ALEXANDRA LOCKE (NPI# 1467958298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467958298 |
| Entity Type | Individual |
| Full Name | ALEXANDRA LOCKE |
| Practice Address |
1617 E Milham Ave Ste B Portage MI 49002-3049 |
| Practice Telephone | 2693899102 |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467934398 | Alexandra Suzanne Locke | Physician Assistant | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2018-09-06 |
| Street Address |
1617 E MILHAM AVE STE B |
| City | PORTAGE |
| State | MI |
| Zip Code | 49002-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336676311 | Jaysen King | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2017-05-22 |
| 1285100610 | Brian Walny | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2018-10-24 |
| 1356817787 | Madison Russell | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2018-10-24 |
| 1720554157 | Amy Wadaga | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2018-10-24 |
| 1881160273 | Brooklin Coss | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2018-10-23 |
| 1164998555 | Sydney Bardelli | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2018-10-23 |
| 1881169217 | Shannon Howell | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2018-10-12 |
| 1669956793 | Allie Creamer | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2018-09-25 |
| 1427532555 | Amy Hanson | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2018-09-25 |
| 1801370937 | Aimee Jarchow | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2018-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604204 | Susan Vandewalker | Physical Therapist | 8001 Angling Rd., Portage, MI 49002 | 2018-03-28 |
| 1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
| 1548620537 | Patricia Eid | Behavioral Analyst | 1016 E Milham Ave, Suite 2, Portage, MI 49002 | 2016-03-03 |
| 1386045383 | Pinnacle Senior Care of Kalamazoo, LLC | Home Health | 2725 Airview Blvd Ste 105b, Portage, MI 49002 | 2014-09-09 |
| 1104241611 | Meredith Ayers Holland | Behavioral Analyst | 9616 Portage Road, Portage, MI 49002 | 2014-02-20 |
| 1619211919 | Daketia L Thomas | Massage Therapist | 8314 Portage Rd, Suite D, Kalamazoo, MI 49002 | 2012-11-27 |
| 1831457142 | Kinetic Kids, LLC | Occupational Therapist | 540 East Milham, Portage, MI 49002 | 2012-04-25 |
| 1154689404 | Lauren Michelle Mattaliano | Occupational Therapist | 540 E. Milham Road, Portage, MI 49002 | 2012-04-24 |
| 1114219227 | South Michigan Psychiatric Services LLC | Psychiatry & Neurology | 5390 Lovers Ln, Third Floor, Portage, MI 49002 | 2011-05-07 |
| 1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
| Find all providers in zip 49002 | ||||
| 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 |
|---|---|---|---|---|
| 1558976316 | Jacob Hurwitz | Behavior Technician | 6603 Cypress St, Portage, MI 49024-3203 | 2020-09-09 |
| 1669017240 | Kayla M Szatkiewicz | Behavior Technician | 526 W Centre Ave # I49024, Portage, MI 49024-5306 | 2019-11-07 |
| 1720639016 | Abby Rinderer | Behavior Technician | 363 Jason Ct, Portage, MI 49024-2815 | 2019-09-27 |
| 1356907372 | Jaimie Elizabeth Sullivan | Behavior Technician | 8415 Shirley Ct Apt 11, Portage, MI 49024-4764 | 2019-05-15 |
| 1962961417 | Mattie Ruth Darby | Behavior Technician | 3305 Portside Ct Apt 202, Portage, IN 46368-5223 | 2019-03-14 |
| 1336676311 | Jaysen King | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2017-05-22 |
| 1144829680 | Ericka Lynn Murnighan | Behavior Technician | 526 W Centre Ave, Portage, MI 49024-5306 | 2020-10-24 |
| 1841898954 | Mckenzie Logan | Behavior Technician | 526 W Centre Ave, Portage, MI 49024-5306 | 2020-10-12 |
| 1881291730 | Olivia Irene Morand | Behavior Technician | 526 W Centre Ave, Portage, MI 49024-5306 | 2020-10-05 |
| 1346857984 | Brandy Mae Manning | Behavior Technician | 526 W Centre Ave, Portage, MI 49024-5306 | 2020-09-28 |
| Find all providers in PORTAGE | ||||
Please comment or provide details below to improve the information on ALEXANDRA LOCKE.
| 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.