SAMANTHA ANN KEYS (NPI# 1386147254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386147254 |
| Entity Type | Individual |
| Full Name | SAMANTHA ANN KEYS |
| Practice Address |
11410 E Lennon Rd Lennon MI 48449-9666 |
| Mailing Address |
41521 W 11 Mile Rd Novi MI 48375-1803 |
| Practice Telephone | 8106214721 |
| Mailing Telephone | 2489126770 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
11410 E LENNON RD |
| City | LENNON |
| State | MI |
| Zip Code | 48449-9666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912414905 | Jeremy Hagerman | Technician | 11410 E Lennon Rd, Lennon, MI 48449-9666 | 2017-12-29 |
| 1871119594 | Madison Kuchar | Technician | 11410 E Lennon Rd, Lennon, MI 48449-9666 | 2020-06-18 |
| 1215594767 | Guy Jones | Home Health Aide | 11410 E Lennon Rd, Lennon, MI 48449-9666 | 2019-05-21 |
| 1912560723 | Lotta Kuchar | Technician | 11410 E Lennon Rd, Lennon, MI 48449-9666 | 2019-04-17 |
| 1962965467 | Sharie Denell Martin | Technician | 11410 E Lennon Rd, Lennon, MI 48449-9666 | 2019-04-11 |
| 1871056432 | Alexandra Renee English | Technician | 11410 E Lennon Rd, Lennon, MI 48449-9666 | 2019-04-10 |
| 1689149130 | Chris Weber | Technician | 11410 E Lennon Rd, Lennon, MI 48449-9666 | 2018-10-11 |
| 1487129920 | George Jay Blackman | Technician | 11410 E Lennon Rd, Lennon, MI 48449-9666 | 2018-10-11 |
| 1902383029 | Gabrielle Beehler | Technician | 11410 E Lennon Rd, Lennon, MI 48449-9666 | 2018-07-21 |
| 1639666092 | Traci Dilley | Technician | 11410 E Lennon Rd, Lennon, MI 48449-9666 | 2018-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745575 | Kristy Darling | Physical Medicine & Rehabilitation | 893 Tyler Rd, Lennon, MI 48449-9309 | 2020-03-17 |
| 1134782378 | Hailee Jones | Physical Therapy Assistant | 2096 Nichols Rd, Lennon, MI 48449-9320 | 2019-04-14 |
| 1306220017 | Maggie Jane Cody | Counselor | 11870 Woodland Dr, Lennon, MI 48449-9601 | 2015-07-13 |
| 1518437987 | Donita Potts | Health Educator | 2651 S Durand Rd, Lennon, MI 48449-9719 | 2018-11-28 |
| 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 |
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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.