MICHELLE ROMAN (NPI# 1982224937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982224937 |
| Entity Type | Individual |
| Full Name | MICHELLE ROMAN |
| Practice Address |
1106 N 155th St Basehor KS 66007-7100 |
| Practice Telephone | 9136627071 |
| Mailing Telephone | 9136627071 |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-05-13 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326602269 | Michelle Roman | Social Worker | 1405 Spruce St Ste A, Riverside, CA 92507-2410 | 2019-04-25 |
| 1487805040 | Michelle Roman | Social Worker | 91 Northwest Dr, Plainville, CT 06062-1534 | 2008-10-01 |
| 1972577633 | Michelle Ann Roman | Physician Assistant | 2716 Ashton Dr, Wilmington, NC 28412-2489 | 2006-02-17 |
| Street Address |
1106 N 155TH ST |
| City | BASEHOR |
| State | KS |
| Zip Code | 66007-7100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124281035 | Stacy Ash | Case Manager/Care Coordinator | 1106 N 155th St, Suite B, Basehor, KS 66007-7100 | 2008-07-10 |
| 1316453699 | Kori Staab | Behavior Technician | 1106 N 155th St, Basehor, KS 66007 | 2017-12-21 |
| 1710417811 | Mary Katherine Pace | Behavioral Analyst | 1106 N 155th St, Basehor, KS 66007-7100 | 2017-06-13 |
| 1740716620 | Kendra Akins | Case Manager/Care Coordinator | 1106 N 155th St, Ste B, Basehor, KS 66007-7100 | 2017-05-11 |
| 1295261196 | Jami Evans | Case Manager/Care Coordinator | 1106 N 155th St, Ste B, Basehor, KS 66007-7100 | 2017-05-11 |
| 1154856458 | Trinia Bingham | Case Manager/Care Coordinator | 1106 N 155th St, Ste B, Basehor, KS 66007-7100 | 2017-04-24 |
| 1386189124 | Lyndah Wallin | Case Manager/Care Coordinator | 1106 N 155th St, Ste B, Basehor, KS 66007-7100 | 2017-01-04 |
| 1558810770 | Donnell Foreman Jr. | Case Manager/Care Coordinator | 1106 N 155th St, Suite B, Basehor, KS 66007-7100 | 2016-09-29 |
| 1730636705 | Toni Barnes | Case Manager/Care Coordinator | 1106 N 155th St, Ste B, Basehor, KS 66007-7100 | 2016-09-07 |
| 1558817577 | Alexandra Fredricks | Case Manager/Care Coordinator | 1106 N 155th St, Suite B, Basehor, KS 66007-7100 | 2016-08-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821527243 | Catherine Eatherly | Case Manager/Care Coordinator | 1106 North 155th Street Ste B, Basehor, KS 66007 | 2017-06-08 |
| 1346651312 | Anndrina Pooja Mcgill | Case Manager/Care Coordinator | 1106 N. 155th Street, Suite B, Basehor, KS 66007 | 2014-05-13 |
| 1679911317 | Amanda Brown | Case Manager/Care Coordinator | 1006 North 155th Street, Basehor, KS 66007 | 2013-06-04 |
| 1821221151 | Ross Eugene Mccoy | Social Worker | 21825 155th Street, Basehor, KS 66007 | 2009-09-03 |
| 1992898308 | Deborah J Gammill | Family Medicine | 15604 Pinehurst Drive, Suite 2, Basehor, KS 66007 | 2006-09-30 |
| 1740708312 | Erin Newkirk | Case Manager/Care Coordinator | 1106 North 155th Street Ste B, Basehor, KS 66007 | 2017-09-05 |
| 1801313994 | Ryan Emmitt | Case Manager/Care Coordinator | 1106 North 155th Street Ste B, Basehor, KS 66007 | 2017-08-29 |
| 1881117596 | Keeley Cowley | Case Manager/Care Coordinator | 1106 North 155th Street Ste B, Basehor, KS 66007 | 2017-07-25 |
| 1306375712 | Nicole Thompson | Case Manager/Care Coordinator | 1106 North 155th Street Ste B, Basehor, KS 66007 | 2017-06-08 |
| 1265831994 | Danielle A Holloway | Nurse Practitioner | 15604 Pinehurst Dr, Ste 2, Basehor, KS 66007 | 2014-08-19 |
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| 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 |
|---|---|---|---|---|
| 1104481126 | Kailey Trim | Behavior Technician | 1106 N 155th St Ste C, Basehor, KS 66007-7100 | 2019-05-06 |
| 1659839678 | Leandra Dillinger | Behavior Technician | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2019-03-08 |
| 1679039820 | Brooklyn Staats | Behavior Technician | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2019-02-13 |
| 1073078960 | Meaghan Hartley | Behavior Technician | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2019-02-05 |
| 1497219877 | Chelsey Farris | Behavior Technician | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2019-01-30 |
| 1811469836 | Cheyenne Bitts | Behavior Technician | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2019-01-02 |
| 1447722574 | Anthony Danker | Behavior Technician | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2018-12-31 |
| 1598264467 | Maria Dimodugno | Behavior Technician | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2018-02-06 |
| 1316453699 | Kori Staab | Behavior Technician | 1106 N 155th St, Basehor, KS 66007 | 2017-12-21 |
| 1942669270 | Alie Armstrong | Behavior Technician | 1106 N 155th St, Suite B, Basehor, KS 66007 | 2016-02-15 |
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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.