LILLY ROCKWELL (NPI# 1194350785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194350785 |
| Entity Type | Individual |
| Full Name | LILLY ROCKWELL |
| Practice Address |
916 N West Ave Ste F Jackson MI 49202-3243 |
| Mailing Address |
2400 Science Pkwy Okemos MI 48864-2560 |
| Practice Telephone | 5173748066 |
| Mailing Telephone | 5179278696 |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
916 N WEST AVE STE F |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-3243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952838187 | Perrise Stewart | Technician, Other | 916 N West Ave Ste F, Jackson, MI 49202-3243 | 2017-05-18 |
| 1043845639 | Emily Snyr | Behavior Technician | 916 N West Ave Ste F, Jackson, MI 49202-3243 | 2020-03-04 |
| 1285269886 | Grace Howland | Behavior Technician | 916 N West Ave Ste F, Jackson, MI 49202-3243 | 2020-03-04 |
| 1467092288 | Nakia Miller | Behavior Technician | 916 N West Ave Ste F, Jackson, MI 49202-3243 | 2020-01-09 |
| 1275090011 | Morgan Fitzgerald | Technician, Other | 916 N West Ave Ste F, Jackson, MI 49202-3243 | 2019-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| 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 |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1235748013 | Joshua Khon | Behavior Technician | 916 N West Ave, Jackson, MI 49202-3243 | 2020-07-28 |
| 1154946275 | Mark Truman Read | Behavior Technician | 950 W Monroe St Ste G600, Jackson, MI 49202-2171 | 2020-06-15 |
| 1144863986 | Cindy Lynn Ward | Behavior Technician | 1029 N Main St Apt 17, Jackson, CA 95642-9585 | 2019-10-24 |
| 1023660446 | Tamisha Nicole Etchison | Behavior Technician | 916f N West Ave Ste F, Jackson, MI 49202-3269 | 2019-07-16 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1588154413 | Robin Mccollough Smith | Behavior Technician | 295 Rancher St Apt 4, Jackson, WY 83001-8052 | 2018-05-16 |
| 1336655349 | Karen Horton | Behavior Technician | 425 Dalton Rd, Jackson, MI 49201-8828 | 2017-12-28 |
| 1508396862 | Renita D Reed | Behavior Technician | 1301 Jones Ave, Jackson, MS 39204-2737 | 2017-06-19 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| Find all providers in JACKSON | ||||
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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.