CINDY BOERSEMA (NPI# 1093251696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093251696 |
| Entity Type | Individual |
| Full Name | CINDY BOERSEMA |
| Practice Address |
2184 Woodcliff Ave Se Grand Rapids MI 49546-5711 |
| Practice Telephone | 8558326727 |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2020-03-12 |
| 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 | BACB406572 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 41521 W 11 Mile Rd, Novi, MI 483751803 | 2482990030 |
| Street Address |
2184 WOODCLIFF AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295397404 | Tamera Katrina Ellis | Technician, Other | 2184 Woodcliff Ave Se, Grand Rapids, MI 49546-5711 | 2019-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| 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 |
|---|---|---|---|---|
| 1396306023 | Emma Mitchell | Behavioral Analyst | 107 Auburn Ave Se, Grand Rapids, MI 49506-1621 | 2019-06-24 |
| 1740747393 | Jaimie Schmitt | Behavioral Analyst | 668 3 Mile Rd Nw Rear Ll, Grand Rapids, MI 49544-8219 | 2019-03-01 |
| 1437651791 | Robin Kuhn | Behavioral Analyst | 703 Hoyt St Se, Grand Rapids, MI 49507-3215 | 2018-03-02 |
| 1043660814 | Lyree Marie Adams | Behavioral Analyst | 3228 Brookshire Dr Se, Grand Rapids, MI 49508-2422 | 2016-06-13 |
| 1376991166 | Heather Robles | Behavioral Analyst | 2787 Wilson Ave Nw, Grand Rapids, MI 49534-7510 | 2016-06-02 |
| 1295196335 | Travis Vanoosten | Behavioral Analyst | 711 Logan St Se, Grand Rapids, MI 49503-5528 | 2016-03-17 |
| 1205296027 | Jennifer Leanna | Behavioral Analyst | 1009 44th St Sw Ste 106, Grand Rapids, MI 49509-4480 | 2016-03-07 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1689097750 | Lyncia Wright-white | Behavioral Analyst | 2148 Raspberry Ct Se Apt M, Grand Rapids, MI 49546-5973 | 2014-01-27 |
| 1679915524 | Brianna Elsasser | Behavioral Analyst | 1000 E Paris Ave Se Ste 160, Grand Rapids, MI 49546-8313 | 2013-07-19 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on CINDY BOERSEMA.
| 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.