LORREN ROBERTS (NPI# 1255966834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255966834 |
| Entity Type | Individual |
| Full Name | LORREN ROBERTS |
| Practice Address |
955 Campus Dr N Waterford MI 48328-2754 |
| Practice Telephone | 2484756300 |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
955 CAMPUS DR N |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-2754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194254029 | Pamela Ann Jeremias | Social Worker | 955 Campus Dr N, Waterford, MI 48328-2754 | 2017-06-05 |
| 1417557166 | Nicholas Ruddy | Behavior Technician | 955 Campus Dr N, Waterford, MI 48328-2754 | 2020-10-30 |
| 1417557810 | Emily Grace Maxwell | Case Manager/Care Coordinator | 955 Campus Dr N, Waterford, MI 48328-2754 | 2020-10-27 |
| 1730791716 | Morgan Marie Bass | Behavior Technician | 955 Campus Dr N, Waterford, MI 48328-2754 | 2020-08-20 |
| 1992316269 | Carolyn Meador | Case Manager/Care Coordinator | 955 Campus Dr N, Waterford, MI 48328-2754 | 2020-08-11 |
| 1598376998 | Brianna Adler | Case Manager/Care Coordinator | 955 Campus Dr N, Waterford, MI 48328-2754 | 2020-08-11 |
| 1679106694 | Karissa Ritthaler | Case Manager/Care Coordinator | 955 Campus Dr N, Waterford, MI 48328-2754 | 2020-02-18 |
| 1063054526 | Kaele Polzin | Assistant Behavior Analyst | 955 Campus Dr N, Waterford, MI 48328-2754 | 2019-10-16 |
| 1568010486 | Ksenia Zakharova | Assistant Behavior Analyst | 955 Campus Dr N, Waterford, MI 48328-2754 | 2019-09-04 |
| 1477111367 | Erin Lazoen | Behavior Technician | 955 Campus Dr N, Waterford, MI 48328-2754 | 2019-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| 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 |
|---|---|---|---|---|
| 1588298384 | Rachel Lee Ocker | Behavior Technician | 2925 Greyberry Dr Apt 204, Waterford, MI 48328-4427 | 2020-03-02 |
| 1295379980 | Shelly A Rogin | Behavior Technician | 140 Garland Way, Waterford, MI 48327-3687 | 2019-11-05 |
| 1194369850 | Mallory Tucker | Behavior Technician | 7328 Arbor Trl Apt 201, Waterford, MI 48327-4501 | 2019-11-05 |
| 1548803463 | Yeirim Kim | Behavior Technician | 5619 Cooley Lake Rd, Waterford, MI 48327-3016 | 2019-10-23 |
| 1225679657 | Gabrielle Kardas | Behavior Technician | 5536 Hanley, Waterford, MI 48327-2560 | 2019-10-07 |
| 1952871832 | Chelsea Nolan | Behavior Technician | 7878 E Oakland Manor Dr, Waterford, MI 48327-1477 | 2018-12-04 |
| 1417557166 | Nicholas Ruddy | Behavior Technician | 955 Campus Dr N, Waterford, MI 48328-2754 | 2020-10-30 |
| 1730791716 | Morgan Marie Bass | Behavior Technician | 955 Campus Dr N, Waterford, MI 48328-2754 | 2020-08-20 |
| 1477111367 | Erin Lazoen | Behavior Technician | 955 Campus Dr N, Waterford, MI 48328-2754 | 2019-06-05 |
| 1124594130 | Coleman Luis Fresquez | Behavior Technician | 955 Campus Dr N, Waterford, MI 48328-2754 | 2018-10-17 |
| Find all providers in WATERFORD | ||||
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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.