MIKALA WOOTEN (NPI# 1427666734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427666734 |
| Entity Type | Individual |
| Full Name | MIKALA WOOTEN |
| Practice Address |
509 Autumn Ln Roscommon MI 48653-8151 |
| Practice Telephone | 9892739010 |
| Mailing Telephone | 9892739010 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |
| 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 |
509 AUTUMN LN |
| City | ROSCOMMON |
| State | MI |
| Zip Code | 48653-8151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588106892 | Amanda Howe | Dental Hygienist | 135 Lake Street, Roscommon, MI 48653 | 2016-11-17 |
| 1861949471 | Christopher Michels | Contractor | 403 Peach Rd, Roscommon, MI 48653 | 2016-09-01 |
| 1114317336 | Valerie Louise Doebler | Occupational Therapy Assistant | 4450 E. Michigan Hwy., Roscommon, MI 48653 | 2015-01-26 |
| 1063664019 | Douglas C Mackintosh | Physical Therapist | 4079 West Marl Lake Dr, Roscommon, MI 48653 | 2008-10-21 |
| 1235354382 | Kevin B Rucinski Dds PC | Dentist | 188 Pine Bluffs, Roscommon, MI 48653 | 2007-04-16 |
| 1902021355 | Higgins Township Roscommon County Mich | Ambulance | 700 South Fifth Street, Roscommon, MI 48653 | 2007-04-13 |
| 1922172493 | Steven Carl Haertel | Chiropractor | 406 N 5th St, Roscommon, MI 48653 | 2006-11-17 |
| 1881775351 | Township Board of South Branch | Ambulance | 5245 N M-18, Roscommon, MI 48653 | 2006-10-18 |
| 1083712798 | Karrie Tieppo Williams | Dentist | 100 Sherwood Dr., Roscommon, MI 48653 | 2006-09-20 |
| 1386674661 | Rebecca L Smith | Counselor | 299h W Sunset, Roscommon, MI 48653 | 2006-07-03 |
| Find all providers in zip 48653 | ||||
| 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 |
|---|---|---|---|---|
| 1629620091 | Sandra Michelle Fiebelkorn | Behavior Technician | 406 Hannah St, Roscommon, MI 48653-8311 | 2019-07-15 |
| 1427524818 | Casey Marie Stone | Behavior Technician | 110 N Jonassen Dr, Roscommon, MI 48653-9117 | 2018-10-23 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.