MICHELLE KOENIG (NPI# 1881105617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881105617 |
| Entity Type | Individual |
| Full Name | MICHELLE KOENIG |
| Credential | RBT |
| Practice Address |
6714 Winkler Rd Fort Myers FL 33919-7204 |
| Practice Telephone | 2392458301 |
| Mailing Telephone | 2392458301 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-17-37789 | Behavioral Health & Social Service Providers | |
| N | 106S00000X | Behavior Technician | RBT-17-37789 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 020798400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023402658 | Michelle Tracy Koenig | Nurse Practitioner | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2015-03-20 |
| 1407120587 | Michelle Koenig | Massage Therapist | 207 1st Ave S, Suite B, New Rockford, ND 58356-1800 | 2012-03-06 |
| Street Address |
6714 WINKLER RD |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33919-7204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790971950 | Renee Marie Terrasi | Specialist | 6714 Winkler Rd, Fort Myers, FL 33919-7204 | 2007-09-21 |
| 1619583663 | Maria Roversi | Behavior Technician | 6714 Winkler Rd, Fort Myers, FL 33919-7204 | 2020-09-16 |
| 1750914198 | Virginia Dever | Behavior Technician | 6714 Winkler Rd, Fort Myers, FL 33919-7204 | 2020-02-13 |
| 1467099374 | Rachel Eliason | Behavior Technician | 6714 Winkler Rd, Fort Myers, FL 33919-7204 | 2019-12-10 |
| 1942862776 | Ryan Telson | Behavior Technician | 6714 Winkler Rd, Fort Myers, FL 33919-7204 | 2019-07-02 |
| 1679135404 | Sarah Marcuccio | Behavior Technician | 6714 Winkler Rd, Fort Myers, FL 33919-7204 | 2019-07-02 |
| 1588226310 | Geri Finger | Behavior Technician | 6714 Winkler Rd, Fort Myers, FL 33919-7204 | 2019-07-02 |
| 1760044598 | Hector Toranzos | Behavior Technician | 6714 Winkler Rd, Fort Myers, FL 33919-7204 | 2019-07-02 |
| 1215599048 | Shelby Elmore | Behavior Technician | 6714 Winkler Rd, Fort Myers, FL 33919-7204 | 2019-07-02 |
| 1730740937 | Kayla Lopez | Behavior Technician | 6714 Winkler Rd, Fort Myers, FL 33919-7204 | 2019-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
| 1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
| 1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
| 1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
| 1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
| 1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
| 1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
| 1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
| 1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
| 1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
| Find all providers in zip 33919 | ||||
| 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 |
|---|---|---|---|---|
| 1811503998 | Yudelkis Delgado | Behavior Technician | 17404 Barbara Dr, Fort Myers, FL 33967-2705 | 2020-09-23 |
| 1831704675 | Gleyty Izquierdo Ramirez | Behavior Technician | 18596 Geranium Rd, Fort Myers, FL 33967-3323 | 2020-09-09 |
| 1447868096 | Liemny Gonzalez Lago | Behavior Technician | 2735 Orange St, Fort Myers, FL 33916-2620 | 2020-07-20 |
| 1902422892 | Judith Fernandez | Behavior Technician | 2977 Magnolia St, Fort Myers, FL 33901-6012 | 2020-06-17 |
| 1811516107 | Samantha Verdelotti | Behavior Technician | 3900 Colonial Blvd, Fort Myers, FL 33966-1014 | 2020-04-16 |
| 1770113664 | Anayancy Rodriguez Delgado | Behavior Technician | 17564 Phlox Dr, Fort Myers, FL 33967-2820 | 2020-01-21 |
| 1558922716 | Maryse Fortune | Behavior Technician | 9005 Colby Dr Apt 1920, Fort Myers, FL 33919-5289 | 2019-06-27 |
| 1487218947 | Victoria M Dunn | Behavior Technician | 3900 Colonial Blvd Ste 1, Fort Myers, FL 33966-1014 | 2019-04-30 |
| 1386116903 | Darly Marchena Garzon | Behavior Technician | 6430 Plantation Park Ct, Fort Myers, FL 33966-4814 | 2018-12-20 |
| 1386113694 | Daniela Martinez Sariol | Behavior Technician | 5245 Ramsey Way Ste 5, Fort Myers, FL 33907-2124 | 2018-11-15 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33919 |
Please comment or provide details below to improve the information on MICHELLE KOENIG.
| 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.