ELLIE MARIE MICHALETZ (NPI# 1033748991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033748991 |
| Entity Type | Individual |
| Full Name | ELLIE MARIE MICHALETZ |
| Practice Address |
2925 Dean Pkwy Ste 300 Minneapolis MN 55416-7700 |
| Practice Telephone | 6123157627 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |
| 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 |
2925 DEAN PKWY STE 300 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55416-7700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962614032 | Bethani J Burggraff | Specialist | 2925 Dean Pkwy Ste 300, Minneapolis, MN 55416-7700 | 2007-05-03 |
| 1427676451 | Christa Ann Peterson | Behavior Technician | 2925 Dean Pkwy Ste 300, Minneapolis, MN 55416-7700 | 2020-07-07 |
| 1063030096 | Marni Ann Kaiser | Behavior Technician | 2925 Dean Pkwy Ste 300, Minneapolis, MN 55416-7700 | 2020-07-07 |
| 1770100885 | Madison Rose Aaron | Behavior Technician | 2925 Dean Pkwy Ste 300, Minneapolis, MN 55416-7700 | 2020-07-06 |
| 1013538644 | Priscilla Esperanza Pesantez | Behavior Technician | 2925 Dean Pkwy Ste 300, Minneapolis, MN 55416-7700 | 2020-05-06 |
| 1952922965 | Monica Noelle Vangunst | Behavior Technician | 2925 Dean Pkwy Ste 300, Minneapolis, MN 55416-7700 | 2020-04-30 |
| 1942821178 | Collin Plante | Behavioral Analyst | 2925 Dean Pkwy Ste 300, Minneapolis, MN 55416-7700 | 2020-04-28 |
| 1376177568 | Kelsey Monica Schreifels | Behavior Technician | 2925 Dean Pkwy Ste 300, Minneapolis, MN 55416-7700 | 2020-02-26 |
| 1821622150 | Emma Smith | Behavioral Analyst | 2925 Dean Pkwy Ste 300, Minneapolis, MN 55416-7700 | 2020-02-25 |
| 1487287066 | Kelsey Loeffler | Behavioral Analyst | 2925 Dean Pkwy Ste 300, Minneapolis, MN 55416-7700 | 2020-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| 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 |
|---|---|---|---|---|
| 1073114393 | Fathi Shakul | Behavior Technician | 5118 Irving Ave N, Minneapolis, MN 55430-3440 | 2020-11-03 |
| 1043810344 | Sucdi Ahmed Dahir | Behavior Technician | 3951 Dupont Ave N, Minneapolis, MN 55412-2036 | 2020-10-27 |
| 1962002352 | Jama Abdi | Behavior Technician | 4630 Central Ave Ne Apt 102, Minneapolis, MN 55421-2483 | 2020-10-27 |
| 1427656362 | Warda Odhowa | Behavior Technician | 2552 5th St Ne, Minneapolis, MN 55418-2837 | 2020-10-13 |
| 1144833187 | Autumn Borgen | Behavior Technician | 7760 France Ave S Fl 11, Minneapolis, MN 55435-5930 | 2020-08-28 |
| 1376151977 | Kwst Targeted Behavioral Development Group | Behavior Technician | 333 Washington Ave N Ste 332, Minneapolis, MN 55401-1366 | 2020-07-20 |
| 1093330227 | Kristie Young Vang | Behavior Technician | 5144 Emerson Ave N, Minneapolis, MN 55430-3415 | 2020-06-12 |
| 1417582644 | Najma Ibrahim | Behavior Technician | 2614 Nicollet Ave # 209, Minneapolis, MN 55408-1628 | 2020-03-09 |
| 1548890379 | Ayodele Regina Douglas | Behavior Technician | 2800 Freeway Blvd Ste 204, Minneapolis, MN 55430-1751 | 2020-01-21 |
| 1568009694 | Asha Farhan Hassan | Behavior Technician | 2614 Nicollet Ave Ste 209, Minneapolis, MN 55408-1628 | 2019-12-09 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55416 |
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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.