CRYSTAL MARIE ROLAND (NPI# 1356836340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356836340 |
| Entity Type | Individual |
| Full Name | CRYSTAL MARIE ROLAND |
| Credential | BT |
| Practice Address |
1070 W Houghton Lake Dr Prudenville MI 48651-9673 |
| Practice Telephone | 9899653274 |
| Mailing Telephone | 9899653274 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |
| 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 |
1070 W HOUGHTON LAKE DR |
| City | PRUDENVILLE |
| State | MI |
| Zip Code | 48651-9673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013342815 | Patricia J Stearns | Speech-Language Pathologist | 1070 W Houghton Lake Dr, Suite B, Prudenville, MI 48651-9673 | 2013-09-11 |
| 1457966111 | Casey Krajenka | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-09-10 |
| 1154949865 | Hillary Dinh Tran | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-07-09 |
| 1255967311 | Denise Louise Spring | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-03-19 |
| 1558997999 | Timothy Justin Therrien | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-03-17 |
| 1104452895 | Courtenay Larkin | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-03-13 |
| 1548895337 | Joseph Daniel Morgan | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-03-12 |
| 1285268706 | Nichole Lynn Latowski | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-02-24 |
| 1205460805 | Denise Marie Leaym | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-02-24 |
| 1578196531 | Melissa Merritt | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710469036 | Stephenie Irish | Behavior Technician | Rise Center for Autism, 1840 West Houghton Lake Dr Unit 2, Prudenville, MI 48651 | 2018-09-04 |
| 1083965404 | Mercy Physician Network | Clinic/Center | 2585 W Houghton Lake Drive, Prudenville, MI 48651 | 2012-09-25 |
| 1609976968 | Kronner Pharmacy Inc | Pharmacy | 778 W Houghton Lake Dr, Prudenville, MI 48651 | 2006-09-25 |
| 1255352936 | Mclaren Primary Care | Family Medicine | 200 N. Grand Ave, Prudenville, MI 48651 | 2006-07-21 |
| 1053381871 | Marvin Earl Mcelroy | Internal Medicine | 1064 W West Branch Rd, Prudenville, MI 48651 | 2006-01-24 |
| 1598390080 | Rhiannon Burch | Behavior Technician | Rise Center for Autism, 1070 W. Houghton Lake Drive, Prudenville, MI 48651 | 2020-03-05 |
| 1629357090 | Mclaren Bay Region | Nurse Practitioner | 200 Grand Ave, Prudenville, MI 48651 | 2011-08-16 |
| 1427320894 | Patricia Henning Caswell | Counselor | 1401 Short Dr., Prudenville, MI 48651-0019 | 2012-02-01 |
| 1023015104 | Suzanne A Blanchard | Nurse Practitioner | 1401 Short Drive, Prudenville, MI 48651-0019 | 2005-07-05 |
| 1023640992 | Julie Ignatowski | Speech-Language Pathologist | 847 Springwood Dr, Prudenville, MI 48651-8405 | 2020-02-10 |
| Find all providers in zip 48651 | ||||
| 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 |
|---|---|---|---|---|
| 1609420512 | Daytona Jacques | Behavior Technician | 1101 Iroquois Ave, Prudenville, MI 48651-9650 | 2019-07-29 |
| 1457827529 | Jessica Nichole Costanza | Behavior Technician | 1840 W Houghton Lake Drive, Unit 2, Prudenville, MI 48629 | 2018-10-16 |
| 1710469036 | Stephenie Irish | Behavior Technician | Rise Center for Autism, 1840 West Houghton Lake Dr Unit 2, Prudenville, MI 48651 | 2018-09-04 |
| 1760991525 | Jessica Vought | Behavior Technician | 1840 W Houghton Lake Dr, Prudenville, MI 48651-9672 | 2017-09-25 |
| 1457966111 | Casey Krajenka | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-09-10 |
| 1154949865 | Hillary Dinh Tran | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-07-09 |
| 1255967311 | Denise Louise Spring | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-03-19 |
| 1558997999 | Timothy Justin Therrien | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-03-17 |
| 1104452895 | Courtenay Larkin | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-03-13 |
| 1548895337 | Joseph Daniel Morgan | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-03-12 |
| Find all providers in PRUDENVILLE | ||||
| City | PRUDENVILLE |
| Zip Code | 48651 |
Please comment or provide details below to improve the information on CRYSTAL MARIE ROLAND.
| 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.