DIEP- KIMBERLY NGOC NGUYEN (NPI# 1386294643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386294643 |
| Entity Type | Individual |
| Full Name | DIEP- KIMBERLY NGOC NGUYEN |
| Other Name | KIM NGOC NGUYEN |
| Practice Address |
5338 Wyndtree Ln Se Kentwood MI 49548-0836 |
| Practice Telephone | 6166486760 |
| Mailing Telephone | 6166486760 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |
| 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 |
5338 WYNDTREE LN SE |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49548-0836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205319811 | Pooja Patel | Social Worker | Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2018-09-10 |
| 1063906865 | Kimberly Eccher | Physician Assistant | 300 68th St. Se, Grand Rapids, MI 49548 | 2018-06-15 |
| 1871099481 | Baymark of Michigan, Inc. | Clinic/Center | 5500 Division Avenue Se, Kentwood, MI 49548 | 2018-04-03 |
| 1629507801 | Laura Marie Quennoz | Psychiatry & Neurology | Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 | 2017-06-09 |
| 1821548504 | Alison Anderson | Technician, Other | 103 Roth St Se, Grand Rapids, MI 49548 | 2016-10-06 |
| 1831540152 | Jesse Aubil | Counselor | 264 Montebello St. Se 49548, Grand Rapids, MI 49548 | 2016-06-28 |
| 1306237920 | Sarah Benton | Social Worker | 225 Colrain St Sw, 2, Grand Rapids, MI 49548 | 2015-02-18 |
| 1578996856 | Karen Marie Irving | Social Worker | 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2013-08-09 |
| 1740348044 | Robert Kenneth Richmond | Preventive Medicine | 551 36th Street. Se, Wyoming, MI 49548 | 2006-12-05 |
| 1386738953 | Sharita Montiez Hall | Social Worker | 300 68th Street Se, Grand Rapids, MI 49548 | 2006-10-03 |
| Find all providers in zip 49548 | ||||
| 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 |
|---|---|---|---|---|
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1215470539 | Kathryn Fisher | Behavior Technician | 5366 Eastern Ave Se, Kentwood, MI 49508-6018 | 2016-11-19 |
| 1134676976 | Vahe Grigoryan | Behavior Technician | 1458 Brookmark St Se, Kentwood, MI 49508-6117 | 2016-09-09 |
| 1962003137 | Jacquie Dominguez | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-11-04 |
| 1306446331 | Sarah Elisabeth Olson | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-10-28 |
| 1528674207 | Samantha Joy Riihimaa | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-09-18 |
| 1649885278 | Tyler Marcus | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-09-10 |
| 1427660117 | Cierra Jackson | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-08-23 |
| 1750991808 | Paige Feehery | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-08-04 |
| 1750990040 | Danielle Wilde | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-07-23 |
| Find all providers in KENTWOOD | ||||
Please comment or provide details below to improve the information on DIEP- KIMBERLY NGOC NGUYEN.
| 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.