KEISA LAVETTE CLARK (NPI# 1750921417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750921417 |
| Entity Type | Individual |
| Full Name | KEISA LAVETTE CLARK |
| Practice Address |
3119 Bradford Ct Milford MI 48380-2034 |
| Practice Telephone | 3136471201 |
| Mailing Telephone | 3136471201 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | MI | Behavioral Health & Social Service Providers |
| Street Address |
3119 BRADFORD CT |
| City | MILFORD |
| State | MI |
| Zip Code | 48380-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710476569 | Amanda Williams | Social Worker | Ignacio L. Vallarta No. 130, #308, Puerto Vallarta, JALISCO 48380 | 2018-05-08 |
| 1851717417 | Operadora Jobara Sa De Cv | General Acute Care Hospital | Manuel M Dieguez No. 360, Col. Emiliano Zapata, Puerto Vallarta, JALISCO 48380 | 2014-03-06 |
| 1578896767 | Colleen Davis | Speech-Language Pathologist | 3123 Delrose St, Milford, MI 48380 | 2009-09-07 |
| 1306356928 | Respectabilities LLC | Home Health | 3045 Hillside Dr, Milford, MI 48380 | 2017-10-10 |
| 1881159952 | Brian Duncan | Acupuncturist | 928 S Tipsico Lake Rd, Milford, MI 48380-1024 | 2019-02-04 |
| 1174140420 | Linda Perrault | Custodial Care Facility | 1551 S Hickory Ridge Rd, Milford, MI 48380-1519 | 2020-07-02 |
| 1053835678 | Bruce Eugene Perrault | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1551 S Hickory Ridge Rd, Milford, MI 48380-1519 | 2017-07-26 |
| 1437364221 | Lynn Marie Gallagher | Speech-Language Pathologist | 1630 Newberry, Milford, MI 48380-1712 | 2007-05-14 |
| 1669945721 | Thomas John Karpinski Jr. | Counselor | 3174 Katie Ln, Milford, MI 48380-2021 | 2019-01-10 |
| 1447623954 | Sarah Adams | Counselor | 1763 Melody Ln, Milford, MI 48380-2135 | 2015-11-05 |
| Find all providers in zip 48380 | ||||
| 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 |
|---|---|---|---|---|
| 1720604598 | Sandra Baldwin | Behavior Technician | 95 Bridgeport Ave # A, Milford, CT 06460-3941 | 2020-06-17 |
| 1427697804 | Molly Desmond | Behavior Technician | 26 Melendy Rd Unit 89, Milford, NH 03055-3473 | 2020-01-02 |
| 1437702800 | Mckenzi R Hammond | Behavior Technician | 13 Reade St, Milford, MA 01757-3586 | 2019-07-24 |
| 1407409014 | Madison Hope Davis | Behavior Technician | 703 State Road 28, Milford, OH 45150-5021 | 2019-07-23 |
| 1720640691 | Jessica Patricia Ramsey | Behavior Technician | 25c Country Club Ln, Milford, MA 01757-2264 | 2019-07-01 |
| 1982265443 | Kelly A Lawler | Behavior Technician | 31 S Bow St, Milford, MA 01757-3340 | 2019-06-25 |
| 1609436443 | Brittany Moore | Behavior Technician | 10 Oakwood Cir, Milford, NH 03055-3812 | 2019-06-14 |
| 1255847687 | Natalie Hearn | Behavior Technician | 2704 Lakeview Ter, Milford, KS 66514-9395 | 2017-12-21 |
| 1235736331 | Carling Daniels | Behavior Technician | 703 State Route 28, Milford, OH 45150-5021 | 2020-10-02 |
| 1518574904 | Shelby Lynn Sheehan | Behavior Technician | 703 State Route 28, Milford, OH 45150-5021 | 2020-09-29 |
| Find all providers in MILFORD | ||||
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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.