ASHLEY DIECKMANN (NPI# 1639712052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639712052 |
| Entity Type | Individual |
| Full Name | ASHLEY DIECKMANN |
| Practice Address |
6510 Town Center Dr Clarkston MI 48346-4822 |
| Mailing Address |
5204 Davison Rd Lapeer MI 48446-3533 |
| Practice Telephone | 2316684909 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |
| 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 |
6510 TOWN CENTER DR |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346-4822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639241219 | Evergreen Health Services, Inc. | Home Health | 6510 Town Center Dr, Suite# B, Clarkston, MI 48346-4822 | 2006-11-15 |
| 1134726144 | Marisa M Daigle | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2020-10-02 |
| 1346885068 | Taylor Monae' Bowles | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2019-11-18 |
| 1629631502 | Bryaunte Safiyyah Little | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2019-04-17 |
| 1932667714 | Angela Meador | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2019-03-11 |
| 1033682281 | Amanda Magnan | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2019-01-09 |
| 1558833442 | Mckenna Goodale | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2018-12-18 |
| 1609342286 | Jacob Gora | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2018-10-22 |
| 1356742340 | Evergreen Hospice, LLC | Hospice Care, Community Based | 6510 Town Center Dr, Suite F, Clarkston, MI 48346-4822 | 2014-09-09 |
| 1184048761 | Birchwood Meadows, LLC | Foster Care Agency | 6510 Town Center Dr, Suite B, Clarkston, MI 48346-4822 | 2014-02-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
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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 |
|---|---|---|---|---|
| 1225646581 | Heidi Watson | Behavior Technician | 1021 8th St, Clarkston, WA 99403-2501 | 2020-07-22 |
| 1093347080 | Jessica Mari Hood | Behavior Technician | 2500 Mann Rd Lot 320, Clarkston, MI 48346-4226 | 2020-02-07 |
| 1891336129 | Alex Bolton | Behavior Technician | 4645 Tiger Lily Trl, Clarkston, MI 48346-4982 | 2019-10-08 |
| 1144876970 | Jack William Lorimer | Behavior Technician | 7650 Rattalee Lake Rd, Clarkston, MI 48348-1838 | 2019-08-16 |
| 1851869655 | Ana Guevara | Behavior Technician | 2500 Mann Rd Lot 114, Clarkston, MI 48346-4248 | 2018-11-09 |
| 1134726144 | Marisa M Daigle | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2020-10-02 |
| 1346885068 | Taylor Monae' Bowles | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2019-11-18 |
| 1629631502 | Bryaunte Safiyyah Little | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2019-04-17 |
| 1710447792 | Molly Marie Sherman | Behavior Technician | 6510 Town Center Dr Ste E, Clarkston, MI 48346-4822 | 2019-03-25 |
| 1598224784 | Yvette Munoz | Behavior Technician | 6510 Town Center Dr Ste E, Clarkston, MI 48346-4822 | 2019-03-18 |
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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.