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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1497760086 | 05 |
| Street Address |
28000 WOODWARD SUITE 100 |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48067 |
| 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 |
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
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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.