ALYSSA POLEQUIN (NPI# 1205493020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205493020 |
Entity Type | Individual |
Full Name | ALYSSA POLEQUIN |
Practice Address |
55 Skeeter Ln. Dayton OH 45458-3881 |
Practice Telephone | 9378478750 |
Mailing Telephone | 9378478750 |
Enumeration Date | 2019-05-28 |
Last Update Date | 2019-05-28 |
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 |
55 SKEETER LN. |
City | DAYTON |
State | OH |
Zip Code | 45458-3881 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255948170 | John M Duchak Md Cardiology LLC | Specialist | 1036 Wild Hickory Lane, Centerville, OH 45458 | 2020-09-24 |
1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
1740770197 | Social Row Transitional Care, Inc. | Skilled Nursing Facility | 250 West Social Row Road, Centerville, OH 45458 | 2018-05-11 |
1326568833 | Mary Ann Horton | Registered Nurse | 1362 Hickoryview Ct, Dayton, OH 45458 | 2017-06-26 |
1487101911 | Brianna Burkman | Specialist/Technologist | 1400 Stone Ash Ct, Centerville, OH 45458 | 2016-09-01 |
1720434707 | Ascent Health, LLC | Community/Behavioral Health | 1162 Peachcreek Rd., Dayton, OH 45458 | 2016-05-10 |
1821450206 | Chi Living Communties | Skilled Nursing Facility | 1050 St. Leonard Way, Centerville, OH 45458 | 2016-03-24 |
1265842835 | Amanda Powell | Physical Therapist | 9582 Tahoe Drive, Centerville, OH 45458 | 2014-05-05 |
1255774337 | Rita Charlene Penley | Counselor | 99 South Main St, Centerville, OH 45458 | 2013-04-09 |
1447503933 | Martha Ann Sheldrick | Nurse Practitioner | 212 Walnut Grove Dr, Centerville, OH 45458 | 2012-10-21 |
Find all providers in zip 45458 |
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 |
---|---|---|---|---|
1104482835 | Ashley Nicole Baliff | Behavior Technician | 14088 Big Branch Dr, Dayton, MD 21036-1253 | 2019-05-17 |
1235694753 | Stacey R Thomas | Behavior Technician | 1404 Gascho Dr, Dayton, OH 45410-3305 | 2019-02-08 |
1154837201 | Lisa Diane Alford | Behavior Technician | 509 Yellow Jacket Rd, Dayton, NV 89403-8081 | 2017-12-26 |
1831620897 | Sarah Rachael Dean | Behavior Technician | 617 Aja Pl, Dayton, NV 89403-3010 | 2017-03-22 |
1538769237 | Bianca M Redwine | Behavior Technician | 1404 Gascho Dr, Dayton, OH 45410-3305 | 2020-10-30 |
1881293629 | Olivia Jimenez Benner | Behavior Technician | 7905 Schatz Pointe Dr Ste 104, Dayton, OH 45459-0001 | 2020-10-22 |
1770182511 | Audrey Brown | Behavior Technician | 7905 Schatz Pointe Dr Ste 104, Dayton, OH 45459-0001 | 2020-10-22 |
1215536057 | Ciara Smith | Behavior Technician | 7905 Schatz Pointe Dr Ste 104, Dayton, OH 45459-0001 | 2020-10-22 |
1831797042 | Kristen Harting | Behavior Technician | 7905 Schatz Pointe Dr Ste 104, Dayton, OH 45459-0001 | 2020-10-12 |
1861090128 | Mikayla Schriner | Behavior Technician | 7905 Schatz Pointe Dr Ste 104, Dayton, OH 45459-0001 | 2020-10-09 |
Find all providers in DAYTON |
Please comment or provide details below to improve the information on ALYSSA POLEQUIN.
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.