JESSICA L KIETUR (NPI# 1760887509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760887509 |
| Entity Type | Individual |
| Full Name | JESSICA L KIETUR |
| Credential | MA, BCBA |
| Practice Address |
29691 6 Mile Rd Ste 100d Livonia MI 48152 |
| Mailing Address |
29691 6 Mile Rd Ste 100d Livonia MI 48152-8606 |
| Practice Telephone | 3139863588 |
| Mailing Telephone | 3139863588 |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
29691 6 MILE RD STE 100D |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194058735 | Stephanie R Captain | Counselor | 29691 6 Mile Rd Ste 100d, Livonia, MI 48152-8606 | 2009-09-15 |
| 1437756749 | Andrea Nichols | Behavior Technician | 29691 6 Mile Rd Ste 100d, Livonia, MI 48152-8606 | 2020-10-08 |
| 1164029476 | Jazsmin Boozer | Behavior Technician | 29691 6 Mile Rd Ste 100d, Livonia, MI 48152-8606 | 2020-10-08 |
| 1184221491 | Madison Markwardt | Behavior Technician | 29691 6 Mile Rd Ste 100d, Livonia, MI 48152-8606 | 2020-10-08 |
| 1447857750 | Erin Burton | Behavior Technician | 29691 6 Mile Rd Ste 100d, Livonia, MI 48152-8606 | 2020-10-08 |
| 1528672763 | Natajsia Garcia | Behavior Technician | 29691 6 Mile Rd Ste 100d, Livonia, MI 48152-8606 | 2020-09-04 |
| 1811532559 | Sydney Shafer | Behavior Technician | 29691 6 Mile Rd Ste 100d, Livonia, MI 48152-8606 | 2019-11-15 |
| 1598300519 | Faith Kuz | Behavior Technician | 29691 6 Mile Rd Ste 100d, Livonia, MI 48152-8606 | 2019-11-13 |
| 1093350001 | Brooke Johnecheck | Behavior Technician | 29691 6 Mile Rd Ste 100d, Livonia, MI 48152-8606 | 2019-11-13 |
| 1598300691 | Brittany Christopher | Behavior Technician | 29691 6 Mile Rd Ste 100d, Livonia, MI 48152-8606 | 2019-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669900940 | Danielle Prentice | Behavioral Analyst | 31557 Schoolcraft Rd, Livonia, MI 48150-1849 | 2017-05-31 |
| 1063961274 | Cheryl Geniesse | Behavioral Analyst | 29691 6 Mile Rd # 100d, Livonia, MI 48152-8606 | 2016-09-28 |
| 1306298658 | Daniel Reckling | Behavioral Analyst | 31540 Pembroke St, Livonia, MI 48152-1521 | 2016-07-11 |
| 1295198521 | Zelexa, LLC | Behavioral Analyst | 31153 Plymouth Rd Ste 105, Livonia, MI 48150-2134 | 2016-04-04 |
| 1013398015 | Jasmine Patricia Norman | Behavioral Analyst | 38807 Ann Arbor Rd Ste 3, Livonia, MI 48150-3896 | 2015-06-15 |
| 1609268333 | Jeanne Taylor | Behavioral Analyst | 13975 Riverside Ct, Livonia, MI 48154-5352 | 2015-03-04 |
| 1871996645 | Erin Donahue | Behavioral Analyst | 29225 Meadowlark St, Livonia, MI 48154-4529 | 2014-10-07 |
| 1538586078 | The Spark Center for Autism | Behavioral Analyst | 39319 Plymouth Rd, Livonia, MI 48150-1059 | 2014-03-22 |
| 1083968101 | Emily Ann Morris | Behavioral Analyst | 31478 Industrial Rd, Livonia, MI 48150-1839 | 2012-10-29 |
| 1962798975 | Slc Therapy | Behavioral Analyst | 29240 Buckingham Suite 1, Livonia, MI 48154 | 2011-06-28 |
| Find all providers in LIVONIA | ||||
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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.