice Address |
15911 Nacogdoches Rd Bldg 1 San Antonio TX 78247-1107 |
| Mailing Address |
6323 Silver Fox San Antonio TX 78247-1100 |
| Practice Telephone | 2105997733 |
| Mailing Telephone | 2104820217 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-16-13391 | Behavioral Health & Social Service Providers |
| Street Address |
15911 NACOGDOCHES RD BLDG 1 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78247-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215557277 | Allison Maguire | Behavior Technician | 15911 Nacogdoches Rd Bldg 1, San Antonio, TX 78247-1107 | 2020-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487134466 | Minerva Desdemona Williams | Occupational Therapy Assistant | 1 Heartland Drive, San Antonio, TX 78247 | 2018-08-18 |
| 1730698903 | Stefanie Anne Gray | Psychologist | 14802 Jones Maltsberger Rd Ste 1201, San Antonio, TX 78247 | 2017-09-20 |
| 1710405618 | Denisa Nicole Lopez | Physical Therapist | 16506 Blanco Key, San Antonio, TX 78247 | 2017-08-31 |
| 1114458361 | H-e-b, Lp | Eyewear Supplier (Equipment, not the service) | 17238 Bulverde Rd, San Antonio, TX 78247 | 2017-03-21 |
| 1376083899 | H-e-b, Lp | Clinical Medical Laboratory | 17238 Bulverde Road, San Antonio, TX 78247 | 2017-03-02 |
| 1417494659 | Cook Childrens Home Health | Durable Medical Equipment & Medical Supplies | 11911 Starcrest Drive, San Antonio, TX 78247 | 2017-01-26 |
| 1245772268 | Sarah Rudd | Specialist/Technologist | 5126 Spring Bridge, San Antonio, TX 78247 | 2016-11-08 |
| 1477903938 | Kadie Patricia Kress | Physical Therapist | 4718 Cypress Mill Dr, San Antonio, TX 78247 | 2016-06-15 |
| 1649653288 | Regina Giannola | Perfusionist | 6742 Manor Hill Dr., San Antonio, TX 78247 | 2015-07-01 |
| 1538565189 | Swift Eye Care, Pllc | Optometrist | 17230 Bulverde Rd, Suite 104, San Antonio, TX 78247 | 2014-11-10 |
| Find all providers in zip 78247 | ||||
| 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 |
|---|---|---|---|---|
| 1861090672 | Mikayla Maida | Behavior Technician | 21727 Ih 10 W Ste 108, San Antonio, TX 78257-2108 | 2020-10-14 |
| 1831796770 | Keesha Ann Green | Behavior Technician | 5522 Lone Star Pkwy Building #3 Suite 101, San Antonio, TX 78253 | 2020-10-05 |
| 1417560723 | Aimee Zamora | Behavior Technician | 5730 Northwest Pkwy Ste 115, San Antonio, TX 78249-3378 | 2020-08-26 |
| 1073123121 | Minerva Mendoza | Behavior Technician | 6134 Higbee Ml, San Antonio, TX 78247-6227 | 2020-08-04 |
| 1124644208 | Honor Williams | Behavior Technician | 1607 Argos Star, San Antonio, TX 78245-2075 | 2020-06-24 |
| 1679198311 | Suzanne Danial | Behavior Technician | Bloom Behavioral and Educational Solutions, 1850 Lockhill Selma Rd #106, San Antonio, TX 78213 | 2020-06-09 |
| 1639794464 | Gabriel Ezequiel Cantu | Behavior Technician | 21727 I-10, Unit 108, San Antonio, TX 78257 | 2020-06-08 |
| 1184248486 | Acia Abdul-rakib | Behavior Technician | 5949 Babcock Rd, San Antonio, TX 78240-2485 | 2020-06-02 |
| 1013531623 | Kristie Leigh Lacy | Behavior Technician | 3524 Mountain Loop, San Antonio, TX 78261-2213 | 2020-05-31 |
| 1154956191 | Dominique Rivera | Behavior Technician | 802 Nevada St, San Antonio, TX 78203-1532 | 2020-03-10 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78247 |
Please comment or provide details below to improve the information on MICHELLE WIETERS.
| 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.