KYM KAY DUURSMA (NPI# 1487148300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487148300 |
Entity Type | Individual |
Full Name | KYM KAY DUURSMA |
Practice Address |
1115 Ball Ave Ne Grand Rapids MI 49505-5904 |
Mailing Address |
650 Pleasant St Se Grand Rapids MI 49503-5531 |
Practice Telephone | 6164597215 |
Mailing Telephone | 6169159530 |
Enumeration Date | 2018-06-15 |
Last Update Date | 2018-06-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
Street Address |
1115 BALL AVE NE |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49505-5904 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174601512 | Arbor Circle Corporation | Counselor | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2006-11-02 |
1982201075 | Christopher Mcguire | Counselor | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2020-10-02 |
1447867965 | Jordan Elizabeth Gurney | Social Worker | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2020-09-29 |
1699381764 | Amanda Marie Vins | Social Worker | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2020-09-23 |
1235745522 | Colin Thomas Moylan | Social Worker | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2020-09-22 |
1477167682 | Sarah Grace Cline | Social Worker | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2020-09-04 |
1417561739 | Bianca Butler | Social Worker | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2020-09-03 |
1518571272 | Nicholas Morris | Respite Care | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2020-09-01 |
1124631338 | Ariana Gabrielle Deherder | Social Worker | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2020-08-26 |
1912519760 | Heidi Zeman | Social Worker | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2020-08-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
Find all providers in zip 49505 |
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 |
---|---|---|---|---|
1508467093 | Leah Jueckstock | Behavior Technician | 1703 N Greenfield Cir Ne Apt 102, Grand Rapids, MI 49505-5690 | 2020-11-03 |
1700492824 | Silas Mittelstaedt | Behavior Technician | 916 Benjamin Ave Se, Grand Rapids, MI 49506-3221 | 2020-09-23 |
1902413065 | Esther Kim | Behavior Technician | 3201 Burton St Se # Phi33, Grand Rapids, MI 49546-4301 | 2020-09-23 |
1619587995 | Taylor Villano | Behavior Technician | 2544 Sagewood Ave Ne Unit 618, Grand Rapids, MI 49525-2976 | 2020-08-03 |
1336757632 | Donte Castleberry | Behavior Technician | 415 Bradford St Ne, Grand Rapids, MI 49503-1638 | 2020-07-22 |
1467079574 | Kendall Romano | Behavior Technician | 1528 Hidden Creek Circle Dr Ne Apt F, Grand Rapids, MI 49505-5478 | 2020-07-06 |
1457976268 | Anna Wolff | Behavior Technician | 951 Sherman St Se, Grand Rapids, MI 49506-2603 | 2020-06-08 |
1194348763 | Alex Leahy | Behavior Technician | 255 Lane Ave Nw, Grand Rapids, MI 49504-7206 | 2020-05-18 |
1669095238 | Sarah Jackson | Behavior Technician | 234 Market Ave Sw Apt 49503, Grand Rapids, MI 49503-4080 | 2020-05-18 |
1952921926 | Vivian Horsch | Behavior Technician | 15 Gunnison Ave Sw, Grand Rapids, MI 49504-6217 | 2020-04-20 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49505 |
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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.