ANTWANETTE CONAWAY (NPI# 1942827712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942827712 |
| Entity Type | Individual |
| Full Name | ANTWANETTE CONAWAY |
| Practice Address |
19853 Outer Dr Ste 110 Dearborn MI 48124-2044 |
| Practice Telephone | 2486214792 |
| Enumeration Date | 2020-06-28 |
| Last Update Date | 2020-06-28 |
| 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 |
| Street Address |
19853 OUTER DR STE 110 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-2044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992204655 | Breonna Everett | Technician/Technologist | 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 | 2018-02-08 |
| 1831704782 | Grace Marie Akua Bio | Technician/Technologist | 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 | 2020-09-08 |
| 1235742909 | Jahaan Kohari Brittman | Technician/Technologist | 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 | 2020-08-24 |
| 1457963050 | Dequan Alexander Robertson | Technician/Technologist | 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 | 2020-08-17 |
| 1457961526 | Mackenzie Rae Kowalewicz | Technician/Technologist | 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 | 2020-08-04 |
| 1386253375 | Paris Knox | Technician/Technologist | 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 | 2020-07-27 |
| 1548895808 | Rashad Ghassan Madarani I | Student in an Organized Health Care Education/Training Program | 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 | 2020-03-06 |
| 1326671710 | Similoluwa J Oyinkolade | Technician/Technologist | 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 | 2020-02-13 |
| 1710533666 | Junaid Raza | Technician/Technologist | 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 | 2019-08-16 |
| 1821568171 | Annette Marie Sage | Technician/Technologist | 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 | 2018-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| 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 |
|---|---|---|---|---|
| 1407498280 | Ali Makki | Behavior Technician | 1360 Porter St Ste 100, Dearborn, MI 48124-2894 | 2019-10-13 |
| 1255989448 | Gabrielle-gloria Nicole Bryant | Behavior Technician | 1360 Porter Street, Dearborn, MI 48124-2890 | 2019-08-30 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1326692591 | Sarah Kamal Abdullah | Behavior Technician | 10 Barclay Ct, Dearborn, MI 48126-2908 | 2019-07-26 |
| 1578117792 | Abigail Marie Brozoski | Behavior Technician | 20500 Outer Dr, Dearborn, MI 48124-2643 | 2019-07-25 |
| 1205496478 | Nye Rahal | Behavior Technician | 1360 Porter St Lowr Part1, Dearborn, MI 48124-2890 | 2019-06-19 |
| 1699334334 | Sabrin M Abu-omarah | Behavior Technician | 1927 Linden St, Dearborn, MI 48124-4011 | 2019-06-06 |
| 1629637319 | Danielle Harris | Behavior Technician | 2245 Parker St, Dearborn, MI 48124-3416 | 2019-06-06 |
| 1629635610 | Hussein Hassan Makki | Behavior Technician | 6915 Oakman Blvd, Dearborn, MI 48126-1894 | 2019-05-24 |
| Find all providers in DEARBORN | ||||
Please comment or provide details below to improve the information on ANTWANETTE CONAWAY.
| 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.