MR. DESMOND MORRELL WEAVER JR. (NPI# 1902413461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902413461 |
| Entity Type | Individual |
| Full Name | MR. DESMOND MORRELL WEAVER JR. |
| Practice Address |
2086 S Custer Rd Monroe MI 48161-1831 |
| Practice Telephone | 7346825174 |
| Mailing Telephone | 7346825174 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | MI | Behavioral Health & Social Service Providers |
| Street Address |
2086 S CUSTER RD |
| City | MONROE |
| State | MI |
| Zip Code | 48161-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184115404 | Miranda K Cicero | Behavior Technician | 2086 S Custer Rd, Monroe, MI 48161-1831 | 2018-05-22 |
| 1164021358 | Shannel Latrice Jenkins | Behavior Technician | 2086 S Custer Rd, Monroe, MI 48161-1831 | 2020-10-20 |
| 1538767421 | Cassandra June Smith | Behavior Technician | 2086 S Custer Rd, Monroe, MI 48161-1831 | 2020-10-13 |
| 1982211447 | Emilee Grace Lanham | Behavior Technician | 2086 S Custer Rd, Monroe, MI 48161-1831 | 2020-09-29 |
| 1841803368 | Jacob J Goins | Behavior Technician | 2086 S Custer Rd, Monroe, MI 48161-1831 | 2020-08-25 |
| 1700497591 | Adil Hasan Peracha | Behavior Technician | 2086 S Custer Rd, Monroe, MI 48161-1831 | 2020-08-14 |
| 1447860184 | Abigail Paquette | Behavior Technician | 2086 S Custer Rd, Monroe, MI 48161-1831 | 2020-08-07 |
| 1265042907 | Nicole Louise Reinhardt | Behavior Technician | 2086 S Custer Rd, Monroe, MI 48161-1831 | 2020-08-07 |
| 1205445608 | Brooke Ann Daum | Behavior Technician | 2086 S Custer Rd, Monroe, MI 48161-1831 | 2020-07-31 |
| 1760091169 | Alexa Jayde Wright | Behavior Technician | 2086 S Custer Rd, Monroe, MI 48161-1831 | 2020-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164980967 | James Abrams | Behavior Technician | 2086 South Custer Road, Monroe, MI 48161 | 2019-03-11 |
| 1457841504 | Teresa Anne Clark-jones | Health Educator | Msu Extension Monroe County, 963 S. Raisinville Rd., Monroe, MI 48161 | 2018-05-15 |
| 1174045215 | Ariane E Combs | Counselor | 25 S. Monroe Street, Suite 205, Monroe, MI 48161 | 2017-07-11 |
| 1518341650 | Jennifer Statler | Physical Therapist | 1380 Lake Dr, Unit B, Monroe, MI 48161 | 2015-07-18 |
| 1811376742 | Rainbow Center of Michigan, Inc | Community/Behavioral Health | 14733 S. Telegraph Rd, Monroe, MI 48161 | 2015-05-26 |
| 1356743371 | Samantha Rose Dehring | Counselor | Recovery Zone Counseling, Pllc, 49 South Monroe St. (suite# 175), Monroe, MI 48161 | 2014-09-22 |
| 1598105074 | Busharat Ahmad | Ophthalmology | 774 Windsor Court, Monroe, MI 48161 | 2013-06-28 |
| 1225371032 | Anissa Castelluzzo | Nurse Practitioner | 975 S Monroe St Ste C, Monroe, MI 48161 | 2013-03-29 |
| 1811256274 | Paul Mikels Lmsw LLC | Social Worker | 986 S. Telegraph Rd, Monroe, MI 48161 | 2012-05-04 |
| 1225306798 | Paula Stanifer | Counselor | 14930 Laplaisance Rd #123, Monroe, MI 48161 | 2011-12-12 |
| Find all providers in zip 48161 | ||||
| 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 |
|---|---|---|---|---|
| 1639797558 | Deidra Ann Lambert Pinion | Behavior Technician | 922 Amber Trl, Monroe, GA 30655-8481 | 2020-07-07 |
| 1164980967 | James Abrams | Behavior Technician | 2086 South Custer Road, Monroe, MI 48161 | 2019-03-11 |
| 1790242998 | Kaitlin N Faassen | Behavior Technician | 5005 Morning Dew Ln, Monroe, NC 28110-1302 | 2019-02-23 |
| 1528549763 | Megan Loreen Chisholm | Behavior Technician | 350 S Foothill Dr, Monroe, UT 84754-4466 | 2018-08-26 |
| 1184115404 | Miranda K Cicero | Behavior Technician | 2086 S Custer Rd, Monroe, MI 48161-1831 | 2018-05-22 |
| 1487144275 | Vinessa Jo Haack | Behavior Technician | 15384 S Dixie Hwy, Monroe, MI 48161-3773 | 2018-05-16 |
| 1225526833 | Ellisa D Issa | Behavior Technician | 36 E Elm Ave, Monroe, MI 48162-2649 | 2018-04-30 |
| 1013442300 | Tyler Crew | Behavior Technician | 1501 Mckeen Pl Apt 603, Monroe, LA 71201-4439 | 2017-04-25 |
| 1770017899 | Tommy Angelo Garcia | Behavior Technician | 3111 Old Sterlington Rd Apt 238, Monroe, LA 71203-2636 | 2017-04-14 |
| 1891228623 | Latesha Jackson | Behavior Technician | 119 Savannah St, Monroe, LA 71202-3921 | 2017-04-08 |
| Find all providers in MONROE | ||||
Please comment or provide details below to improve the information on MR. DESMOND MORRELL WEAVER JR..
| 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.