WILLIE TIMOTHY DONALD JR. (NPI# 1366931156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366931156 |
| Entity Type | Individual |
| Full Name | WILLIE TIMOTHY DONALD JR. |
| Credential | TECHNICIAN |
| Practice Address |
4755 Jefferson St Gary IN 46408-4530 |
| Practice Telephone | 2193448909 |
| Mailing Telephone | 2193448909 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1225026669 | Willie Lee Donald | Obstetrics & Gynecology | 100 Navarre Pl, Ste. 4410, South Bend, IN 46601-1156 | 2005-10-10 |
| Street Address |
4755 JEFFERSON ST |
| City | GARY |
| State | IN |
| Zip Code | 46408-4530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497275788 | Brynn T Shelton | Home Health Aide | 4138 Ruthledge St, Gary, IN 46408 | 2017-06-27 |
| 1306243027 | Around The Clock Transportation | Non-emergency Medical Transport (VAN) | 3979 Cleveland St, Gary, IN 46408 | 2014-11-24 |
| 1710900956 | Home Health Services Inc | Home Health | 1281 W Ridge Road, Gary, IN 46408 | 2006-07-26 |
| 1023031978 | Nkechi Pauline Onyeukwu | Nurse Practitioner | 3814 Grant Street, Gary, IN 46408 | 2006-07-25 |
| 1093724007 | Geoffrey Okechukwu Onyeukwu | Family Medicine | 3814 Grant Street, Gary, IN 46408 | 2006-08-07 |
| 1629091863 | Home Health Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1281 W Ridge Road, Gary, IN 46408 | 2006-07-26 |
| 1952364648 | Trc - Indiana LLC | Clinic/Center | 4802 Broadway, Gary, IN 46408 | 2006-04-11 |
| 1073510244 | Broadway Foot Clinic Corporation | Podiatrist | 3290 Grant St, Suite 108, Gary, IN 46408-1015 | 2005-07-03 |
| 1205180676 | Fresenius Medical Care Nw Indiana, LLC | Clinic/Center | 3290 Grant St, Gary, IN 46408-1015 | 2012-11-06 |
| 1194830935 | Everest Healthcare Indiana, Inc. | Clinic/Center | 3290 Grant St, Gary, IN 46408-1015 | 2006-08-20 |
| Find all providers in zip 46408 | ||||
| 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 |
|---|---|---|---|---|
| 1053800334 | Ernest Jones | Behavior Technician | 846 King St, Gary, IN 46406-2061 | 2018-05-02 |
| 1013567601 | Dawn Randle | Behavior Technician | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-09-16 |
| 1578067393 | Ginger Laura Wells | Behavior Technician | 1100 W 6th Ave, Gary, IN 46402-1711 | 2018-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104750 | Dmetric Brown | Behavior Technician | 3771 South A St, Richmond, IN 47374-6053 | 2020-11-06 |
| 1811598048 | Courtney Caffrey | Behavior Technician | 2916 Peach Blossom Dr Ste 104, Jeffersonville, IN 47130-8380 | 2020-11-04 |
| 1790383289 | True Legacy Family Services LLC | Behavior Technician | 9165 Otis Ave Ste 202, Indianapolis, IN 46216-2312 | 2020-10-15 |
| 1881292175 | Natalie Dominguez | Behavior Technician | 4701 E Margaret Dr, Terre Haute, IN 47803-9303 | 2020-10-09 |
| 1205442894 | Victoria Whittaker | Behavior Technician | 1543 Spann Ave, Indianapolis, IN 46203-1248 | 2020-09-18 |
| 1326652660 | Erin Rolland | Behavior Technician | 8200 Gerogia St., Merrillville, IN 46410-6227 | 2020-09-03 |
| 1649883976 | Amie Byers | Behavior Technician | 1081 3rd Ave Sw Ste 7, Carmel, IN 46032-7500 | 2020-08-26 |
| 1932711272 | Chaeney L Brown | Behavior Technician | 2014 Lincolnway E Ste 3, Goshen, IN 46526-6818 | 2020-08-18 |
| 1679190367 | Joie Adams | Behavior Technician | 2439 81st St, Highland, IN 46322-1004 | 2020-06-29 |
| 1376160259 | Brenda Van Schaick-bianchi | Behavior Technician | 2425 Boyer Ln, Indianapolis, IN 46217-8793 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
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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.