AMANDA NICHOLE BLACK (NPI# 1285278549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285278549 |
| Entity Type | Individual |
| Full Name | AMANDA NICHOLE BLACK |
| Practice Address |
2520 University Park Bldg D Mt Pleasant MI 48858-4464 |
| Mailing Address |
4731 Brook Ln Mt Pleasant MI 48858-2184 |
| Practice Telephone | 9897752529 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548506009 | Amanda Kay Black | Occupational Therapy Assistant | 110 N Arbor Park, Louisville, KY 40214-2711 | 2013-01-02 |
| 1154966620 | Amanda Virginia Black | Behavioral Analyst | 1000 Crawford Pl, Mount Laurel, NJ 08054-3932 | 2019-11-08 |
| 1487201851 | Amanda M Black | Counselor | 499 W 4th Ave, Eugene, OR 97401-2505 | 2019-08-21 |
| 1285286948 | Amanda Black | Social Worker | 511 8th St, Clarksville, TN 37040-3093 | 2019-07-12 |
| 1992362818 | Amanda Black | Occupational Therapist | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2019-05-27 |
| 1821504341 | Amanda Black | Physician Assistant | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2017-12-20 |
| 1215480595 | Amanda Nicole Black | Nurse Practitioner | 8260 Atlee Road, Mechanicsville, VA 23116 | 2016-08-03 |
| 1821450891 | Amanda Rae Schwenn Black | Psychiatry & Neurology | 1095 Highway 15 S, Hutchinson, MN 55350-5000 | 2016-03-28 |
| 1609251073 | Amanda Black | Nurse Practitioner | 327 Park Ave, Fort Lupton, CO 80621-1929 | 2015-07-27 |
| 1265715551 | Amanda Kay Black | Pharmacist | 2351 Dawson Rd, Albany, GA 31707-2435 | 2011-09-22 |
| Street Address |
2520 UNIVERSITY PARK BLDG D |
| City | MT PLEASANT |
| State | MI |
| Zip Code | 48858-4464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699269969 | Terese Weeks | Behavior Technician | 2520 University Park Bldg D, Mt Pleasant, MI 48858-4464 | 2018-06-19 |
| 1376037044 | Haley Millis | Behavior Technician | 2520 University Park Bldg D, Mt Pleasant, MI 48858-4464 | 2018-06-18 |
| 1326532011 | Shelby Muhn | Behavior Technician | 2520 University Park Bldg D, Mt Pleasant, MI 48858 | 2018-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535067 | Family Tree Maternity Center, LLC | Midwife | 5201 S. Mission Rd., Mt. Pleasant, MI 48858 | 2020-10-14 |
| 1942842471 | Isabella Citizens for Health, Inc. | Pharmacy | 2790 Health Parkway, Mt Pleasant, MI 48858 | 2019-10-16 |
| 1295299279 | Dalten Tyler Simnitch | Student in an Organized Health Care Education/Training Program | 3700 E Deerfield Rd, Lexington Ridge E01, Mount Pleasant, MI 48858 | 2019-01-24 |
| 1942773809 | Jordan Lynn Bell | Technician, Other | 798 S Whilteville Rd, Mount Pleasant, MI 48858 | 2019-01-03 |
| 1083183578 | Amanda Danielle Greene | Student in an Organized Health Care Education/Training Program | 1280 E. Campus Dr., Central Michigan University, Mt. Pleasant, MI 48858 | 2018-11-14 |
| 1891264388 | Emily Mccullen | Student in an Organized Health Care Education/Training Program | 1280 E Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1174092662 | Nathaniel Lambie | Student in an Organized Health Care Education/Training Program | 1280 East Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1386110872 | Megan Stahl | Social Worker | 301 S Crapo St Suite 100, Mt.pleasant, MI 48858 | 2018-10-23 |
| 1710461090 | Beverly Jean Medford | Custodial Care Facility | 9318 E. Pickard Rd., Mount Pleasant Mi, MI 48858 | 2018-09-21 |
| 1760976211 | Jen Carlesimo | Behavior Technician | Central Autism Treatment Center, 2520 S. University Park Drive, Building D, Mt. Pleasant, MI 48858 | 2018-06-19 |
| Find all providers in zip 48858 | ||||
| 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 |
|---|---|---|---|---|
| 1083220875 | Brent G Heberling | Behavior Technician | 1524 E Broadway St, Mt Pleasant, MI 48858-2933 | 2020-09-17 |
| 1346853637 | Adam Mcelyea | Behavior Technician | 1524 E Broadway St, Mt Pleasant, MI 48858-2933 | 2020-08-26 |
| 1073145553 | Megan Wander | Behavior Technician | 1114 E Chippewa St, Mt Pleasant, MI 48858-1853 | 2020-02-12 |
| 1952931073 | Emma Worczak | Behavior Technician | 1123 Queensborough Blvd Ste 102, Mt Pleasant, SC 29464-3682 | 2020-01-16 |
| 1588204143 | Kelly Vanadia | Behavior Technician | 1123 Queensborough Blvd Ste 102, Mt Pleasant, SC 29464-3682 | 2020-01-13 |
| 1558908665 | Jennifer Gooding | Behavior Technician | 1123 Queensborough Blvd Ste 102, Mt Pleasant, SC 29464-3682 | 2019-12-09 |
| 1407493497 | Anna Marie Urbano | Behavior Technician | 1123 Queensborough Blvd Ste 102, Mt Pleasant, SC 29464-3682 | 2019-12-09 |
| 1609419332 | Molly Gerber | Behavior Technician | 1123 Queensborough Blvd Ste 102, Mt Pleasant, SC 29464-3682 | 2019-10-25 |
| 1568013704 | Julie Kasik | Behavior Technician | 1123 Queensborough Blvd Ste 102, Mt Pleasant, SC 29464-3682 | 2019-09-27 |
| 1851949523 | Olga Karahalios | Behavior Technician | 1123 Queensborough Blvd Ste 102, Mt Pleasant, SC 29464-3682 | 2019-08-27 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 48858 |
Please comment or provide details below to improve the information on AMANDA NICHOLE BLACK.
| 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.