EVAN DONALD DEMARA (NPI# 1558994293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558994293 |
| Entity Type | Individual |
| Full Name | EVAN DONALD DEMARA |
| Practice Address |
552 Orchard Dr Ne Rockford MI 49341-7205 |
| Practice Telephone | 6163229137 |
| Mailing Telephone | 6163229137 |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |
| 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 |
| Street Address |
552 ORCHARD DR NE |
| City | ROCKFORD |
| State | MI |
| Zip Code | 49341-7205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801451836 | Heather Nash | Social Worker | 65 S. Main Street, Lower Level, Rockford, MI 49341 | 2019-05-06 |
| 1366967069 | Caitlin Lebron | Case Manager/Care Coordinator | 8625 Wildcat Run Dr Ne, Rockford, MI 49341 | 2017-08-03 |
| 1366967077 | Elite Nurse Staffing, LLC | Nursing Care | 3836 Windwood Drive, Ne, Rockford, MI 49341 | 2017-08-03 |
| 1336678747 | Melissa Diane Maynard | Behavior Technician | 3361 36th St., Grand Rapids, MI 49341 | 2017-06-08 |
| 1376077453 | Spectrum Health Primary Care Partners | Internal Medicine | 8501 Meadowcreek Dr, Rockford, MI 49341 | 2017-04-17 |
| 1871025254 | Robin D Dine | Behavior Technician | 8636 Shaner Ave, Rockford, MI 49341 | 2017-04-03 |
| 1528503216 | Miles Skalnek | Pharmacist | 511 10 Mile Road, Rockford, MI 49341 | 2017-01-04 |
| 1366801664 | Lorri Ann Kelbel | Massage Therapist | 11591 Northland Drive Ne, Rockford, MI 49341 | 2016-02-15 |
| 1275872046 | Eugene Louis Bonofiglo | Dentist | 4655- 14 Mile Rd Ne, Rockford, MI 49341 | 2013-02-13 |
| 1740539246 | Erica Joyce Nichols | Chiropractor | 6769 Courtland Dr, Suite 100, Rockford, MI 49341 | 2012-08-30 |
| Find all providers in zip 49341 | ||||
| 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 |
|---|---|---|---|---|
| 1447875257 | Lauren Mast | Behavior Technician | 20 S Fremont St Ne, Rockford, MI 49341-1210 | 2020-06-08 |
| 1083242788 | Elexus Jade Fournier | Behavior Technician | 7177 Crimson Ridge Dr Ste 110, Rockford, IL 61107-6235 | 2020-03-29 |
| 1255979001 | Amber Polk | Behavior Technician | 1220 S Sunset Ave, Rockford, IL 61102-2649 | 2019-12-11 |
| 1548804594 | Elysia Marie Ray | Behavior Technician | 2421 Kobel Ct, Rockford, IL 61102-2518 | 2019-11-02 |
| 1578129292 | Corey Llewellyn Krieg | Behavior Technician | 8565 Courtland Dr Ne, Rockford, MI 49341-8265 | 2019-05-17 |
| 1851850242 | Colleena Sue Smith | Behavior Technician | 2809 Halsted Rd Apt B, Rockford, IL 61101-2855 | 2019-03-15 |
| 1295206340 | Amanda Denise Branney | Behavior Technician | 1135 Woodridge Dr, Rockford, IL 61108-4016 | 2018-12-16 |
| 1184195273 | Jill Frances Smith | Behavior Technician | 2212 Canary Dr Unit E, Rockford, IL 61103-1928 | 2018-12-16 |
| 1922576172 | Ashley Elainah Lewis | Behavior Technician | 3207 Louise St, Rockford, IL 61103-3020 | 2018-11-06 |
| 1851883326 | Kirstin Journey Porter | Behavior Technician | 1042 Lundvall Ave, Rockford, IL 61107-3338 | 2018-05-31 |
| Find all providers in ROCKFORD | ||||
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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.