DENISE CLARK (NPI# 1861716789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861716789 |
| Entity Type | Individual |
| Full Name | DENISE CLARK |
| Practice Address |
200 W Spring St Marquette MI 49855-4630 |
| Practice Telephone | 9062331236 |
| Practice Fax Number | 9062331235 |
| Mailing Telephone | 9062331236 |
| Mailing Fax Number | 9062331235 |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-22 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BEHAVIOR ANALYST CERTIFICATE | 0-09-3653 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578990487 | Denise Lorrayne Clark | Registered Nurse | 30818 412th Dr Ne, Arlington, WA 98223 | 2013-10-09 |
| 1801035845 | Denise Clark | Technician, Cardiology | 977 E Howe Rd, Tallmadge, OH 44278-1605 | 2009-02-15 |
| 1326227398 | Denise Maureen Clark | Naturopath | 5330 Manhattan Circle, Suite B, Boulder, CO 80303 | 2007-10-26 |
| 1235122052 | Denise Maureen Clark | Pediatrics | 24690 Bench Ln, Oak Creek, CO 80467-8545 | 2005-08-26 |
| 1922617471 | Denise Monique Clark | Counselor | 1030 Fayetteville Rd Se, Atlanta, GA 30316-2921 | 2020-07-29 |
| 1336777549 | Denise Nogueira Clark | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-04-01 |
| 1508403726 | Denise Clark | Pharmacist | 4672 State St, Saginaw, MI 48603-3805 | 2019-12-06 |
| 1184285454 | Denise Clark | Occupational Therapist | 1101 S Scott Rd, Saint Johns, MI 48879-8044 | 2019-06-26 |
| 1720585896 | Denise Clark | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2018-04-06 |
| 1295172922 | Denise Marie Clark | Occupational Therapist | 30 Northwoods Blvd, Columbus, OH 43235-4716 | 2013-06-04 |
| Street Address |
200 W SPRING ST |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-4630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487683546 | Pathways | Clinic/Center | 200 W Spring St, Marquette, MI 49855-4630 | 2006-07-01 |
| 1730789280 | Krystyna Rickauer | Registered Nurse | 200 W Spring St, Marquette, MI 49855-4661 | 2020-10-26 |
| 1699380428 | Danae Reed | Nurse Practitioner | 200 W Spring St, Marquette, MI 49855-4661 | 2020-09-09 |
| 1518589316 | Ashley Wojan | Behavior Technician | 200 W Spring St, Marquette, MI 49855-4661 | 2020-05-14 |
| 1104448687 | Seth D Rowles | Social Worker | 200 W Spring St, Marquette, MI 49855-4661 | 2020-05-07 |
| 1326675042 | Angela Douma | Behavior Technician | 200 W Spring St, Marquette, MI 49855-4661 | 2020-03-24 |
| 1134756737 | Morgan Jean Peterson | Behavior Technician | 200 W Spring St, Marquette, MI 49855-4661 | 2020-03-24 |
| 1881221554 | Carter Jay Sperstad | Behavior Technician | 200 W Spring St, Marquette, MI 49855-4661 | 2020-03-24 |
| 1346874708 | Pathways | Physical Therapist | 200 W Spring St, Marquette, MI 49855-4661 | 2020-02-25 |
| 1477187904 | Angela Tuyls | Behavior Technician | 200 W Spring St, Marquette, MI 49855-4661 | 2020-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| 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 |
|---|---|---|---|---|
| 1588225494 | Jennifer Nicole Prus | Behavioral Analyst | 1507 Garfield Ave, Marquette, MI 49855-1632 | 2019-06-23 |
| 1053876185 | Kara Nicole Shawbitz | Behavioral Analyst | 200 W Spring St, Marquette, MI 49855-4661 | 2019-02-03 |
| 1770047607 | Nicole Ketola | Behavioral Analyst | 200 W Spring St, Marquette, MI 49855-4661 | 2019-01-24 |
| 1427521863 | Chiara J Johnson | Behavioral Analyst | 1229 W Washington St Ste 5, Marquette, MI 49855-3186 | 2019-01-08 |
| 1457868853 | Victoria Dawn Mattson | Behavioral Analyst | 1401 Presque Isle Ave, Marquette, MI 49855-2818 | 2018-01-08 |
| 1861916165 | Elletta S Weber | Behavioral Analyst | 200 W Spring St, Marquette, MI 49855-4661 | 2017-07-28 |
| 1780044404 | Functional Behavior Services, LLC | Behavioral Analyst | 1229 W Washington St Ste 5, Marquette, MI 49855-3186 | 2016-02-24 |
| 1417337593 | Amy Baranek | Behavioral Analyst | 200 W Spring St, Marquette, MI 49855-4661 | 2015-06-04 |
| 1114102035 | Rocco Leopold Nocera | Behavioral Analyst | 200 W Spring St, Marquette, MI 49855-4661 | 2008-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930905 | Fatima Alkassir Othman | Behavioral Analyst | 4164 Westover Dr, West Bloomfield, MI 48323-2867 | 2020-10-23 |
| 1659970572 | Budding Behavior Therapy | Behavioral Analyst | 33923 Ryan Rd, Sterling Heights, MI 48310-6304 | 2020-10-21 |
| 1033726229 | Proud Moments Aba of Michigan Pllc | Behavioral Analyst | 25129 Pierce St, Southfield, MI 48075-2019 | 2020-09-30 |
| 1366058141 | Michigan Learning Community, LLC | Behavioral Analyst | 2704 Radcliffe Ave, Ann Arbor, MI 48104-6544 | 2020-09-17 |
| 1184239279 | Roopa Singh | Behavioral Analyst | 10751 S Saginaw St Ste E, Grand Blanc, MI 48439-8169 | 2020-09-15 |
| 1467064691 | Kaitlyn Jewel Tuttle | Behavioral Analyst | 2535 Hagley Rd, Standish, MI 48658-9148 | 2020-08-19 |
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1194333542 | Nation of Wonders Inclusive Education | Behavioral Analyst | 19211 Beech Daly Rd, Redford, MI 48240-1418 | 2020-07-21 |
| 1184242216 | Brittany O'grady | Behavioral Analyst | 2314 Helen Ave Ste 100, Portage, MI 49002-1684 | 2020-07-06 |
| 1669098588 | Kiernan Mae Doud | Behavioral Analyst | 2305 Hawthorn Dr Ste A, Mt Pleasant, MI 48858-1202 | 2020-06-17 |
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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.