ALYSSA POLEQUIN


Address: 55 Skeeter Ln., Dayton, OH 45458-3881
Phone: 9378478750

ALYSSA POLEQUIN (NPI# 1205493020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Office Location

Street Address 55 SKEETER LN.
City DAYTON
State OH
Zip Code 45458-3881

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City DAYTON
Zip Code 45458

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Dataset Information

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.

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