MARY K MAZZARA


Address: 28000 Woodward, Suite 100, Royal Oak, MI 48067
Phone: 2483953777

MARY K MAZZARA (NPI# 1477114536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477114536
Entity Type Individual
Full Name MARY K MAZZARA
Practice Address 28000 Woodward
Suite 100
Royal Oak
MI 48067
Practice Telephone 2483953777
Enumeration Date 2019-06-27
Last Update Date 2019-06-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 1497760086 05

Office Location

Street Address 28000 WOODWARD
SUITE 100
City ROYAL OAK
State MI
Zip Code 48067

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508234212 Valetta Aldridge Registered Nurse 28000 Woodward, Royal Oak, MI 48067 2015-09-11
1376197798 Julia Depa Registered Nurse 28000 Woodward, Suite 100, Royal Oak, MI 48067 2019-07-25
1932751922 Simone Frame Behavior Technician 28000 Woodward, Suite 100, Royal Oak, MI 48067 2019-07-10
1922650928 Kenneth Nelson Behavior Technician 28000 Woodward, Suite 100, Royal Oak, MI 48067 2019-07-10
1750943130 Daniell May Behavior Technician 28000 Woodward, Suite 100, Royal Oak, MI 48067 2019-07-05
1437711801 Danielle Bluford Behavior Technician 28000 Woodward, Suite 100, Royal Oak, MI 48067 2019-07-05
1568021749 Jennifer Germain Behavior Technician 28000 Woodward, Suite 100, Royal Oak, MI 48067 2019-06-11
1194384453 Darlene Princess Washington Behavior Technician 28000 Woodward, Suite 100, Royal Oak, MI 48067 2019-06-11
1013576834 Gabriella Tedesco Behavioral Analyst 28000 Woodward, Suite 100, Royal Oak, MI 48067 2019-06-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922609072 George Edward Khamis Psychologist 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 2020-11-05
1205443751 Crossover Health Medical Group Clinic/Center 424 E. 4th St, Suite 100, Royal Oak, MI 48067 2020-09-29
1750917811 Sonia B Shah-gonzalez Case Management 830 E Fourth St, #1, Royal Oak, MI 48067 2020-03-19
1568022960 Woodo Pharmacy LLC Pharmacy 909 E 11 Mile Rd, Royal Oak, MI 48067 2019-06-18
1093217564 Sharon Diane Malinowski Occupational Therapist 4949 Coolidge Hwy Section E, Adult Neuro Ot, Royal Oak, MI 48067 2018-03-01
1962916569 Nuch of Michigan Inc Clinic/Center 2140 E 12 Mile Rd, Royal Oak, MI 48067 2017-11-20
1629420179 Christine Paige Homeopath 1112 Catalpa, Royal Oak, MI 48067 2016-07-08
1104277045 Rppc Labs, LLC Clinical Medical Laboratory 26154 Woodward Ave Ste 5, Royal Oak, MI 48067 2016-06-22
1346606423 Thomas Michalos Counselor 402 S. Lafayette, Royal Oak, MI 48067 2016-01-05
1225419278 Erika Schwan Dietitian, Registered 317 E. Eleven Mile Rd., Royal Oak, MI 48067 2015-06-16
Find all providers in zip 48067

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467002139 Melissa Waelder Behavior Technician 4410 W 13 Mile Rd # 6515, Royal Oak, MI 48073-6515 2019-09-16
1083213755 Janica So Behavior Technician 28000 Woodward Ave, Royal Oak, MI 48067-0960 2020-10-22
1407469562 Batsheva Forta Behavior Technician 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 2020-08-28
1417583238 Elizabeth Kendall Behavior Technician 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 2020-03-13
1134752272 Megan Leonatti Behavior Technician 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 2020-02-18
1124651260 Regan Soriano Behavior Technician 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 2020-02-18
1861036188 Amanda Lynn Zeffero Behavior Technician 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 2019-10-30
1821649799 Jennifer Lynn Radowick Behavior Technician 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 2019-09-23
1053960039 Chrishara Shanae Richardson Behavior Technician 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 2019-09-11
1154970531 Olesia Kellezi Behavior Technician 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 2019-09-09
Find all providers in ROYAL OAK

Competitor

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City ROYAL OAK
Zip Code 48067

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Dataset Information

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.

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