LADAMONEEK BROADUS (NPI# 1922650340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922650340 |
| Entity Type | Individual |
| Full Name | LADAMONEEK BROADUS |
| Practice Address |
4400 Euclid Ave Cleveland OH 44103-3734 |
| Practice Telephone | 2164315800 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
4400 EUCLID AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44103-3734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194948893 | James M Lionetti | Pharmacist | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2007-04-11 |
| 1609409291 | Brenden Stinson | Social Worker | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2020-02-21 |
| 1619508256 | Chamekia Rena Edwards | Behavior Technician | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2020-02-02 |
| 1235771965 | Phyllis Gossett | Community/Behavioral Health | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-10-15 |
| 1528600251 | Michelle Starling | Community/Behavioral Health | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-10-15 |
| 1417503020 | Britney Laux | Community/Behavioral Health | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-08-11 |
| 1235785841 | Kierra Mcdade | Social Worker | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-08-11 |
| 1083268718 | Brian Spence | Nurse Practitioner | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-07-31 |
| 1407408909 | Margaret Whitmore | Behavior Technician | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-07-15 |
| 1558825877 | Brandon Shane | Social Worker | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-01-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619921 | Cleveland Urgent Care LLC | Clinic/Center | 1956 E 79th Street, Cleveland, OH 44103 | 2019-09-26 |
| 1598325201 | Eliza Bryant Village | Day Training, Developmentally Disabled Services | 7201 Wade Park Ave., Cleaveland, OH 44103 | 2019-06-14 |
| 1700357829 | Lovel Henderson Jr | Clinic/Center | 6600 Lexington Ave, Cleveland, OH 44103 | 2018-12-16 |
| 1508340472 | Melody J Williams | Adult Companion | 7820 Euclid Ave, Cleveland, OH 44103 | 2018-09-18 |
| 1083108906 | University Hospitals Cleveland Medical Center | Pharmacy | 5805 Euclid Ave, Cleveland, OH 44103 | 2018-06-15 |
| 1336637453 | Heather Tully | Registered Nurse | 6700 Euclid Ave, Cleveland, OH 44103 | 2018-04-24 |
| 1033611355 | Circle Health Services | Clinic/Center | 4400 Euclid Avenue, Cleveland, OH 44103 | 2018-03-02 |
| 1922524032 | Carolyn Nicholas | Counselor | 1834 E 55th Street, Cleveland, OH 44103 | 2017-08-21 |
| 1619493764 | Horizon Educational Services Inc | Local Education Agency (LEA) | 6000 South Marginal, Cleveland, OH 44103 | 2017-08-21 |
| 1548783426 | Albert Pride Jr. | Counselor | 1804 East 55th Street, Cleveland, OH 44103 | 2017-07-21 |
| Find all providers in zip 44103 | ||||
| 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 |
|---|---|---|---|---|
| 1760083794 | Susan Carol Flatt | Behavior Technician | 415 Heritage Hills Cir Ne, Cleveland, TN 37323-5156 | 2020-11-05 |
| 1346855913 | Natosha Deondra Nickole Hall | Behavior Technician | 1087 E 67th St, Cleveland, OH 44103-1725 | 2020-09-10 |
| 1013533652 | Kelsea N Bauerle | Behavior Technician | 54 Tom Teague Rd, Cleveland, GA 30528-5991 | 2020-06-19 |
| 1225670409 | Brittany Alexandra Steward | Behavior Technician | 14196 Cedar Rd Apt 103, Cleveland, OH 44121-3224 | 2019-10-09 |
| 1548826944 | Ochanya Nicole Mcroberts | Behavior Technician | 2860 Detroit Ave Apt 111, Cleveland, OH 44113-2741 | 2019-05-13 |
| 1225645344 | Hailey Nicole Niedzwiecki | Behavior Technician | 18151 Jefferson Park Rd, Cleveland, OH 44130-3496 | 2020-09-24 |
| 1124635248 | Kyra Leyen Keyes | Behavior Technician | 18151 Jefferson Park Rd, Cleveland, OH 44130-3496 | 2020-09-24 |
| 1760099881 | Isabel Sierra Wells | Behavior Technician | 18151 Jefferson Park Rd, Cleveland, OH 44130-3496 | 2020-09-24 |
| 1205443322 | Sherice Renee Brown | Behavior Technician | 18151 Jefferson Park Rd, Cleveland, OH 44130-3496 | 2020-09-24 |
| 1932716057 | Skyla Kay Schaefer | Behavior Technician | 18151 Jefferson Park Rd, Cleveland, OH 44130-3496 | 2020-09-24 |
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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.