SHELBY VINCKE (NPI# 1376173302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376173302 |
| Entity Type | Individual |
| Full Name | SHELBY VINCKE |
| Practice Address |
2925 Breton Rd Se Grand Rapids MI 49512-1745 |
| Mailing Address |
759 Douglas St Nw Grand Rapids MI 49504-5539 |
| Practice Telephone | 6162434336 |
| Mailing Telephone | 9893239476 |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |
| 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 |
2925 BRETON RD SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49512-1745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1457952780 | Samantha Cannon | Behavior Technician | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | 2020-11-03 |
| 1245860089 | Emma Caitlyn Chavez-mauricio | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | 2020-01-21 |
| 1245860477 | Rachel Jane Ronda | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | 2020-01-15 |
| 1083257281 | Karen Cumings | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | 2019-10-21 |
| 1326681529 | Diane Niblick | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | 2019-10-21 |
| 1982247334 | Isabelle Ruth Glidden | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | 2019-10-17 |
| 1982255964 | Rachel Marie Malone | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | 2019-09-22 |
| 1962059063 | Makayla Dalson | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | 2019-08-22 |
| 1316506488 | Sydney Marie Frelier | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | 2019-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| 1427294909 | Marcia Rappleye | Counselor | 3250 36th St Se, Grand Rapids, MI 49512 | 2009-01-05 |
| Find all providers in zip 49512 | ||||
| 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 |
|---|---|---|---|---|
| 1508467093 | Leah Jueckstock | Behavior Technician | 1703 N Greenfield Cir Ne Apt 102, Grand Rapids, MI 49505-5690 | 2020-11-03 |
| 1700492824 | Silas Mittelstaedt | Behavior Technician | 916 Benjamin Ave Se, Grand Rapids, MI 49506-3221 | 2020-09-23 |
| 1902413065 | Esther Kim | Behavior Technician | 3201 Burton St Se # Phi33, Grand Rapids, MI 49546-4301 | 2020-09-23 |
| 1619587995 | Taylor Villano | Behavior Technician | 2544 Sagewood Ave Ne Unit 618, Grand Rapids, MI 49525-2976 | 2020-08-03 |
| 1336757632 | Donte Castleberry | Behavior Technician | 415 Bradford St Ne, Grand Rapids, MI 49503-1638 | 2020-07-22 |
| 1467079574 | Kendall Romano | Behavior Technician | 1528 Hidden Creek Circle Dr Ne Apt F, Grand Rapids, MI 49505-5478 | 2020-07-06 |
| 1457976268 | Anna Wolff | Behavior Technician | 951 Sherman St Se, Grand Rapids, MI 49506-2603 | 2020-06-08 |
| 1194348763 | Alex Leahy | Behavior Technician | 255 Lane Ave Nw, Grand Rapids, MI 49504-7206 | 2020-05-18 |
| 1669095238 | Sarah Jackson | Behavior Technician | 234 Market Ave Sw Apt 49503, Grand Rapids, MI 49503-4080 | 2020-05-18 |
| 1952921926 | Vivian Horsch | Behavior Technician | 15 Gunnison Ave Sw, Grand Rapids, MI 49504-6217 | 2020-04-20 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49512 |
Please comment or provide details below to improve the information on SHELBY VINCKE.
| 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.