FELICIA CLARK (NPI# 1093176638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093176638 |
| Entity Type | Individual |
| Full Name | FELICIA CLARK |
| Practice Address |
229 N Sheldon Rd Plymouth MI 48170-1524 |
| Practice Telephone | 3132784601 |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2018-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12742 Payton St, Detroit, MI 482241004 | 3137281300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366082885 | Felicia Clark | Behavior Technician | 1835 Park Ave, San Jose, CA 95126-1629 | 2020-01-13 |
| 1528518859 | Felicia Moniqw Clark | Registered Nurse | 124 Mallard Street, Greenville, SC 29601-4046 | 2016-10-11 |
| Street Address |
229 N SHELDON RD |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538148788 | Penny Sue Flury | Dentist | 229 N Sheldon Rd, Plymouth, MI 48170-1524 | 2006-01-14 |
| 1538760442 | Emily Burdgick | Behavioral Analyst | 229 N Sheldon Rd, Plymouth, MI 48170-1524 | 2020-11-06 |
| 1063013282 | Amelia O'connor | Speech-Language Pathologist | 229 N Sheldon Rd, Plymouth, MI 48170-1524 | 2020-11-04 |
| 1427656149 | Veronica K Kazmierski | Speech-Language Pathologist | 229 N Sheldon Rd, Plymouth, MI 48170-1524 | 2020-10-14 |
| 1477169431 | Valentina Pauls | Behavior Technician | 229 N Sheldon Rd, Plymouth, MI 48170-1524 | 2020-09-16 |
| 1730793662 | Anecia Curry | Behavior Technician | 229 N Sheldon Rd, Plymouth, MI 48170-1524 | 2020-09-08 |
| 1396359865 | Elizabeth Gifford | Speech-Language Pathologist | 229 N Sheldon Rd, Plymouth, MI 48170-1524 | 2020-09-02 |
| 1295347409 | Isabelle Thorrez | Behavior Technician | 229 N Sheldon Rd, Plymouth, MI 48170-1524 | 2020-08-19 |
| 1215548706 | Brianna Walker | Behavior Technician | 229 N Sheldon Rd, Plymouth, MI 48170-1524 | 2020-08-10 |
| 1619587706 | Hawraa Darwich | Behavior Technician | 229 N Sheldon Rd, Plymouth, MI 48170-1524 | 2020-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265079321 | Brianna Kestle | Behavioral Analyst | 1550 Pidco Dr, Plymouth, IN 46563-1355 | 2019-12-06 |
| 1245871730 | Benjamin Hankey | Behavioral Analyst | 2600 Fernbrook Ln N, Plymouth, MN 55447-4752 | 2019-10-05 |
| 1013474600 | Elizabeth Anne Waite-petri | Behavioral Analyst | 10 Evelyn Rd, Plymouth, MA 02360-3119 | 2019-03-01 |
| 1699245977 | Julie Wilde | Behavioral Analyst | 123 Sandwich St, Plymouth, MA 02360-2421 | 2018-11-29 |
| 1982199246 | Meg Cox | Behavioral Analyst | 650 Church St Ste 207, Plymouth, MI 48170-1689 | 2018-06-28 |
| 1780197814 | Kathleen Dorn | Behavioral Analyst | 29 Park Rd, Plymouth, MA 02360-4440 | 2017-11-11 |
| 1366970501 | Lauren Marie Mellon | Behavioral Analyst | 35 Brigantine Cir, Plymouth, MA 02360-1701 | 2017-06-01 |
| 1225583685 | Katie Blom | Behavioral Analyst | 16 Chilton St Apt 1f, Plymouth, MA 02360-8706 | 2016-08-15 |
| 1366996522 | Christine Kimball | Behavioral Analyst | 5 Powell St, Plymouth, MA 02360-5245 | 2016-08-05 |
| 1487108635 | Karen Ann Burns | Behavioral Analyst | 58 Joyce Dr, Plymouth, MA 02360-2368 | 2016-08-04 |
| Find all providers in PLYMOUTH | ||||
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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.