KELLY L CHRISTIAN (NPI# 1912413642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912413642 |
| Entity Type | Individual |
| Full Name | KELLY L CHRISTIAN |
| Practice Address |
705 Goldenrod Dr Houghton Lake MI 48629-8921 |
| Mailing Address |
1363 Douglas Dr Traverse City MI 49696-8980 |
| Practice Telephone | 9896308531 |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114552734 | Kelly E. Christian | Registered Nurse | 200 Main St Suite 200, Meeker, CO 81641 | 2020-03-04 |
| 1861678500 | Kelly Ann Christian | Registered Nurse | 825 Edgewood Cir, Marinette, WI 54143-4219 | 2008-01-11 |
| 1184191777 | Kelly Louise Christian | Advanced Practice Midwife | 6939 Cox Rd, Liberty Township, OH 45069-7595 | 2018-11-01 |
| 1831565746 | Kelly Christian | Counselor | 81 Bridge St, Lowell, MA 01852-1270 | 2015-08-14 |
| 1881975126 | Kelly Christian | Student in an Organized Health Care Education/Training Program | 275 W Schrock Rd, Westerville, OH 43081-2874 | 2011-08-31 |
| Street Address |
705 GOLDENROD DR |
| City | HOUGHTON LAKE |
| State | MI |
| Zip Code | 48629-8921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457827529 | Jessica Nichole Costanza | Behavior Technician | 1840 W Houghton Lake Drive, Unit 2, Prudenville, MI 48629 | 2018-10-16 |
| 1326590134 | Gregory Stuck | Chiropractor | 3231 Towerhill Rd., Houghton Lake, MI 48629 | 2016-10-27 |
| 1871992271 | Rite Aid Pharmacy | Pharmacy | 4652 W Houghton Lake Rd, Houghton Lake, MI 48629 | 2014-08-21 |
| 1386835882 | Hance Family Chiropractic Care Pllc | Chiropractor | 3508 W Houghton Lake Drive, Houghton Lake, MI 48629 | 2007-08-08 |
| 1598955247 | Michael Gerald Coon | Dental Laboratory Technician | 3232 W Houghton Lake Drive, Houghton Lake, MI 48629 | 2007-07-30 |
| 1114090578 | Thomas Steven Rudzinski | Dentist | 140 River St, Elk Rapids, MI 48629 | 2006-11-15 |
| 1154417749 | Mary Anne Vanoosterhout | Dietitian, Registered | 9249 West Lake City Road, Houghton Lake, MI 48629 | 2006-10-04 |
| 1063507564 | Ann L Rushlow | Physical Therapy Assistant | 9249 West Lake City Rd, Houghton Lake, MI 48629 | 2006-10-03 |
| 1306848783 | Houghton Lake Ambulance Service | Ambulance | 9166 W Lake City Rd., Houghton Lake, MI 48629 | 2005-08-15 |
| 1235130923 | Family Eye Care PC | Optometrist | 6525 A W Houghton Lake Dr, Houghton Lake, MI 48629 | 2005-08-03 |
| Find all providers in zip 48629 | ||||
| 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 |
|---|---|---|---|---|
| 1871194365 | Melissa Krzysik | Behavior Technician | 634 Parkside Ct, Chelsea, MI 48118-2126 | 2020-11-03 |
| 1508467093 | Leah Jueckstock | Behavior Technician | 1703 N Greenfield Cir Ne Apt 102, Grand Rapids, MI 49505-5690 | 2020-11-03 |
| 1518568112 | Makayla Randall | Behavior Technician | 215 E Congress St, Caro, MI 48723-1800 | 2020-11-02 |
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1962001685 | Taylor Angel Smith | Behavior Technician | 669 Murner Rd, Gaylord, MI 49735-9357 | 2020-10-23 |
| 1669071635 | Kaley Jo Belton | Behavior Technician | 11165 E Dr S, Ceresco, MI 49033-9788 | 2020-10-21 |
| 1487253340 | Shannon Worden | Behavior Technician | 4246 Jeffery Rd, Harrison, MI 48625-8689 | 2020-10-21 |
| 1427657451 | Connor Matthew Wright | Behavior Technician | 326 S Waverly Rd, Eaton Rapids, MI 48827-9241 | 2020-10-21 |
| 1750980736 | Lucas Mccarry | Behavior Technician | 1821 Valley View Rd, Boyne Falls, MI 49713-9794 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | HOUGHTON LAKE |
| Zip Code | 48629 |
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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.