JYSTINE LUPO (NPI# 1649800160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649800160 |
| Entity Type | Individual |
| Full Name | JYSTINE LUPO |
| Practice Address |
2521 N Elms Rd Flushing MI 48433-9423 |
| Practice Telephone | 8103970586 |
| Mailing Telephone | 8103970586 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| 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 |
2521 N ELMS RD |
| City | FLUSHING |
| State | MI |
| Zip Code | 48433-9423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053458091 | Mclaren Medical Group | Obstetrics & Gynecology | 2521 N Elms Rd, Flushing, MI 48433-9426 | 2007-01-31 |
| 1508467440 | Kylee Swanson | Licensed Practical Nurse | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-11-06 |
| 1205447489 | Robyn Gohagon | Licensed Practical Nurse | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-08-12 |
| 1326659517 | Bethney Hernandez | Registered Nurse | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-08-12 |
| 1245858745 | Ashley Williamson | Registered Nurse | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-07-10 |
| 1720605330 | Mackenzie Phillips | Behavior Technician | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-06-30 |
| 1942826839 | Keena Swanson | Licensed Practical Nurse | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-06-17 |
| 1487273108 | Margaret Burrows | Registered Nurse | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-04-13 |
| 1801415534 | Cara Kuenzer | Registered Nurse | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-04-13 |
| 1356960322 | Fidelia Okwereogu | Registered Nurse | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558611467 | Summer A Bates | Nurse Practitioner | 1459 S. Center Rd, Burton, MI 48433 | 2012-09-18 |
| 1982965083 | David Shorez | Dentist | 6221 W. Pierson Rd, Flushing, MI 48433 | 2012-06-05 |
| 1740540434 | Jennifer Marie Shorez | Dentist | 6221 W. Pierson Rd., Flushing, MI 48433 | 2012-05-29 |
| 1174826069 | Jon L. Schriner, D.o PC | Respite Care | G-6045 West Pierson Rd, Flushing, MI 48433 | 2010-12-15 |
| 1154503993 | Ruelan Back and Neck Care Center Pllc | Chiropractor | G-6390 W Pierson Rd, Flushing, MI 48433 | 2007-12-04 |
| 1023130937 | Kimberly Christine Blakeslee | Dentist | 6221 W Pierson Road, Flushing, MI 48433 | 2007-04-04 |
| 1679636088 | Flushing Optical Inc | Optometrist | 105 S. Cherry Street, Flushing, MI 48433 | 2006-12-18 |
| 1245304161 | William Michael Trosko | Counselor | 1434 Flushing Road, Flushing, MI 48433 | 2006-11-20 |
| 1740211820 | Natalya A Brezden Dds Pllc | Dentist | G-6221 W Pierson Rd, Flushing, MI 48433 | 2006-07-06 |
| 1487621892 | Pharma Care Inc | Clinical Medical Laboratory | 209 S Cherry St, Flushing, MI 48433 | 2006-03-03 |
| Find all providers in zip 48433 | ||||
| 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 |
|---|---|---|---|---|
| 1346847928 | Tamika Rodriguez | Behavior Technician | 4317 162nd St Apt 3, Flushing, NY 11358-3107 | 2020-10-06 |
| 1801402375 | Yinqing Zheng | Behavior Technician | 6144 148th St, Flushing, NY 11367-1255 | 2020-09-21 |
| 1104457605 | Ashley Urena | Behavior Technician | 4034 162nd St Fl 2, Flushing, NY 11358-1627 | 2020-02-03 |
| 1639687411 | Stephanie Gambino | Behavior Technician | 14711 34th Ave, 6a, Flushing, NY 11354 | 2018-01-16 |
| 1720605330 | Mackenzie Phillips | Behavior Technician | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-06-30 |
| 1700414851 | Stacy Grimmett | Behavior Technician | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-04-01 |
| 1164050241 | Kyle Rohlf | Behavior Technician | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-04-01 |
| 1083241418 | Olivia Bergeron | Behavior Technician | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-03-25 |
| 1134756562 | Alicia Griffenham | Behavior Technician | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-03-25 |
| 1184251530 | Sara Schlopert | Behavior Technician | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-03-25 |
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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.