BENJAMIN ROSS (NPI# 1518413269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518413269 |
| Entity Type | Individual |
| Full Name | BENJAMIN ROSS |
| Practice Address |
526 W Centre Ave Portage MI 49024-5306 |
| Practice Telephone | (269) 321-9556 |
| Mailing Telephone | (269) 321-9556 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1236 Chapala St, Santa Barbara, CA 931013116 | 8059652376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020911 | Benjamin Ross | Counselor | 3785 S Plaza Drive, Santa Ana, CA 92704-7463 | 2019-12-18 |
| 1063788511 | Benjamin M. Ross | Counselor | 16715 Aurora Ave N, Shoreline, WA 98133-5310 | 2012-03-29 |
| 1013177484 | Benjamin W. Ross | Family Medicine | 105 E. Main Street, Waukon, IA 52172-1735 | 2008-06-10 |
| 1043412562 | Benjamin H Ross | Specialist/Technologist | 3570 N. Timpview Dr., Provo, UT 84604 | 2007-06-05 |
| 1104435601 | Benjamin Berkley Ross | Case Manager/Care Coordinator | 1100 California St, Eureka, CA 95501-1621 | 2020-07-30 |
| 1366077471 | Benjamin Ross | Student in an Organized Health Care Education/Training Program | 540 E Canfield St, Detroit, MI 48201-1928 | 2020-03-09 |
| 1902302334 | Benjamin Ross | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Seattle, WA 98185-0001 | 2018-04-04 |
| 1225495831 | Benjamin Ross | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2197 | 2016-01-27 |
| 1548697584 | Benjamin J Ross | Psychologist | 2250 Hickory Rd, Suite 246, Plymouth Meeting, PA 19462-1047 | 2013-10-04 |
| 1164723854 | Benjamin Pope Ross | Counselor | 10 Main St, Florence, MA 01062-3160 | 2010-11-11 |
| Street Address |
526 W CENTRE AVE |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-5306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033417092 | Jamie S Goecker | Behavioral Analyst | 526 W Centre Ave, Portage, MI 49024-5306 | 2011-03-01 |
| 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 |
| 1710594833 | Corrine N Fritzsche | Behavioral Analyst | 526 W Centre Ave, Portage, MI 49024-5306 | 2020-09-24 |
| 1376159079 | Megan Kaye Shannon | Behavior Technician | 526 W Centre Ave, Portage, MI 49024-5306 | 2020-09-17 |
| 1093321978 | Kristina Carpenter | Behavior Technician | 526 W Centre Ave, Portage, MI 49024-5306 | 2020-09-16 |
| 1023624954 | Kloe Mae Edson | Behavior Technician | 526 W Centre Ave, Portage, MI 49024-5306 | 2020-09-16 |
| 1922614858 | Natalie Taylor Mueller | Behavior Technician | 526 W Centre Ave, Portage, MI 49024-5306 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| 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 | ||||
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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.