ELLIE MARIE MICHALETZ


Address: 2925 Dean Pkwy Ste 300, Minneapolis, MN 55416-7700
Phone: 6123157627

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Office Location

Street Address 2925 DEAN PKWY STE 300
City MINNEAPOLIS
State MN
Zip Code 55416-7700

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City MINNEAPOLIS
Zip Code 55416

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Dataset Information

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.

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