SHANNEN LEE NIDO (NPI# 1336623321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336623321 |
| Entity Type | Individual |
| Full Name | SHANNEN LEE NIDO |
| Practice Address |
13213 E 14 Mile Rd Sterling Heights MI 48312-6302 |
| Practice Telephone | 5869394783 |
| Mailing Telephone | 5869394783 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |
| 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 |
13213 E 14 MILE RD |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48312-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992817050 | Tresavon Delaney Parker IIi | Psychologist | 13213 E 14 Mile Rd, Sterling Heights, MI 48312-6302 | 2006-08-31 |
| 1063011906 | Danielle Lynn Kemmer | Behavior Technician | 13213 E 14 Mile Rd, Sterling Heights, MI 48312-6302 | 2020-10-21 |
| 1770196818 | Katie Marie Price | Behavior Technician | 13213 E 14 Mile Rd, Sterling Heights, MI 48312-6302 | 2020-08-28 |
| 1609485960 | Jenna Marie Kowalski | Social Worker | 13213 E 14 Mile Rd, Sterling Heights, MI 48312-6302 | 2020-07-23 |
| 1265050314 | Abigail Mae Hartwick | Behavior Technician | 13213 E 14 Mile Rd, Sterling Heights, MI 48312-6302 | 2020-07-06 |
| 1407499114 | Bonnie J Hairston | Behavior Technician | 13213 E 14 Mile Rd, Sterling Heights, MI 48312-6302 | 2019-10-25 |
| 1457812604 | Kayla Anne Waple | Behavior Technician | 13213 E 14 Mile Rd, Sterling Heights, MI 48312-6302 | 2019-03-29 |
| 1356815971 | Danaysha Lashay Hale | Behavioral Analyst | 13213 E 14 Mile Rd, Sterling Heights, MI 48312 | 2019-01-16 |
| 1568935328 | Cathryn Butler | Behavior Technician | 13213 E 14 Mile Rd, Sterling Heights, MI 48312-6302 | 2019-01-04 |
| 1386126183 | Sandra Ranucci | Behavior Technician | 13213 E 14 Mile Rd, Sterling Heights, MI 48312-6302 | 2018-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043701287 | Erin Krugel | Physical Therapist | 33464 Schoenherr Rd Ste 100, Sterling Heights, MI 48312 | 2018-05-23 |
| 1124556691 | Roman Novatchinski | Licensed Practical Nurse | 13654 Brougham, Sterling Heights, MI 48312 | 2017-05-30 |
| 1679010763 | Lake City Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 33389 Van Dyke Ave, Sterling Heights, MI 48312 | 2017-01-26 |
| 1598113912 | Joseph Donald Evens | Occupational Therapist | 11635 Filer Drive, Sterling Heights, MI 48312 | 2016-05-26 |
| 1942656855 | Damini Desai | Technician, Other | 38157 Corbett Dr, Sterling Heights, MI 48312 | 2016-05-10 |
| 1891151593 | Your Healing Hands Massage Therapy, LLC | Massage Therapist | 6029 E 14 Mile Rd Ste 200, Sterling Heights, MI 48312 | 2016-01-11 |
| 1033539069 | Macomb County Community Mental Health | Community/Behavioral Health | 6555 15 Mile Road, Sterling Heights, MI 48312 | 2014-04-17 |
| 1467705871 | Julie Anne Hepke | Social Worker | 13213 E. 14 Mile Road, Sterling Heights, MI 48312 | 2012-10-23 |
| 1619226354 | Kimberly Marie Dorband | Physical Therapy Assistant | 6041 15 Mile Road, Sterling Heights, MI 48312 | 2012-09-07 |
| 1477810026 | Frances Sherryl Salvadora Ramos | Physical Therapist | 8170 Crestview Dr Apt 6, Sterling Heights, MI 48312 | 2012-04-20 |
| Find all providers in zip 48312 | ||||
| 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 |
|---|---|---|---|---|
| 1295332740 | Denise Mathews | Behavior Technician | 11107 Lesure Dr, Sterling Heights, MI 48312-1248 | 2020-10-07 |
| 1508476961 | Briana Smiley | Behavior Technician | 34475 Mound Road, Sterling Heights, MI 48310 | 2020-07-31 |
| 1356982078 | Dylan Wayne Melton | Behavior Technician | 38668 Filly Dr, Sterling Heights, MI 48310-1782 | 2019-10-03 |
| 1245880442 | Jordan Polsinelli | Behavior Technician | 43428 Vinsetta Dr, Sterling Heights, MI 48313-2390 | 2019-09-19 |
| 1437617438 | Nuvia Hernandez | Behavior Technician | 14672 Annapolis Dr, Sterling Heights, MI 48313-3616 | 2019-03-08 |
| 1649749086 | Amanda Joel Smith | Behavior Technician | 42274 Parkside Cir Apt 102, Sterling Heights, MI 48314-3430 | 2018-11-15 |
| 1801374285 | Smriti Abraham | Behavior Technician | 42363 Hickorywood Dr, Sterling Heights, MI 48314-2931 | 2018-07-30 |
| 1063011906 | Danielle Lynn Kemmer | Behavior Technician | 13213 E 14 Mile Rd, Sterling Heights, MI 48312-6302 | 2020-10-21 |
| 1548868649 | Cameron Ronelle Davis | Behavior Technician | 33464 Schoenherr Rd Ste 180, Sterling Heights, MI 48312-6392 | 2020-10-12 |
| 1932713336 | Caroline Mcdonald | Behavior Technician | 34475 Mound Rd, Sterling Heights, MI 48310-5761 | 2020-09-02 |
| Find all providers in STERLING HEIGHTS | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48312 |
Please comment or provide details below to improve the information on SHANNEN LEE NIDO.
| 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.