JENNIFER A NICKELS (NPI# 1538686803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538686803 |
| Entity Type | Individual |
| Full Name | JENNIFER A NICKELS |
| Other Name | JENNIFER LAFOREST |
| Credential | MA |
| Practice Address |
300 Saint Andrews Rd Ste 409 Saginaw MI 48638 |
| Mailing Address |
Po Box 663 Lakeland MI 48143-0663 |
| Practice Telephone | 9894019020 |
| Mailing Telephone | 8105592129 |
| Enumeration Date | 2017-08-27 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4511 Miller Rd Ste E, Flint, MI 485071107 | 8103912945 | |
| 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334 | 2482990030 |
| Street Address |
300 SAINT ANDREWS RD STE 409 |
| City | SAGINAW |
| State | MI |
| Zip Code | 48638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501067 | Arthur Abdull Mayo Jr. | Behavior Technician | 300 Saint Andrews Rd Ste 409, Saginaw, MI 48638-5977 | 2020-09-04 |
| 1801400056 | Velencia Mejia | Behavior Technician | 300 Saint Andrews Rd Ste 409, Saginaw, MI 48638-5977 | 2020-09-04 |
| 1295387454 | Samantha Steward | Behavior Technician | 300 Saint Andrews Rd Ste 409, Saginaw, MI 48638-5977 | 2019-07-09 |
| 1467012955 | Erika Perdomo | Behavior Technician | 300 Saint Andrews Rd Ste 409, Saginaw, MI 48638-5977 | 2019-06-17 |
| 1366001158 | Julia Lewis | Behavior Technician | 300 Saint Andrews Rd Ste 409, Saginaw, MI 48638-5977 | 2019-06-06 |
| 1831756840 | Paige Vrable | Behavior Technician | 300 Saint Andrews Rd Ste 409, Saginaw, MI 48638-5977 | 2019-05-24 |
| 1548761091 | Ernest Charles Peltier II | Occupational Therapist | 300 Saint Andrews Rd Ste 409, Saginaw, MI 48638-5977 | 2018-02-21 |
| 1518474865 | Samantha Jo Card | Behavior Technician | 300 Saint Andrews Rd Ste 409, Saginaw, MI 48638-5977 | 2018-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235604547 | Kristina Susan Spohn | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2018-10-12 |
| 1013209634 | Ryan D Michelson Dds Plc | Dentist | 65 North Frost Drive, Saginaw, MI 48638 | 2011-05-16 |
| 1477645539 | Mark Walter Pankonin | Family Medicine | 1600 Midland Rd, Saginaw, MI 48638 | 2006-09-28 |
| 1386735579 | John Edwin Galsterer | Dentist | 5605 Colony Drive North, Saginaw, MI 48638 | 2006-09-27 |
| 1699873075 | Phadej Keopunna | Urology | 70 North Frost Dr, Saginaw, MI 48638 | 2006-09-20 |
| 1790881902 | Jeffrey John Dwan | Dentist | 595 N Center Rd, Ste 5, Saginaw, MI 48638 | 2006-09-15 |
| 1396705364 | Christina Marie Barba | Physical Therapist | 4884 Gratiot Avenue, Suite 19, Saginaw, MI 48638 | 2006-03-24 |
| 1538136353 | Joseph E Oesterling | Specialist | 1740 Midland Rd, Saginaw, MI 48638 | 2006-03-01 |
| 1558916650 | Kayela Lynn Oberloier | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2019-08-06 |
| 1316508930 | Amanda Ellis | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2019-06-25 |
| Find all providers in zip 48638 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396224267 | Robert Paul Chiaccio | Behavioral Analyst | 5451 Hampton Pl, Saginaw, MI 48604-9284 | 2018-08-10 |
| 1114413069 | Sabrina Shunnarah | Behavioral Analyst | 3267 Schust Road, Apt. 101, Saginaw, MI 48603 | 2018-07-03 |
| 1770934051 | Carol Mitchell | Behavioral Analyst | 31 Harmony Ct, Saginaw, MI 48601-1396 | 2016-06-28 |
| 1255706784 | Rae Hall | Behavioral Analyst | 5291 Colony Dr N, Saginaw, MI 48638-7197 | 2015-12-09 |
| 1124432000 | Mary Schrier | Behavioral Analyst | 4810 N Arboretum Dr, Saginaw, MI 48638-6305 | 2014-06-18 |
| 1497392740 | Megan Calhoun | Behavioral Analyst | 5291 Colony Dr N, Saginaw, MI 48638-7197 | 2019-12-05 |
| 1396237293 | Sherry Lynn Couture | Behavioral Analyst | 3253 Congress Ave, Saginaw, MI 48602-3106 | 2018-06-06 |
| 1316445125 | David B Ward | Behavioral Analyst | 3253 Congress Ave, Saginaw, MI 48602-3106 | 2018-01-26 |
| 1003350463 | Ryan Fournier | Behavioral Analyst | 300 Saint Andrews Rd, Saginaw, MI 48638-5977 | 2016-12-05 |
| 1841732393 | Stacey Ann Lafave Ward | Behavioral Analyst | 3253 Congress Ave, Saginaw, MI 48602-3106 | 2016-11-15 |
| Find all providers in SAGINAW | ||||
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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.