TRISHA LOUISE KRUL (NPI# 1871060129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871060129 |
| Entity Type | Individual |
| Full Name | TRISHA LOUISE KRUL |
| Practice Address |
2700 Robert T Longway Blvd Flint MI 48503-2190 |
| Mailing Address |
420 W 5th Ave Flint MI 48503-2445 |
| Practice Telephone | 8104964955 |
| Mailing Telephone | 8102573709 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
2700 ROBERT T LONGWAY BLVD |
| City | FLINT |
| State | MI |
| Zip Code | 48503-2190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619965175 | Khalid Mohammed Ahmed | Internal Medicine | 2700 Robert T Longway Blvd, Suite B, Flint, MI 48503-2190 | 2005-10-10 |
| 1447726450 | Sheeba Mathews | Nurse Practitioner | 2700 Robert T Longway Blvd, Flint, MI 48503-2190 | 2018-10-17 |
| 1700388089 | Nichole Lynn Thornton | Behavior Technician | 2700 Robert T Longway Blvd, Flint, MI 48503 | 2018-03-02 |
| 1013429430 | Broc Stephen Wilkison | Assistant Behavior Analyst | 2700 Robert T Longway Blvd, Flint, MI 48503-2190 | 2017-10-25 |
| 1053839910 | Rebekah Plantz | Technician/Technologist | 2700 Robert T Longway Blvd, Flint, MI 48503-2190 | 2017-08-31 |
| 1457881369 | Robert Joseph Moore | Behavior Technician | 2700 Robert T Longway Blvd, Flint, MI 48503-2190 | 2017-06-13 |
| 1982131819 | Samantha Jo Wolf | Behavior Technician | 2700 Robert T Longway Blvd, Flint, MI 48503-2190 | 2017-05-23 |
| 1952834921 | Monica Leverette | Nurse Practitioner | 2700 Robert T Longway Blvd, Suite B, Flint, MI 48503-2190 | 2017-04-06 |
| 1356893366 | Shauna Franice Cooks | Nurse Practitioner | 2700 Robert T Longway Blvd, Suite B, Flint, MI 48503-2190 | 2016-10-26 |
| 1013468917 | Ian Mcelfish | Behavioral Analyst | 2700 Robert T Longway Blvd, Flint, MI 48503-2190 | 2016-10-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
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| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1013429430 | Broc Stephen Wilkison | Assistant Behavior Analyst | 2700 Robert T Longway Blvd, Flint, MI 48503-2190 | 2017-10-25 |
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|---|---|---|---|---|
| 1003438052 | Inspire Autism LLC | Assistant Behavior Analyst | 39525 W 14 Mile Rd Ste 100, Novi, MI 48377-1635 | 2020-05-13 |
| 1699300228 | Blue Diamond Aba Services LLC | Assistant Behavior Analyst | 102 North Avenue, Mt. Clemens, MI 48043 | 2020-03-04 |
| 1013549062 | Bianca Burch | Assistant Behavior Analyst | 5708 Castlebury Cir, Lansing, MI 48917-5163 | 2020-02-07 |
| 1326678756 | Gabriel Marini | Assistant Behavior Analyst | 6126 Farrington Ct Apt B6, East Lansing, MI 48823-7808 | 2020-01-24 |
| 1639709116 | Rahul Gannapureddy | Assistant Behavior Analyst | 23501 Paddock Dr, Farmington Hills, MI 48336-2259 | 2020-01-23 |
| 1649818196 | Rachel Zemla | Assistant Behavior Analyst | 2900 Northwind Dr Apt 330, East Lansing, MI 48823-5024 | 2019-12-16 |
| 1871138107 | Ky'wana Zynise Smith | Assistant Behavior Analyst | 950 Railroad St Apt 105b, Ypsilanti, MI 48197-3510 | 2019-11-11 |
| 1295377042 | Taylor Anker | Assistant Behavior Analyst | 2919 Wilder Rd Ste 100, Bay City, MI 48706-9299 | 2019-10-14 |
| 1396395448 | Kristi Marie Pienkosz | Assistant Behavior Analyst | 43334 7 Mile Rd Ste 1000, Northville, MI 48167-2487 | 2019-09-19 |
| 1750848636 | Robin Wontorcik | Assistant Behavior Analyst | 712 E Grove St, Midland, MI 48640-5279 | 2019-02-27 |
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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.