SARA ANNE SCHMIDTKE (NPI# 1164989646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164989646 |
| Entity Type | Individual |
| Full Name | SARA ANNE SCHMIDTKE |
| Credential | RBT |
| Practice Address |
2314 Miami St South Bend IN 46614-1336 |
| Practice Telephone | 5742042475 |
| Mailing Telephone | 5742042475 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | BACB475946 | IN | Behavioral Health & Social Service Providers |
| Street Address |
2314 MIAMI ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46614-1336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508020066 | Gerald Warrell | Dentist | 2314 Miami St, South Bend, IN 46614-1336 | 2008-07-14 |
| 1386107027 | Ashley Jordyn Phillips | Behavior Technician | 2314 Miami St, South Bend, IN 46614-1336 | 2019-04-10 |
| 1306303219 | Breanna Michelle Schuler | Behavior Technician | 2314 Miami St, South Bend, IN 46614-1336 | 2019-02-27 |
| 1326505413 | Julie D Lung | Behavior Technician | 2314 Miami St, South Bend, IN 46614-1336 | 2019-02-25 |
| 1255898722 | Crystal Bourlier | Behavior Technician | 2314 Miami St, South Bend, IN 46614-1336 | 2019-02-21 |
| 1508323098 | Isael Espinoza Zamarripa | Behavior Technician | 2314 Miami St, South Bend, IN 46614-1336 | 2019-02-21 |
| 1366908071 | Sandra Ezra | Behavior Technician | 2314 Miami St, South Bend, IN 46614-1336 | 2019-02-18 |
| 1558827253 | Amanda R Duley | Behavior Technician | 2314 Miami St, South Bend, IN 46614-1336 | 2019-02-18 |
| 1972069052 | Gina Rene Romano | Behavior Technician | 2314 Miami St, South Bend, IN 46614-1336 | 2019-02-14 |
| 1821554072 | Kara Graham | Behavioral Analyst | 2314 Miami St, South Bend, IN 46614-1336 | 2019-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574013 | Hellen Gathesha | Nurse Practitioner | 2123 W Irvington Dr, South Bend, IN 46614 | 2020-06-30 |
| 1033759394 | Diane Galvas | Pharmacist | 1217 E. Ireland Rd., South Bend, IN 46614 | 2020-01-14 |
| 1730668690 | Julenne Henriquez-gil | Physical Therapist | 202 W Ireland Rd Ste 101a, South Bend, IN 46614 | 2018-08-11 |
| 1467747014 | Deidre A Coffey | Nurse Practitioner | 1025 Widener Ln, South Bend, IN 46614 | 2011-06-12 |
| 1588727655 | Wal-mart Stores East, Lp | Technician/Technologist | 700 W. Ireland Rd., South Bend, IN 46614 | 2006-12-19 |
| 1437262847 | Lori F Risser | Dentist | 734 E Ireland Rd, South Bend, IN 46614 | 2006-08-17 |
| 1912388018 | Laura Ellen Albright | Family Medicine | 2102 E Inwood Rd, South Bend, IN 46614 | 2015-06-15 |
| 1245626225 | Kathleen Kelley | Dermatology | 1815 E Ireland Rd, South Bend, IN 46614 | 2015-04-07 |
| 1073869806 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1950 Ridgedale Rd, South Bend, IN 46614 | 2012-07-30 |
| 1326300666 | Kristine Marie Jones | Optometrist | 700 W Ireland Rd, South Bend, IN 46614 | 2012-06-12 |
| Find all providers in zip 46614 | ||||
| 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 |
|---|---|---|---|---|
| 1871059824 | Delainey Kinney | Behavior Technician | 1308 Sunnymede Ave, South Bend, IN 46615-1018 | 2019-02-14 |
| 1942807953 | Faith Marisa Spiteri | Behavior Technician | 17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512 | 2020-10-02 |
| 1205443694 | Jesus Lozano | Behavior Technician | 17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512 | 2020-09-29 |
| 1457968505 | Mychaela Mychelle Winston | Behavior Technician | 17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512 | 2020-09-23 |
| 1609480508 | Amanda Marie Latta | Behavior Technician | 17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512 | 2020-09-08 |
| 1689288839 | Haley Rose Traxler | Behavior Technician | 17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512 | 2020-09-04 |
| 1215541461 | Trenton Anthony Adair | Behavior Technician | 17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512 | 2020-09-04 |
| 1396359543 | Ieshia Maxine Mason | Behavior Technician | 17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512 | 2020-09-04 |
| 1518571835 | Aylin Saray Arriaga | Behavior Technician | 17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512 | 2020-09-03 |
| 1851905160 | Haley Rose Wigfall | Behavior Technician | 17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512 | 2020-09-03 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46614 |
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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.