PEGGY BROTZKE (NPI# 1851867857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851867857 |
| Entity Type | Individual |
| Full Name | PEGGY BROTZKE |
| Practice Address |
1420 University Ave Flint MI 48504-6208 |
| Mailing Address |
565 N Wilder Rd Lapeer MI 48446-3426 |
| Practice Telephone | 8102380475 |
| Practice Fax Number | 8102389270 |
| Mailing Telephone | 2488826561 |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |
| 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 |
1420 UNIVERSITY AVE |
| City | FLINT |
| State | MI |
| Zip Code | 48504-6208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508056714 | Linda Mountz | Psychologist | 1420 University Ave, Flint, MI 48504-6208 | 2007-07-25 |
| 1215544770 | Teresa Evalyn Knox-gibbs | Case Manager/Care Coordinator | 1420 University Ave, Flint, MI 48504-6208 | 2020-09-29 |
| 1073149415 | Jaquitta La'shon Mcfadden | Case Manager/Care Coordinator | 1420 University Ave, Flint, MI 48504-6208 | 2020-03-17 |
| 1386288967 | Eric Warren-james Thompson | Behavior Technician | 1420 University Ave, Flint, MI 48504-6208 | 2019-11-06 |
| 1669013397 | Asprea S Griffin | Behavior Technician | 1420 University Ave, Flint, MI 48504-6208 | 2019-10-03 |
| 1093376352 | Monica Lariviere | Behavior Technician | 1420 University Ave, Flint, MI 48504-6208 | 2019-06-26 |
| 1992212336 | Tyler Denee Brewer | Counselor | 1420 University Ave, Flint, MI 48504-6208 | 2018-01-08 |
| 1891147195 | Megan Metcalf | Counselor | 1420 University Ave, Flint, MI 48504-6208 | 2016-07-11 |
| 1003299363 | Jessica Knopp | Social Worker | 1420 University Ave, Flint, MI 48504 | 2015-07-06 |
| 1053709626 | Julie Doyle | Social Worker | 1420 University Ave, Flint, MI 48504-6208 | 2015-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935326 | St. Luke N.e.w. Life Center, Inc. | Optometrist | 3115 Lawndale Ave., Flint, MI 48504 | 2019-07-31 |
| 1235797259 | Saarah Amuthan | Dentist | 2051 West Pierson Road, Dental Dreams, Units B-d, Flint, MI 48504 | 2019-06-04 |
| 1639653413 | Chad Warren Montague | Social Worker | 1420 West University Ave, Flint, MI 48504 | 2018-09-18 |
| 1235628744 | Houda Ghassani | Dentist | 2501 W Pierson Rd # Unitsb-d, Flint, MI 48504 | 2018-05-09 |
| 1982108551 | Dawn Michelle Conklin | Physical Therapist | 1069 N Ballenger Hwy, Flint, MI 48504 | 2018-03-20 |
| 1699295204 | Stephen Thomas Holt | Dentist | 2501 West Pierson Road, Units B-d, Flint, MI 48504 | 2017-06-23 |
| 1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
| 1609151109 | All American Pharmacy LLC | Pharmacy | 3104-3106 Flushing Rd, Flint, MI 48504 | 2011-10-15 |
| 1972814143 | Ballenger Pharmacy Center | Pharmacy | 1073 N Ballenger Hwy, Flint Twp, MI 48504 | 2010-06-23 |
| 1932357837 | Katherine Ann Kogelmann | Social Worker | 1420 W. University, Flint, MI 48504 | 2008-09-04 |
| Find all providers in zip 48504 | ||||
| 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 |
|---|---|---|---|---|
| 1598374852 | Leah Stadel | Behavior Technician | 4469 Rainbow Ln, Flint, MI 48507-6228 | 2020-07-23 |
| 1689220543 | Bria Marese Jones | Behavior Technician | 6102 Dupont St, Flint, MI 48505-2684 | 2019-08-15 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1972017309 | Gabriel Reddoch | Behavior Technician | 5221 W Court St, Flint, MI 48532-4114 | 2017-11-21 |
| 1275052573 | Alexis Kristina Nedanis | Behavior Technician | 1026 Sussex Ln, Flint, MI 48532-2654 | 2017-09-18 |
| 1912424193 | Courtney Reed | Behavior Technician | 4121 M L King Ave, Flint, MI 48505 | 2017-08-28 |
| 1649718909 | Elexis Moore | Behavior Technician | 909 Stevens Street, Flint, MI 48502-1620 | 2017-02-07 |
| 1366993743 | Craig Gray | Behavior Technician | 5714 Suburban Ct, Flint, MI 48505-2645 | 2016-10-20 |
| 1609232487 | Taquaysha Taylor | Behavior Technician | 1815 Oxley Dr, Flint, MI 48504-7039 | 2016-01-08 |
| 1558993139 | Hailee Strong | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2020-02-11 |
| Find all providers in FLINT | ||||
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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.