AUTUMN BOOK (NPI# 1922543073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922543073 |
| Entity Type | Individual |
| Full Name | AUTUMN BOOK |
| Practice Address |
6720 Tomahawk Trl Grayling MI 49738 |
| Mailing Address |
6720 Tomahawk Trl Grayling MI 49738-8921 |
| Practice Telephone | 9899150764 |
| Mailing Telephone | 9899150764 |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 34991694 | 05 |
| Street Address |
6720 TOMAHAWK TRL |
| City | GRAYLING |
| State | MI |
| Zip Code | 49738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699275750 | Munson Healthcare Grayling | Psychologist | 1200 W North Down River Rd., Suite C, Grayling, MI 49738 | 2018-02-15 |
| 1942756796 | Kaitlyn A Smith | Pharmacist | 2425 S. Grayling Ave., Grayling, MI 49738 | 2016-08-31 |
| 1629484290 | Northern Michigan Endocrine Pllc | Clinic/Center | 1200 West North Down River Rd, Suite B, Grayling, MI 49738 | 2014-07-03 |
| 1033533427 | Krista Mohr | Nurse Anesthetist, Certified Registered | 1100 East Michigan Ave, Mercy Hospital- Grayling, Grayling, MI 49738 | 2014-02-06 |
| 1295034296 | Tomlin Capps Rosi | Surgery | 1250 E. Michigan Ave, Suite D, Grayling, MI 49738 | 2011-03-17 |
| 1265754667 | Pamela Birtcher Fisher | Counselor | 204 Meadows Drive, Grayling, MI 49738 | 2010-02-26 |
| 1942478797 | Marilyn L Rosi | Nurse Practitioner | 1010 W. North Down River Road, Grayling, MI 49738 | 2008-02-14 |
| 1558557454 | Jeffrey K Chaulk Md PC | Optometrist | 1200 N Down River Rd, Grayling, MI 49738 | 2007-09-25 |
| 1528288784 | G.r.a.c.e. Center | Counselor | 6459 West M-72, Grayling, MI 49738 | 2007-04-27 |
| 1992873780 | Grayling Dental PC | Dentist | 604 Galen Street, Grayling Dental PC, Grayling, MI 49738 | 2006-12-01 |
| Find all providers in zip 49738 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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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.