MICHELLE TULLY (NPI# 1699382283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699382283 |
| Entity Type | Individual |
| Full Name | MICHELLE TULLY |
| Practice Address |
94-1221 Ka Uka Blvd Waipahu HI 96797-6202 |
| Mailing Address |
1189 Waimanu St Apt 1109 Honolulu HI 96814-4109 |
| Practice Telephone | 8087732792 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-137436 | HI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366813412 | Michelle Tully | Counselor | 730 Eastern Ave, Malden, MA 02148-5924 | 2015-10-15 |
| 1912249178 | Michelle Marie Tully | Anesthesiology | 800 W 5th Ave, Spokane, WA 99204-2803 | 2013-03-25 |
| 1942426523 | Michelle R Tully | Social Worker | 669 Castleton Ave, Staten Island, NY 10301-2028 | 2007-04-18 |
| Street Address |
94-1221 KA UKA BLVD |
| City | WAIPAHU |
| State | HI |
| Zip Code | 96797-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194775304 | Matthew Jon Nims | Anesthesiology | 94-1221 Ka Uka Blvd, Unit#108, Waipahu, HI 96797-6202 | 2006-05-10 |
| 1720687114 | Angela Alvarado | Behavior Technician | 94-1221 Ka Uka Blvd, Waipahu, HI 96797-6202 | 2020-10-19 |
| 1184231771 | Elizabeth Johnson | Behavior Technician | 94-1221 Ka Uka Blvd, Waipahu, HI 96797-6202 | 2020-09-28 |
| 1548885015 | Corinne M Newbern | Behavior Technician | 94-1221 Ka Uka Blvd, Waipahu, HI 96797-6202 | 2020-06-10 |
| 1396369070 | Heather O'hara | Behavior Technician | 94-1221 Ka Uka Blvd, Waipahu, HI 96797-6202 | 2020-05-29 |
| 1881216448 | Princess Micua | Behavior Technician | 94-1221 Ka Uka Blvd, Waipahu, HI 96797-6202 | 2020-05-17 |
| 1437779022 | Christian Taum | Behavior Technician | 94-1221 Ka Uka Blvd, Waipahu, HI 96797-6202 | 2020-04-23 |
| 1093334716 | Dystinee M Clark | Behavior Technician | 94-1221 Ka Uka Blvd, Waipahu, HI 96797-6202 | 2020-04-13 |
| 1588299358 | Richlynd Cabinatan-higa | Behavior Technician | 94-1221 Ka Uka Blvd, Waipahu, HI 96797-6202 | 2020-03-11 |
| 1609400373 | Carmen Ponce | Behavior Technician | 94-1221 Ka Uka Blvd, Waipahu, HI 96797-6202 | 2020-03-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324471 | Compcare, LLC | Clinic/Center | 94-997 Hanauna St 5f, Waipahu, HI 96797 | 2020-04-05 |
| 1205478625 | Jason Lee Riessland | Licensed Practical Nurse | 94-450 Mokuola Street, Suite 100, Waipahu, HI 96797 | 2019-10-17 |
| 1942858246 | James Jiro Horie | Technician | 94-732 Kuhaulua Pl., Waipahu, HI 96797 | 2019-08-29 |
| 1154987014 | Joy Anne Ramos Mendoza | Registered Nurse | 94-216 Farrington Hwy B2-302, Waipahu, HI 96797 | 2019-05-16 |
| 1902382336 | Enm Transportation LLC | Non-emergency Medical Transport (VAN) | 94-144 Kaaholo Place, Walpahu, HI 96797 | 2018-07-18 |
| 1104328418 | Leia Reynolds | Behavior Technician | 94 849 Lumiaina St Unit 201, Waipahu, HI 96797 | 2018-03-02 |
| 1760980056 | Janice Martineau | Pharmacist | 94 060 Farrington Hwy, Longs Pharmacy Dept, Waipahu, HI 96797 | 2018-02-01 |
| 1184131229 | Kathleen Balallo | Behavior Technician | 94-513 Hiahia Loop, Waipahu, HI 96797 | 2018-01-10 |
| 1922515824 | Bryan Spare | Behavior Technician | 94-1221 Ka Uka Blvd., Unit 108, #167, Waipahu, HI 96797 | 2018-01-02 |
| 1174039390 | Yiana Burton | Behavior Technician | 94-1221 Ka Uka Blvd., Unit 108 #167, Waipahu, HI 96797 | 2017-12-26 |
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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 |
|---|---|---|---|---|
| 1265045454 | Kelly Yurong-barbadillo | Behavior Technician | 94-1026 Akihiloa St, Waipahu, HI 96797-3751 | 2020-08-26 |
| 1699311613 | Kala Ka Hei C Masing | Behavior Technician | 94-1059 Lumi St, Waipahu, HI 96797-3904 | 2019-11-25 |
| 1932743630 | Fatima Anama | Behavior Technician | 94-209 Loku Pl, Waipahu, HI 96797-5505 | 2019-11-05 |
| 1043779408 | Hailey Shaul | Behavior Technician | 94-1221 Ka Uka Blvd Ste 106, #167, Waipahu, HI 96797-6299 | 2019-03-15 |
| 1407313430 | John Ivers | Behavior Technician | 94-1221 Ka Uka Blvd Unit 108-157, Waipahu, HI 96797-6299 | 2019-02-26 |
| 1447717517 | Pamela A Petras | Behavior Technician | 94-132 Poohuku Way, Waipahu, HI 96797-5808 | 2019-02-25 |
| 1255896536 | Deborah Cannoles | Behavior Technician | 94-1221 Ka Uka Blvd Unit 108, #167, Waipahu, HI 96797-6299 | 2019-01-31 |
| 1386116655 | Sarah A Haberman | Behavior Technician | 94-1221 Ka Uka Blvd Unit 108 #167, Waipahu, HI 96797-6299 | 2018-12-26 |
| 1215402003 | Sharlene Corpuz | Behavior Technician | 94-053 Poailani Cir, Waipahu, HI 96797-3207 | 2018-10-08 |
| 1306326228 | Markie Belmodis | Behavior Technician | 941221 Ka Uka Blvd Ste 108, Waipahu, HI 96797-6299 | 2018-08-20 |
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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.