CARL JASKIW (NPI# 1467971606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467971606 |
| Entity Type | Individual |
| Full Name | CARL JASKIW |
| Practice Address |
310 Glocheski Dr Manistee MI 49660-2639 |
| Mailing Address |
1361 Meadow Wood Dr Manistee MI 49660-9128 |
| Practice Telephone | 8773982013 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DRIVERS LICENSE | J200108098947 | 01 |
| Street Address |
310 GLOCHESKI DR |
| City | MANISTEE |
| State | MI |
| Zip Code | 49660-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437230596 | Thomas Zatolokin | Psychiatry & Neurology | 310 Glocheski Dr, Manistee, MI 49660-0335 | 2006-10-17 |
| 1275011520 | Jo'dee Fisk | Social Worker | 310 Glocheski Dr, Manistee, MI 49660-2639 | 2018-07-30 |
| 1386183226 | William Ward | Community Health Worker | 310 Glocheski Dr, Manistee, MI 49660-2639 | 2017-02-13 |
| 1275072183 | Connie Jankwietz | Community Health Worker | 310 Glocheski Dr, Manistee, MI 49660-2639 | 2017-02-13 |
| 1437697604 | Ann E Morehouse | Registered Nurse | 310 Glocheski Dr, Manistee, MI 49660-2639 | 2017-02-07 |
| 1568910446 | Jessica Derosia | Community Health Worker | 310 Glocheski Dr, Manistee, MI 49660-2639 | 2016-09-20 |
| 1801344700 | Sonya Broadbent | Social Worker | 310 Glocheski Dr, Manistee, MI 49660-2639 | 2016-09-20 |
| 1699221358 | Mark Anthony Pettinato | Counselor | 310 Glocheski Dr, Manistee, MI 49660-2639 | 2016-08-31 |
| 1366806432 | Manistee Benzie Community Mental Health | Clinic/Center | 310 Glocheski Dr, Manistee, MI 49660-2639 | 2016-04-05 |
| 1154741122 | Joy Pomeroy | Registered Nurse | 310 Glocheski Dr, Manistee, MI 49660-2639 | 2014-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083192306 | Margaret R Batzer | Acupuncturist | 352 1st St, Manistee, MI 49660 | 2018-07-30 |
| 1821590373 | Esther Sigurdardottir | Physical Therapist | 1465 E. Parkdale Av, Manistee, MI 49660 | 2018-03-01 |
| 1104328657 | Bryan Keith Kidd | Physical Therapist | 1465 Parkdale Avenue, Manistee, MI 49660 | 2018-03-01 |
| 1790153799 | Deborah Ann Brandt | Registered Nurse | 318 River Street, Friends Who Care, Manistee, MI 49660 | 2015-09-08 |
| 1265811624 | Joyce Eileen Copeland | Assisted Living Facility | 3644 Chippewa Hwy, Manistee, MI 49660 | 2015-05-19 |
| 1275927931 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 16 Caberfae Hwy, Manistee, MI 49660 | 2015-03-20 |
| 1518244912 | Mara Lane Mckinley | Nurse Practitioner | 1465 E. Parkdale Ave3., Manistee, MICHIGAN 49660 | 2011-11-14 |
| 1477749406 | Catherine Imelda Oertel | Social Worker | 2198 Us 31 South, Manistee, MI 49660 | 2007-09-24 |
| 1811109051 | Goodwill Optical Inc | Optometrist | 282 12th St, Manistee, MI 49660 | 2007-05-03 |
| 1144364381 | Layne Christopher Godzina | Dentist | 422 First Street, Manistee, MI 49660 | 2007-02-19 |
| Find all providers in zip 49660 | ||||
| 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 |
|---|---|---|---|---|
| 1871100396 | April M Adams | Behavior Technician | 2198 Us 31 S, Manistee, MI 49660-9618 | 2020-09-29 |
| 1548827884 | Summer L Brave Bull | Behavior Technician | 2198 Us 31 S, Manistee, MI 49660-9618 | 2019-05-22 |
| 1497234389 | Kyle C Garber | Behavior Technician | 2198 Us 31 S, Manistee, MI 49660-9618 | 2018-08-10 |
| 1609355544 | Kristen R Howard | Behavior Technician | 2198 Us 31 S, Manistee, MI 49660-9618 | 2018-08-10 |
| 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.