LOUKAS NICHOLAS KONDYLES (NPI# 1396226312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396226312 |
| Entity Type | Individual |
| Full Name | LOUKAS NICHOLAS KONDYLES |
| Practice Address |
1428 44th St Sw Wyoming MI 49509-4312 |
| Practice Telephone | 6166048492 |
| Practice Fax Number | 6166048493 |
| Mailing Telephone | 6166048492 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2019-09-05 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 27777 Inkster Rd Ste 100, Farmington Hills, MI 483345326 | 2484364476 |
| Street Address |
1428 44TH ST SW |
| City | WYOMING |
| State | MI |
| Zip Code | 49509-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487864831 | Conny M Raaymakers | Psychologist | 1428 44th St Sw, Suite E, Wyoming, MI 49509-7202 | 2007-05-23 |
| 1861090284 | Sethe Zachman | Behavior Technician | 1428 44th St Sw, Wyoming, MI 49509-4312 | 2020-10-16 |
| 1679186274 | Natalie Zak | Behavior Technician | 1428 44th St Sw, Wyoming, MI 49509-4312 | 2020-08-25 |
| 1689287252 | Sara Elizabeth Hayes | Behavior Technician | 1428 44th St Sw, Wyoming, MI 49509-4312 | 2020-08-24 |
| 1053920900 | Raelene Struckmeyer | Behavior Technician | 1428 44th St Sw, Wyoming, MI 49509-4312 | 2020-07-27 |
| 1043845282 | Myia Roberts | Behavior Technician | 1428 44th St Sw, Wyoming, MI 49509-4312 | 2020-03-09 |
| 1649816299 | Connor Pryde | Behavior Technician | 1428 44th St Sw, Wyoming, MI 49509-4312 | 2019-11-19 |
| 1528601903 | Tiesjwan Hughes | Behavior Technician | 1428 44th St Sw, Wyoming, MI 49509-4312 | 2019-10-18 |
| 1164070272 | Yueting Lu | Behavior Technician | 1428 44th St Sw, Wyoming, MI 49509-4312 | 2019-09-01 |
| 1972151785 | Ashton Spicer | Behavior Technician | 1428 44th St Sw, Wyoming, MI 49509-4312 | 2019-08-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023620713 | Lindsay Kayann Ottowitz | Behavior Technician | 1428 44th St. Sw, Wyoming, MI 49509 | 2020-08-23 |
| 1750990016 | Lindsay Alexandra Lyszczarz | Behavior Technician | 5281 Clyde Park Ave Se, Suite 2, Wyoming, MI 49509 | 2020-07-23 |
| 1033690409 | Courtney M Garner | Behavior Technician | 1428 44th Street, Wyoming, MI 49509 | 2018-08-23 |
| 1457857195 | Ashley Mae Autio | Case Manager/Care Coordinator | 795 36th Street, Wyoming, MI 49509 | 2018-04-02 |
| 1689124588 | Jacqeulyn Harmon | Behavioral Analyst | 2819 Peckheath Rd Sw Apt D, Wyoming, MI 49509 | 2016-10-04 |
| 1275988925 | Intsar Abdulahe | Social Worker | 1551 Charles Russell, Wyoming, MI 49509 | 2016-05-02 |
| 1992160071 | Concierge Home Care Services of West Michigan, LLC | Home Infusion | 1360 56th Street Sw, Wyoming, MI 49509 | 2015-12-16 |
| 1417349796 | Yashana Duncan | Case Manager/Care Coordinator | 225 Colrain St. Sw, Suite 2, Wyoming, MI 49509 | 2015-02-24 |
| 1710378377 | Rawm Vascular Access, Pllc | Internal Medicine | 1540 36th Street. Sw, Wyoming, MI 49509 | 2015-02-17 |
| 1366882755 | Kevin Timothy Solt | Dentist | 1535 44th St Sw Ste 200, Wyoming, MI 49509 | 2013-06-28 |
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| 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 |
|---|---|---|---|---|
| 1972100428 | Avery Cross | Behavior Technician | 2336 Floyd St Sw, Wyoming, MI 49519-3624 | 2020-10-07 |
| 1104439280 | Sarah Anne-taylor Sander | Behavior Technician | Developmental Enhancement Behavioral Health, 1428 44th St. Sw, Wyoming, MI 49509-4312 | 2020-08-28 |
| 1023620713 | Lindsay Kayann Ottowitz | Behavior Technician | 1428 44th St. Sw, Wyoming, MI 49509 | 2020-08-23 |
| 1750990016 | Lindsay Alexandra Lyszczarz | Behavior Technician | 5281 Clyde Park Ave Se, Suite 2, Wyoming, MI 49509 | 2020-07-23 |
| 1831716117 | Arianna Velazquez Amado | Behavior Technician | 105 32nd St Sw, Wyoming, MI 49548-1135 | 2020-07-02 |
| 1568093292 | Rachel Renee Nickerson | Behavior Technician | 2106 Johanna Ave Sw, Wyoming, MI 49509-1830 | 2020-01-31 |
| 1609412675 | Ethan Rogers | Behavior Technician | 2555 Fox Run Rd Sw Apt 10, Wyoming, MI 49519-5210 | 2019-11-25 |
| 1295295905 | Devin Nicole Doublestein | Behavior Technician | 4071 Quest Ct Sw, Wyoming, MI 49418-8366 | 2019-03-20 |
| 1063976454 | Elaina Sagorski | Behavior Technician | 5310 S Pine Slope Ct Sw, Wyoming, MI 49519-9642 | 2019-01-30 |
| 1033690409 | Courtney M Garner | Behavior Technician | 1428 44th Street, Wyoming, MI 49509 | 2018-08-23 |
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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.