DERK SMITH (NPI# 1538711072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538711072 |
| Entity Type | Individual |
| Full Name | DERK SMITH |
| Credential | BCABA |
| Practice Address |
1049 E Newell St White Cloud MI 49349-8795 |
| Practice Telephone | 2316897330 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
1049 E NEWELL ST |
| City | WHITE CLOUD |
| State | MI |
| Zip Code | 49349-8795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376512236 | Newaygo County Mental Health Board | Psychiatry & Neurology | 1049 E Newell St, White Cloud, MI 49349-8795 | 2006-03-14 |
| 1851991475 | Beckee Jeanne Kibler | Nurse Practitioner | 1049 E Newell St, White Cloud, MI 49349-8795 | 2020-11-01 |
| 1811596539 | Jacob Fields | Counselor | 1049 E Newell St, White Cloud, MI 49349-8795 | 2020-10-23 |
| 1285241943 | Kaylee Marie Tait | Counselor | 1049 E Newell St, White Cloud, MI 49349-8795 | 2020-09-28 |
| 1689285132 | Kayla M. Mcknight | Social Worker | 1049 E Newell St, White Cloud, MI 49349-8795 | 2020-08-10 |
| 1659992535 | Sondra Marie Elizabeth Basso | Social Worker | 1049 E Newell St, White Cloud, MI 49349-8795 | 2020-05-01 |
| 1316568355 | Jessica Ann Leichty | Registered Nurse | 1049 E Newell St, White Cloud, MI 49349-8795 | 2020-04-30 |
| 1609404672 | Julie Lyn Burger | Nurse Practitioner | 1049 E Newell St, White Cloud, MI 49349-8795 | 2020-03-27 |
| 1881234359 | Kelsey Larsen | Social Worker | 1049 E Newell St, White Cloud, MI 49349-8795 | 2020-01-13 |
| 1255978474 | Monica Rae Lyon | Social Worker | 1049 E Newell St, White Cloud, MI 49349-8795 | 2019-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032361 | Melissa Esterling | Counselor | 1197 E James St, White Cloud, MI 49349 | 2017-09-20 |
| 1427486893 | Suzanne Singelyn | Counselor | 1049 E. Newell St., White Cloud, MI 49349 | 2013-10-23 |
| 1902173784 | Jennifer Leigh James-witteveen | Social Worker | 1049 Newell, White Cloud, MI 49349 | 2011-11-22 |
| 1801001094 | Stephanie Louise Schoenlein | Dental Hygienist | 1033 E. Wilcox Ave, White Cloud, MI 49349 | 2007-05-11 |
| 1265647549 | Angela Louise King | Dental Hygienist | 1033 East Wilcox Ave., White Cloud, MI 49349 | 2007-05-11 |
| 1619189206 | Rural Home Care Services, Inc. | Home Health | 230 N. Charles, White Cloud, MI 49349 | 2007-05-04 |
| 1497780704 | Frederick J Schmidt | Dentist | 126 Benson, White Cloud, MI 49349 | 2006-07-12 |
| 1306347356 | Keith David Bogucki | Social Worker | 1049 Newell, P.o. Box 867, White Cloud, MI 49349 | 2018-02-26 |
| 1982974143 | James H. Davis | Nurse Practitioner | 1035 E Wilcox Ave, White Cloud, MI 49349 | 2012-01-05 |
| 1790067338 | Baldwin Family Health Care | Clinic/Center | 555 E Wilcox Ave, White Cloud, MI 49349 | 2011-09-09 |
| Find all providers in zip 49349 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
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| 1699300228 | Blue Diamond Aba Services LLC | Assistant Behavior Analyst | 102 North Avenue, Mt. Clemens, MI 48043 | 2020-03-04 |
| 1013549062 | Bianca Burch | Assistant Behavior Analyst | 5708 Castlebury Cir, Lansing, MI 48917-5163 | 2020-02-07 |
| 1326678756 | Gabriel Marini | Assistant Behavior Analyst | 6126 Farrington Ct Apt B6, East Lansing, MI 48823-7808 | 2020-01-24 |
| 1639709116 | Rahul Gannapureddy | Assistant Behavior Analyst | 23501 Paddock Dr, Farmington Hills, MI 48336-2259 | 2020-01-23 |
| 1649818196 | Rachel Zemla | Assistant Behavior Analyst | 2900 Northwind Dr Apt 330, East Lansing, MI 48823-5024 | 2019-12-16 |
| 1871138107 | Ky'wana Zynise Smith | Assistant Behavior Analyst | 950 Railroad St Apt 105b, Ypsilanti, MI 48197-3510 | 2019-11-11 |
| 1295377042 | Taylor Anker | Assistant Behavior Analyst | 2919 Wilder Rd Ste 100, Bay City, MI 48706-9299 | 2019-10-14 |
| 1396395448 | Kristi Marie Pienkosz | Assistant Behavior Analyst | 43334 7 Mile Rd Ste 1000, Northville, MI 48167-2487 | 2019-09-19 |
| 1750848636 | Robin Wontorcik | Assistant Behavior Analyst | 712 E Grove St, Midland, MI 48640-5279 | 2019-02-27 |
| Find all providers with the same taxonomy | ||||
| City | WHITE CLOUD |
| Zip Code | 49349 |
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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.