CARLY OVERMIRE (NPI# 1588281695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588281695 |
| Entity Type | Individual |
| Full Name | CARLY OVERMIRE |
| Practice Address |
3000 Arborvitae Dr Apt 11 Traverse City MI 49685-6708 |
| Practice Telephone | 2315904139 |
| Mailing Telephone | 2315904139 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
3000 ARBORVITAE DR APT 11 |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49685-6708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508379496 | Alexandra Hull | Physical Therapist | 4177 Village Park Dr., Suite B, Traverse City, MI 49685 | 2017-11-14 |
| 1215452164 | Holli Home Health Care, LLC | Home Health | 2062 North Us-31 South, Suite A, Traverse City, MI 49685 | 2017-08-11 |
| 1013307867 | Culver Senior Living, Inc. | Foster Care Agency | 1745 N West Silver Lake Rd, Traverse City, MI 49685 | 2015-02-02 |
| 1295154656 | Mark Langlois Jr. | Family Medicine | 5191 Rosewood Dr, Traverse City, MI 49685 | 2014-04-14 |
| 1679844849 | Crystal Lake Clinic, PC | Family Medicine | 5191 Rosewood Dr, Traverse City, MI 49685 | 2012-01-20 |
| 1487103610 | Laura Christine Field | Social Worker | 6325 Cherry Blossom Dr, Traverse City, MI 49685-5000 | 2016-09-29 |
| 1730132879 | Franklin Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 404 W Commerce Dr, Suite B, Traverse City, MI 49685-5854 | 2006-05-18 |
| 1134576853 | Paula Mclane | Registered Nurse | 2400 W Crown Dr Unit 1, Traverse City, MI 49685-6715 | 2016-05-23 |
| 1376927756 | Crystal Lake Clinic P.C. | Family Medicine | 4025 Chums Village Dr, Traverse City, MI 49685-6992 | 2015-07-15 |
| 1730500562 | Debra Swoverland | Physician Assistant | 4025 Chums Village Dr, Traverse City, MI 49685-6992 | 2013-12-20 |
| Find all providers in zip 49685 | ||||
| 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 |
|---|---|---|---|---|
| 1205443686 | Janelle See | Behavior Technician | 10781 E Cherry Bend Rd, Traverse City, MI 49684-5249 | 2020-09-29 |
| 1619585924 | Christine Twietmeyer | Behavior Technician | 3881 Paddock Dr, Traverse City, MI 49685-8767 | 2020-07-22 |
| 1386269181 | Kara Rickenberg | Behavior Technician | 5802 Joanne Ct, Traverse City, MI 49685-8650 | 2020-06-08 |
| 1689207821 | Suzanne M Threet | Behavior Technician | 4855 Waldon Cir, Traverse City, MI 49685-8915 | 2020-02-17 |
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1073159109 | Ashleigh Marlene Cole | Behavior Technician | 10262 Timber Meadows Dr, Traverse City, MI 49685-7002 | 2019-11-25 |
| 1376184648 | Sherri Ann Bourgeois | Behavior Technician | 1520 Eastbriar, Traverse City, MI 49696-9125 | 2019-10-08 |
| 1942781901 | Alexandrea Marie Dickinson | Behavior Technician | 1363 Douglas Dr Ste 21f, Traverse City, MI 49696-8980 | 2018-08-27 |
| 1689168510 | Ray Andrew Wilson | Behavior Technician | 1363 Douglas Dr Ste 110, Traverse City, MI 49696-8980 | 2018-06-14 |
| 1669965901 | Audrey Jo Cornell | Behavior Technician | 3163 Douglas Drive, Suite 110, Traverse City, MI 49696 | 2018-06-12 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49685 |
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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.