BRENNA NICOLE HENDLER (NPI# 1407487515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407487515 |
| Entity Type | Individual |
| Full Name | BRENNA NICOLE HENDLER |
| Practice Address |
2221 Livernois Rd Troy MI 48083-1603 |
| Practice Telephone | 2485440360 |
| Mailing Telephone | 2485440360 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |
| 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 |
2221 LIVERNOIS RD |
| City | TROY |
| State | MI |
| Zip Code | 48083-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801888904 | Mazin Putrus Yonan | Internal Medicine | 2221 Livernois Rd, 100, Troy, MI 48083-1603 | 2005-08-16 |
| 1104458793 | Jamie Main II | Behavior Technician | 2221 Livernois Rd, Troy, MI 48083-1603 | 2020-02-11 |
| 1902438591 | Chase William Carter I | Behavior Technician | 2221 Livernois Rd, Troy, MI 48083-1603 | 2020-02-11 |
| 1356812010 | Olivia Nella Walkuski | Behavior Technician | 2221 Livernois Rd, Troy, MI 48083-1603 | 2018-12-06 |
| 1447728076 | Michelle Berciles Villareal | Nurse Practitioner | 2221 Livernois Rd, Troy, MI 48083-1603 | 2018-11-13 |
| 1992273981 | Elise Halterman | Behavior Technician | 2221 Livernois Rd, Troy, MI 48083-1603 | 2018-11-07 |
| 1780150821 | Mercedes White | Behavior Technician | 2221 Livernois Rd, Troy, MI 48083-1603 | 2018-10-16 |
| 1235604091 | Kayla Marie Porter | Behavior Technician | 2221 Livernois Rd, Troy, MI 48083-1603 | 2018-10-09 |
| 1184106619 | Jennifer Hiltunen | Behavior Technician | 2221 Livernois Rd, Troy, MI 48083-1603 | 2018-08-31 |
| 1396237897 | Sydney Christine Macalpine | Behavior Technician | 2221 Livernois Rd, Troy, MI 48083-1603 | 2018-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
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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 |
|---|---|---|---|---|
| 1366919581 | Megan Elise Sacco | Behavior Technician | 2221 Livernois Rd # Mi48083, Troy, MI 48083-1603 | 2018-10-25 |
| 1205327509 | Leynna Nguyen | Behavior Technician | 2413 Niagara Dr, Troy, MI 48083-5938 | 2018-05-22 |
| 1891284428 | Brianne M Bendel | Behavior Technician | 2281 Isabell Dr, Troy, MI 48083-2311 | 2018-05-09 |
| 1134729270 | Shara S Jamierson | Behavior Technician | 2221 Livernois Rd Ste 101, Troy, MI 48083-1603 | 2020-10-28 |
| 1215547682 | Madison Marie Williams | Behavior Technician | 1018 S Brundidge St, Troy, AL 36081-3148 | 2020-07-31 |
| 1740899251 | Taylor Tinney | Behavior Technician | 1018 S Brundidge St, Troy, AL 36081-3148 | 2020-07-30 |
| 1851928774 | Razan Abed | Behavior Technician | 5877 Livernois Rd, Troy, MI 48098-3100 | 2020-03-23 |
| 1326673112 | Marissa Axline | Behavior Technician | 5877 Livernois Rd, Troy, MI 48098-3100 | 2020-03-11 |
| 1619502093 | Fairwz Shoubah | Behavior Technician | 5877 Livernois Rd, Troy, MI 48098-3100 | 2020-03-06 |
| 1851926307 | Logan Mae Fish | Behavior Technician | 5877 Livernois Rd, Troy, MI 48098-3100 | 2020-03-05 |
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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.