VICTORIA DAWN MATTSON (NPI# 1457868853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457868853 |
| Entity Type | Individual |
| Full Name | VICTORIA DAWN MATTSON |
| Practice Address |
1401 Presque Isle Ave Marquette MI 49855-2818 |
| Practice Telephone | 9062272995 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2019-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
1401 PRESQUE ISLE AVE |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811988959 | Michelle R Storms | Family Medicine | 1401 Presque Isle Ave, Attn: Health Center, Marquette, MI 49855-2818 | 2005-10-28 |
| 1497368443 | Samantha Marie Nelson | Student in an Organized Health Care Education/Training Program | 1401 Presque Isle Ave, Marquette, MI 49855-2818 | 2020-08-28 |
| 1326670118 | Alex Jacob Rice | Student in an Organized Health Care Education/Training Program | 1401 Presque Isle Ave, Marquette, MI 49855-2818 | 2020-02-10 |
| 1790317584 | Joel Mewbourn | Specialist/Technologist | 1401 Presque Isle Ave, Marquette, MI 49855-2818 | 2020-02-10 |
| 1194374231 | Christopher Todd Kirk | Specialist/Technologist | 1401 Presque Isle Ave, Marquette, MI 49855-2818 | 2019-09-11 |
| 1154885184 | Rachel Michelle Nye | Nurse Practitioner | 1401 Presque Isle Ave, Marquette, MI 49855-2818 | 2019-01-23 |
| 1336649409 | Tyler Ren Wickett | Specialist/Technologist | 1401 Presque Isle Ave, Marquette, MI 49855-2818 | 2018-02-15 |
| 1609220318 | Devon Rosseau | Student in an Organized Health Care Education/Training Program | 1401 Presque Isle Ave, Marquette, MI 49855-2818 | 2016-04-19 |
| 1649633363 | Lawryn Brown | Student in an Organized Health Care Education/Training Program | 1401 Presque Isle Ave, Marquette, MI 49855-2818 | 2016-03-30 |
| 1265893606 | Alyssa Laura Vaniman | Student in an Organized Health Care Education/Training Program | 1401 Presque Isle Ave, Marquette, MI 49855-2818 | 2016-03-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
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| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588225494 | Jennifer Nicole Prus | Behavioral Analyst | 1507 Garfield Ave, Marquette, MI 49855-1632 | 2019-06-23 |
| 1053876185 | Kara Nicole Shawbitz | Behavioral Analyst | 200 W Spring St, Marquette, MI 49855-4661 | 2019-02-03 |
| 1770047607 | Nicole Ketola | Behavioral Analyst | 200 W Spring St, Marquette, MI 49855-4661 | 2019-01-24 |
| 1427521863 | Chiara J Johnson | Behavioral Analyst | 1229 W Washington St Ste 5, Marquette, MI 49855-3186 | 2019-01-08 |
| 1861916165 | Elletta S Weber | Behavioral Analyst | 200 W Spring St, Marquette, MI 49855-4661 | 2017-07-28 |
| 1780044404 | Functional Behavior Services, LLC | Behavioral Analyst | 1229 W Washington St Ste 5, Marquette, MI 49855-3186 | 2016-02-24 |
| 1417337593 | Amy Baranek | Behavioral Analyst | 200 W Spring St, Marquette, MI 49855-4661 | 2015-06-04 |
| 1861716789 | Denise Clark | Behavioral Analyst | 200 W Spring St, Marquette, MI 49855-4630 | 2010-03-22 |
| 1114102035 | Rocco Leopold Nocera | Behavioral Analyst | 200 W Spring St, Marquette, MI 49855-4661 | 2008-01-09 |
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| 1184242216 | Brittany O'grady | Behavioral Analyst | 2314 Helen Ave Ste 100, Portage, MI 49002-1684 | 2020-07-06 |
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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.