AUSTIN SCOTT CLARK (NPI# 1114414638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114414638 |
| Entity Type | Individual |
| Full Name | AUSTIN SCOTT CLARK |
| Practice Address |
5815 Bay Rd Ste 600 Saginaw MI 48604-2543 |
| Practice Telephone | 9899413730 |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MICHIGAN HEALTH | 1202475850 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922633932 | Austin Clark | Perfusionist | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-03-10 |
| 1326605080 | Austin Roy Clark | Student in an Organized Health Care Education/Training Program | 500 S Preston St Rm 305, Louisville, KY 40202-1702 | 2019-05-28 |
| 1811454184 | Austin Jeremiah Sy Clark | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2019-02-22 |
| 1588109078 | Austin F Clark | Student in an Organized Health Care Education/Training Program | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 | 2016-12-20 |
| Street Address |
5815 BAY RD STE 600 |
| City | SAGINAW |
| State | MI |
| Zip Code | 48604-2543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710402755 | Ashley Barry | Behavior Technician | 5815 Bay Rd Ste 600, Saginaw, MI 48604-2543 | 2017-08-10 |
| 1912492661 | Emily Morse | Behavior Technician | 5815 Bay Rd Ste 600, Saginaw, MI 48604-2543 | 2018-06-26 |
| 1699284273 | Kaylyn Ann Buzzell | Behavior Technician | 5815 Bay Rd Ste 600, Saginaw, MI 48604-2543 | 2017-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090318 | Paulette Marie Giltrop | Technician | 2930 Eddy St, Saginaw, MI 48604 | 2019-09-03 |
| 1821419797 | Kathleen Klonowski, Dds and Ashly Bailey, Dds, Plc | Clinic/Center | 4685 E. Mcleod Dr., Saginaw, MI 48604 | 2013-12-19 |
| 1245508811 | Universal Health Group, Inc | Chiropractor | 4700 East Mcleod, Saginaw, MI 48604 | 2011-12-09 |
| 1982980751 | Vivid Idea Rehab | Home Health | 2101 West Stoker Dr, Saginaw, MI 48604 | 2011-10-25 |
| 1518266683 | Rashad H Leflore | Driver | 1293 Tittabawassee Rd Apt G, Saginaw, MI 48604 | 2011-03-15 |
| 1033392089 | Raquel N. Dorin | Physical Therapist | 2716 Liberty, Saginaw, MI 48604 | 2007-12-13 |
| 1760604854 | Matthew Thomas Kisabeth | Optometrist | 5650 Bay Road, Saginaw, MI 48604 | 2007-05-02 |
| 1861613556 | Loretta O'donnell | Pathology | 4705 Towne Centre Road, Suite 301, Saginaw, MI 48604 | 2007-05-01 |
| 1265652325 | Tracey M Mallek | Physical Therapist | 4901 Town Center Rd, Suite 300, Saginaw, MI 48604 | 2007-04-30 |
| 1588783062 | Harprabhjit Singh | Internal Medicine | 4680 Mcleod Dr E., Saginaw, MI 48604 | 2007-03-28 |
| Find all providers in zip 48604 | ||||
| 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 |
|---|---|---|---|---|
| 1821601915 | Marisa A Cardinalli | Behavior Technician | 202 Garden Ln, Saginaw, MI 48602-1800 | 2020-08-28 |
| 1831700426 | Annalee Werth | Behavior Technician | 7670 Davis Rd, Saginaw, MI 48604-9259 | 2020-08-16 |
| 1316558901 | Cameron Paige Whitten | Behavior Technician | 5805 Ambassador Dr Apt 3, Saginaw, MI 48603-3533 | 2020-08-16 |
| 1205454345 | Travis Fader | Behavior Technician | 400 N Colony Dr Apt 2b, Saginaw, MI 48638-7122 | 2020-07-06 |
| 1588287155 | Nicholas Robert Mauro | Behavior Technician | 3332 Crooked Tree Ln Unit 13, Saginaw, MI 48604-9582 | 2020-05-18 |
| 1588202006 | Katherine Silva | Behavior Technician | 103 Provincial Ct Unit 24, Saginaw, MI 48638-6132 | 2019-12-16 |
| 1699319905 | Haley Rose Cameron | Behavior Technician | 4600 Seidel Pl, Saginaw, MI 48638-5674 | 2019-10-30 |
| 1568017648 | Tiana' A Duffey | Behavior Technician | 5100 Pheasant Run Dr, Saginaw, MI 48638-6361 | 2019-08-06 |
| 1255993978 | Alexandra Nicole Radina | Behavior Technician | 2553 Sierra Dr, Saginaw, MI 48609-7022 | 2019-07-02 |
| 1992366942 | Hanah Marie Walker | Behavior Technician | 3267 Schust Rd Apt 107, Saginaw, MI 48603-8110 | 2019-06-20 |
| Find all providers in SAGINAW | ||||
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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.