SKYLAR ANGEL BROWN (NPI# 1053955831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053955831 |
| Entity Type | Individual |
| Full Name | SKYLAR ANGEL BROWN |
| Practice Address |
348 S Waverly Rd Ste 25 Holland MI 49423-3799 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 6163772135 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | B650768067729 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 715 Clinton River Dr Apt 6a, Mount Clemens, MI 480432489 | 3136458764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427603745 | Skylar Tanice Brown | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204-1416 | 2019-08-04 |
| 1134699390 | Skylar Brown | Behavior Technician | 6 Forest Ave, Paramus, NJ 07652-5241 | 2018-11-30 |
| 1881047462 | Skylar Brown | Counselor | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2016-07-19 |
| Street Address |
348 S WAVERLY RD STE 25 |
| City | HOLLAND |
| State | MI |
| Zip Code | 49423-3799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952942070 | Stephenie Brooke Graf | Behavioral Analyst | 348 S Waverly Rd Ste 25, Holland, MI 49423-3799 | 2019-09-30 |
| 1669084562 | Enjolie-rose Muller Trinh | Behavior Technician | 348 S Waverly Rd Ste 25, Holland, MI 49423-3799 | 2020-08-20 |
| 1750912846 | Margaret Anne Miko | Behavior Technician | 348 S Waverly Rd Ste 25, Holland, MI 49423-3799 | 2020-01-28 |
| 1063051050 | Amy Louise Stewart | Behavioral Analyst | 348 S Waverly Rd Ste 25, Holland, MI 49423-3799 | 2019-12-23 |
| 1275171811 | Caroline Nicole Serkaian | Behavioral Analyst | 348 S Waverly Rd Ste 25, Holland, MI 49423-3799 | 2019-12-13 |
| 1437793254 | Ian Dunn | Behavior Technician | 348 S Waverly Rd Ste 25, Holland, MI 49423-3799 | 2019-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
| 1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
| 1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
| 1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
| Find all providers in zip 49423 | ||||
| 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 |
|---|---|---|---|---|
| 1033741038 | Dakota Mccaw | Behavior Technician | 5071 Ruby Rdg, Holland, MI 49424-8658 | 2020-02-07 |
| 1376182006 | Nicole Sekloch | Behavior Technician | 75 E 32nd St, Holland, MI 49423-5176 | 2019-12-28 |
| 1811531593 | Shelby Lynn Potter | Behavior Technician | 348 S Waverly Rd # 26, Holland, MI 49423-3799 | 2019-11-05 |
| 1841831302 | Jerad Anthony Strong | Behavior Technician | 348 S Waverly Rd # 25, Holland, MI 49423-3799 | 2019-10-04 |
| 1396394896 | Caitlyn Fromholz | Behavior Technician | 348 S Waverly Rd Ste 34, Holland, MI 49423-3799 | 2019-09-06 |
| 1144701350 | Michael Keiser | Behavior Technician | 854 Washington Ave Ste 600504, Holland, MI 49423-7144 | 2018-08-25 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1336643675 | Hope Teresa Van Dyke | Behavior Technician | 328 N Division Ave, Holland, MI 49424-6464 | 2018-03-21 |
| 1174063390 | Barbara Newman | Behavior Technician | 50 W 40th St, Holland, MI 49423-5222 | 2017-03-07 |
| 1164023388 | Jennifer Marie Kirkwood | Behavior Technician | 11172 Adams St, Holland, MI 49423-9163 | 2020-11-04 |
| Find all providers in HOLLAND | ||||
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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.