KELLY ISROW (NPI# 1124666813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124666813 |
| Entity Type | Individual |
| Full Name | KELLY ISROW |
| Practice Address |
1643 Deepwood Cir Rochester MI 48307-6097 |
| Practice Telephone | 5868644836 |
| Mailing Telephone | 5868644836 |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1643 DEEPWOOD CIR |
| City | ROCHESTER |
| State | MI |
| Zip Code | 48307-6097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
| Find all providers in zip 48307 | ||||
| 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 |
|---|---|---|---|---|
| 1386253649 | Jaclyn Schutzbach | Behavior Technician | 3490 Oakmonte Blvd, Rochester, MI 48306-4789 | 2020-07-23 |
| 1366074510 | Brandon C Zywicki | Behavior Technician | 2376 18th Ave Se, Rochester, MN 55904-5834 | 2020-02-06 |
| 1902453442 | Katelyn Mary Boettcher | Behavior Technician | 1470 Industrial Dr Nw, Rochester, MN 55901-0700 | 2019-08-20 |
| 1710533971 | Sierra L Slade | Behavior Technician | 329 Elton Hills Dr Nw, Rochester, MN 55901-2477 | 2019-08-14 |
| 1679139661 | Jenni Ann Zakarin | Behavior Technician | 44 Congress Ave, Rochester, NY 14611-4045 | 2019-05-15 |
| 1134619927 | Tiffany Nicole Tocco | Behavior Technician | 433 Oak St Apt 1, Rochester, MI 48307-1971 | 2018-05-16 |
| 1497245542 | Karisa Hanson | Behavior Technician | 1470 Industrial Ave, Rochester, MN 55901-2616 | 2018-05-15 |
| 1457959892 | Elizabeth Anne Drouin | Behavior Technician | 31 Hiller Rd, Rochester, MA 02770-4024 | 2020-10-16 |
| 1154928323 | Alexis Raziel Garcia | Behavior Technician | 1470 Industrial Dr Nw, Rochester, MN 55901-0700 | 2020-10-01 |
| 1326653981 | Kiley Kozlowski | Behavior Technician | 31 Hiller Rd, Rochester, MA 02770-4024 | 2020-09-10 |
| Find all providers in ROCHESTER | ||||
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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.