JESSICA MARY MICHELE KANACH (NPI# 1417416801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417416801 |
| Entity Type | Individual |
| Full Name | JESSICA MARY MICHELE KANACH |
| Practice Address |
29 Marion St Wilmington MA 01887-3131 |
| Practice Telephone | 6175900059 |
| Mailing Telephone | 6175900059 |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
29 MARION ST |
| City | WILMINGTON |
| State | MA |
| Zip Code | 01887-3131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396208039 | Wilmington Rehab Center LLC | Skilled Nursing Facility | 90 West Street, Wilmington, MA 01887 | 2019-04-10 |
| 1912444159 | Myriam Mercedes Claudio Moser | Physical Therapist | 230 Lowell Street, Suite 2d, Wilmington, MA 01887 | 2017-01-26 |
| 1831430842 | Maribeth Crupi Physical Therpay LLC | Clinic/Center | 10 Elizabeth Drive, Wilmington, MA 01887 | 2013-03-15 |
| 1497027643 | Kristie Demirev | Social Worker | 113 West St, Wilmington, MA 01887 | 2012-02-03 |
| 1780828434 | Dental Care of Wilmington, LLC | Dentist | 66 Unit T Concord St, Wilmington, MA 01887 | 2009-04-25 |
| 1316191844 | Rem Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 187 Ballardvale Street, Suite 202, Wilmington, MA 01887 | 2008-11-11 |
| 1982894622 | Angie Faith Brenner | Social Worker | 5 Middlesex Ave., Suite 11, Wilmington, MA 01887 | 2007-07-30 |
| 1093847345 | Deborah Ann Edgerly | Dentist | 388 Rear Main Street, Wilmington, MA 01887 | 2007-03-12 |
| 1033240817 | Wilminton Public Schools | Local Education Agency (LEA) | 161 Church St., Wilmington, MA 01887 | 2007-03-07 |
| 1013046176 | Occupational Health Centers of The Southwest, P.a., Co. | Clinic/Center | 66b Concord St., Wilmington, MA 01887 | 2007-03-05 |
| Find all providers in zip 01887 | ||||
| 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 |
|---|---|---|---|---|
| 1447850300 | Caroline Elizabeth Boyette | Behavior Technician | 5018 Hunt Club Rd Apt 7, Wilmington, NC 28403-0645 | 2020-10-29 |
| 1558961417 | Olivia Grace Warren | Behavior Technician | 217 Greenville Ave Unit B, Wilmington, NC 28403-3511 | 2020-10-29 |
| 1912504200 | Nakiayah Wilson | Behavior Technician | 4023 Kennett Pike, Wilmington, DE 19807-2018 | 2020-10-08 |
| 1710584156 | Sarah Sacconey | Behavior Technician | 4023 Kennett Pike # 988, Wilmington, DE 19807-2018 | 2020-10-08 |
| 1851931208 | Wendy Hebenstreit | Behavior Technician | 953 Downey Branch Ln, Wilmington, NC 28403-4244 | 2020-01-14 |
| 1518504562 | Marissa Leigh Russell | Behavior Technician | 422 Alpine Dr, Wilmington, NC 28403-0202 | 2019-12-09 |
| 1104482470 | Savannah Jayne Brinkley | Behavior Technician | 706 Indica Ct Apt 201, Wilmington, NC 28405-1113 | 2019-05-13 |
| 1982165676 | Emily Mae Mason | Behavior Technician | 3124 Evergreen Dr, Wilmington, MA 01887-1176 | 2019-03-26 |
| 1093274052 | Haeli Dove | Behavior Technician | 353 Darlington Ave Unit 105, Wilmington, NC 28403-1370 | 2019-03-18 |
| 1265990147 | Jennifer Ann Gillis | Behavior Technician | 27a Hobson Ave, Wilmington, MA 01887-2059 | 2019-03-09 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 01887 |
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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.