MR. JONATHAN LESLIE TATE (NPI# 1487198727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487198727 |
| Entity Type | Individual |
| Full Name | MR. JONATHAN LESLIE TATE |
| Credential | M.P.A. |
| Practice Address |
258 Polk Ave River Rouge MI 48218-1029 |
| Practice Telephone | 3133008718 |
| Mailing Telephone | 3133008718 |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407190713 | Jonathan Maurice Tate | Behavioral Analyst | 420 E Northrup Dr, Midwest City, OK 73110-5341 | 2012-11-27 |
| 1720459472 | Jonathan Tate | Counselor | 4 Post Office Sq, Taunton, MA 02780-3207 | 2015-10-07 |
| 1578896908 | Jonathan Jett Tate | Physical Therapist | 3202 4th St Ste 101, Longview, TX 75605 | 2009-09-17 |
| 1164551172 | Jonathan Michael Tate | Internal Medicine | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2007-03-05 |
| Street Address |
258 POLK AVE |
| City | RIVER ROUGE |
| State | MI |
| Zip Code | 48218-1029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306828397 | City of River Rouge Fire Dept | Ambulance | 10600 W Jefferson Ave, River Rouge, MI 48218 | 2005-11-16 |
| 1275901696 | Yaxsaira Pietri | Technician, Other | 539 Polk Ave, River Rouge, MI 48218-1034 | 2015-09-02 |
| 1861799538 | Peoples Community Medical Center PC | Pharmacist | 310 Visger Rd, River Rouge, MI 48218-1037 | 2011-02-16 |
| 1346887866 | Community Care Rx LLC | Pharmacy | 310 Visger Rd, River Rouge, MI 48218-1037 | 2019-12-03 |
| 1639734957 | Sumpter Integrated Health Care Clinic P.l.l.c. | Clinic/Center | 310 Visger Rd, River Rouge, MI 48218-1037 | 2019-05-02 |
| 1598089526 | Dorothy Beatrice Jenkins | Psychologist | 505 Beechwood St, River Rouge, MI 48218-1041 | 2010-03-19 |
| 1568776086 | Exec-u-tech Behavioral Therapy | Community/Behavioral Health | 505 Beechwood St, River Rouge, MI 48218-1041 | 2010-07-27 |
| 1578887808 | Aurelia Lafaye Kent | Social Worker | 505 Beechwood St, River Rouge, MI 48218-1041 | 2010-03-15 |
| 1053709212 | Down River X-press LLC | Non-emergency Medical Transport (VAN) | 146 Charles St, River Rouge, MI 48218-1114 | 2014-12-22 |
| 1528400983 | Maureen M Murphy | Nurse Practitioner | 1460 Coolidge Hwy, River Rouge, MI 48218-1118 | 2013-07-25 |
| Find all providers in zip 48218 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | RIVER ROUGE |
| Zip Code | 48218 |
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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.