SAMANTHA JOY ERICKSEN (NPI# 1215422431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215422431 |
| Entity Type | Individual |
| Full Name | SAMANTHA JOY ERICKSEN |
| Credential | RBT |
| Practice Address |
2814 Woodcliff Cir Se Grand Rapids MI 49506 |
| Mailing Address |
851 Innes St Ne Grand Rapids MI 49503-3517 |
| Practice Telephone | 8558326727 |
| Practice Fax Number | 7726759100 |
| Mailing Telephone | 6165507507 |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 851 Innes St Ne, Grand Rapids, MI 495033517 | 6165507507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679071773 | Samantha Ericksen | Physician Assistant | 11513 N Main St, Jacksonville, FL 32218-4002 | 2018-01-24 |
| Street Address |
2814 WOODCLIFF CIR SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700144060 | Gabrielle Elena Bloom | Behavioral Analyst | 2814 Woodcliff Cir Se, Grand Rapids, MI 49506-3155 | 2012-04-24 |
| 1659972420 | Hannah Britton | Behavior Technician | 2814 Woodcliff Cir Se, Grand Rapids, MI 49506-3155 | 2020-11-06 |
| 1558962118 | Damaya Starr | Behavior Technician | 2814 Woodcliff Cir Se, Grand Rapids, MI 49506-3155 | 2020-11-02 |
| 1134729007 | Andrew David Speas | Behavior Technician | 2814 Woodcliff Cir Se, Grand Rapids, MI 49506-3155 | 2020-10-29 |
| 1265031116 | Amy Dunn | Behavior Technician | 2814 Woodcliff Cir Se, Grand Rapids, MI 49506-3155 | 2020-10-21 |
| 1063011476 | Rebecca Lange | Behavior Technician | 2814 Woodcliff Cir Se, Grand Rapids, MI 49506-3155 | 2020-10-19 |
| 1346848843 | Ashley N Craddock | Behavior Technician | 2814 Woodcliff Cir Se, Grand Rapids, MI 49506-3155 | 2020-10-15 |
| 1427656131 | Carrie Ann Scofield | Behavior Technician | 2814 Woodcliff Cir Se, Grand Rapids, MI 49506-3155 | 2020-10-14 |
| 1841898848 | Amy Jo Hamman | Behavior Technician | 2814 Woodcliff Cir Se, Grand Rapids, MI 49506-3155 | 2020-10-12 |
| 1144827619 | Lauren Elizabeth Meijer | Behavior Technician | 2814 Woodcliff Cir Se, Grand Rapids, MI 49506-3155 | 2020-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| 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 |
|---|---|---|---|---|
| 1508467093 | Leah Jueckstock | Behavior Technician | 1703 N Greenfield Cir Ne Apt 102, Grand Rapids, MI 49505-5690 | 2020-11-03 |
| 1700492824 | Silas Mittelstaedt | Behavior Technician | 916 Benjamin Ave Se, Grand Rapids, MI 49506-3221 | 2020-09-23 |
| 1902413065 | Esther Kim | Behavior Technician | 3201 Burton St Se # Phi33, Grand Rapids, MI 49546-4301 | 2020-09-23 |
| 1619587995 | Taylor Villano | Behavior Technician | 2544 Sagewood Ave Ne Unit 618, Grand Rapids, MI 49525-2976 | 2020-08-03 |
| 1336757632 | Donte Castleberry | Behavior Technician | 415 Bradford St Ne, Grand Rapids, MI 49503-1638 | 2020-07-22 |
| 1467079574 | Kendall Romano | Behavior Technician | 1528 Hidden Creek Circle Dr Ne Apt F, Grand Rapids, MI 49505-5478 | 2020-07-06 |
| 1457976268 | Anna Wolff | Behavior Technician | 951 Sherman St Se, Grand Rapids, MI 49506-2603 | 2020-06-08 |
| 1194348763 | Alex Leahy | Behavior Technician | 255 Lane Ave Nw, Grand Rapids, MI 49504-7206 | 2020-05-18 |
| 1669095238 | Sarah Jackson | Behavior Technician | 234 Market Ave Sw Apt 49503, Grand Rapids, MI 49503-4080 | 2020-05-18 |
| 1952921926 | Vivian Horsch | Behavior Technician | 15 Gunnison Ave Sw, Grand Rapids, MI 49504-6217 | 2020-04-20 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
Please comment or provide details below to improve the information on SAMANTHA JOY ERICKSEN.
| 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.