KAYLA MARIE DATEMA (NPI# 1609410992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609410992 |
| Entity Type | Individual |
| Full Name | KAYLA MARIE DATEMA |
| Practice Address |
100 E Main St Ste A Stanton MI 48888-8601 |
| Mailing Address |
21600 Oxnard St Woodland Hills CA 91367-4976 |
| Practice Telephone | 9893729550 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |
| 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 |
100 E MAIN ST STE A |
| City | STANTON |
| State | MI |
| Zip Code | 48888-8601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285133561 | Alicia Henderson | Behavior Technician | 100 E Main St Ste A, Stanton, MI 48888-9687 | 2018-02-01 |
| 1023619608 | Michelle Marie Leak-rensland | Behavior Technician | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-11-02 |
| 1437761376 | Tanechia M Watters | Behavior Technician | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-08-21 |
| 1407468358 | Cypress Lynn Condon-struble | Behavior Technician | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-08-21 |
| 1902416951 | Andrea Jensien Gasco | Behavioral Analyst | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-08-05 |
| 1194334391 | Kaitlyn Ashley Bowman | Behavioral Analyst | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-07-24 |
| 1912515339 | Erika L Pelton | Behavior Technician | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-07-22 |
| 1669090338 | Sarah Anne Rewa | Behavioral Analyst | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-07-09 |
| 1336774793 | Quinn R Sanders | Behavior Technician | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-03-05 |
| 1538794144 | Madalyn Jane Deason | Behavior Technician | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-03-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659873115 | Melanie Cazier | Behavior Technician | 100 E Main St #c, Stanton, MI 48888 | 2018-03-01 |
| 1841583739 | Wendy Kay King | Registered Nurse | 251 S. Pine Grove Road, Stanton, MI 48888 | 2011-05-25 |
| 1497059224 | Dawn Jo Phenix-stoll | In Home Supportive Care | 312 E. Main St., Stanton, MI 48888 | 2011-01-10 |
| 1316247935 | Jenniffer Marie Efaw | Family Medicine | 615 N State St Ste 1, Stanton, MI 48888 | 2010-10-29 |
| 1952637704 | Suzanne A Rasmussen | Massage Therapist | 806 N. State, Stanton, MI 48888 | 2009-10-29 |
| 1790918977 | Faith Works LLC | Massage Therapist | 806 N State St., Stanton, MI 48888 | 2009-09-03 |
| 1659440428 | David Lee Dockham | Dentist | 800 North State Rd, Stanton, MI 48888 | 2006-11-07 |
| 1710074448 | Montcalm Care Network | Community/Behavioral Health | 611 N State Street, Stanton, MI 48888 | 2006-10-06 |
| 1821068479 | Sparrow Carson Hospital | Clinic/Center | 545 N State St, Stanton, MI 48888 | 2006-01-25 |
| 1366933889 | Penny Jean Crawford | Social Worker | 611 N State St, Stanton, MI 48888 | 2018-05-21 |
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| 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 |
|---|---|---|---|---|
| 1497365126 | Brenda Patricia Ramos Zavala | Behavior Technician | 12235 Beach Blvd Ste 110, Stanton, CA 90680-3943 | 2020-08-06 |
| 1487116018 | Jean Marie Donaghy | Behavior Technician | 12640 Briarglen Loop Unit F, Stanton, CA 90680-4122 | 2019-04-02 |
| 1962961037 | Nicholas Luskin | Behavior Technician | 8100 Park Plz Apt 167, Stanton, CA 90680-5767 | 2019-03-18 |
| 1255833455 | Sara Temsah | Behavior Technician | 10301 Western Ave, Stanton, CA 90680-1452 | 2018-03-02 |
| 1659873115 | Melanie Cazier | Behavior Technician | 100 E Main St #c, Stanton, MI 48888 | 2018-03-01 |
| 1225530611 | Stanton Pain & Rehab Center Inc | Behavior Technician | 8220 Katella Ave Ste D, Stanton, CA 90680-4602 | 2018-03-01 |
| 1285133561 | Alicia Henderson | Behavior Technician | 100 E Main St Ste A, Stanton, MI 48888-9687 | 2018-02-01 |
| 1851809719 | Ignacio Aviles | Behavior Technician | 12235 Beach Blvd Ste 100, Stanton, CA 90680-3943 | 2018-01-12 |
| 1023619608 | Michelle Marie Leak-rensland | Behavior Technician | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-11-02 |
| 1588263297 | Nancy Rubi Araujo | Behavior Technician | 12235 Beach Blvd, Stanton, CA 90680-3939 | 2020-10-22 |
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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.