CHARLETHA RENEE BLAKE (NPI# 1821652827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821652827 |
| Entity Type | Individual |
| Full Name | CHARLETHA RENEE BLAKE |
| Practice Address |
333 S Main St Ste 607 Akron OH 44308-1228 |
| Mailing Address |
3605 Marksbury Dr Greensboro NC 27405-9720 |
| Practice Telephone | 3304004204 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
333 S MAIN ST STE 607 |
| City | AKRON |
| State | OH |
| Zip Code | 44308-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174074173 | Jameela Hawkins | Counselor | 333 S Main St Ste 607, Akron, OH 44308 | 2016-10-14 |
| 1770182982 | Lynett R Marsh | Community/Behavioral Health | 333 S Main St Ste 607, Akron, OH 44308-1228 | 2020-10-19 |
| 1487265872 | Frank Washington | Case Manager/Care Coordinator | 333 S Main St Ste 607, Akron, OH 44308-1228 | 2020-08-11 |
| 1003431081 | Jermaine Brooks | Case Management | 333 S Main St Ste 607, Akron, OH 44308-1228 | 2020-06-15 |
| 1336761113 | Felicia Grubbs | Case Manager/Care Coordinator | 333 S Main St Ste 607, Akron, OH 44308-1228 | 2020-05-14 |
| 1326679101 | Ar-rian Chanell Stepter | Case Manager/Care Coordinator | 333 S Main St Ste 607, Akron, OH 44308-1228 | 2020-01-30 |
| 1790336139 | Ebony Bonner | Marriage & Family Therapist | 333 S Main St Ste 607, Akron, OH 44308-1228 | 2019-09-26 |
| 1427606417 | James Alexander Johnson | Behavior Technician | 333 S Main St Ste 607, Akron, OH 44308-1228 | 2019-09-03 |
| 1699329425 | Aisha Childers | Case Manager/Care Coordinator | 333 S Main St Ste 607, Akron, OH 44308-1228 | 2019-07-30 |
| 1396305876 | Chelsea Ann Foster | Case Manager/Care Coordinator | 333 S Main St Ste 607, Akron, OH 44308-1228 | 2019-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285267096 | Terrence Shambley | Specialist/Technologist | 333 S Mainst Suite 607, Akron, OH 44308 | 2020-02-20 |
| 1750865028 | Christian Bates | Case Manager/Care Coordinator | 333 S.main Street, Akron, OH 44308 | 2018-09-21 |
| 1558854471 | Sheryl Alyssa Mendoza | Case Manager/Care Coordinator | 333 S Main St Ste 607333, Akron, OH 44308 | 2018-06-14 |
| 1033608260 | Angela Leigh Capuano Fant | Student in an Organized Health Care Education/Training Program | 340 South Broadway Street, Akron, OH 44308 | 2018-05-03 |
| 1639686918 | Crystal Louise Mann | Counselor | 90 N Summit St, Akron, OH 44308 | 2018-01-08 |
| 1164817219 | Elizabeth Theresa Stephens | Pediatrics | 214 W Bowery St, Akron, OH 44308 | 2015-04-04 |
| 1407105596 | Rebecca Wasserman Lieb | Psychologist | 215 W. Bowery Street, Consodine Professional Building, Akron, OH 44308 | 2012-09-05 |
| 1871895573 | Crystal Joyce | Pediatrics | 1 Perkins Sqaure, Medical Education, Akron, OH 44308 | 2010-12-01 |
| 1508000431 | Emily Lee Wiland | Pediatrics | 177 West Exchange Street, 6th Floor Room 61118, Akron, OH 44308 | 2009-04-22 |
| 1275755787 | Elizabeth J. Kendrick | Clinical Nurse Specialist | 1 Perkins Square, Akron, OH 44308 | 2007-05-03 |
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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 |
|---|---|---|---|---|
| 1558993899 | Helen Lorraine Wray | Behavior Technician | 1150 Hardesty Blvd, Akron, OH 44320-3561 | 2020-02-05 |
| 1659911220 | Alec Trieff | Behavior Technician | 2141 Pickle Rd, Akron, OH 44312-4221 | 2020-01-13 |
| 1043819188 | Makayla Nicole Manns | Behavior Technician | 490 White Pond Dr, Akron, OH 44320-1122 | 2020-10-20 |
| 1306445440 | Chazare' Jade Jester | Behavior Technician | 490 White Pond Dr, Akron, OH 44320-1122 | 2020-10-20 |
| 1790384832 | Alisha Hollie Jordan Habyan | Behavior Technician | 490 White Pond Dr, Akron, OH 44320-1122 | 2020-10-20 |
| 1508465642 | Amanda Marie Durma | Behavior Technician | 490 White Pond Dr, Akron, OH 44320-1122 | 2020-10-20 |
| 1699372763 | Rachel Elizabeth Triola | Behavior Technician | 490 White Pond Dr, Akron, OH 44320-1122 | 2020-10-02 |
| 1124635404 | Jill Elizabeth Stephens | Behavior Technician | 490 White Pond Dr, Akron, OH 44320-1122 | 2020-09-30 |
| 1619584992 | Kelly Marie Hysong | Behavior Technician | 490 White Pond Dr, Akron, OH 44320-1122 | 2020-09-30 |
| 1366059651 | Brandi Nikole Carowick | Behavior Technician | 490 White Pond Dr, Akron, OH 44320-1122 | 2020-09-30 |
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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.