CATHERINE ANNE SANDOVAL (NPI# 1487123360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487123360 |
| Entity Type | Individual |
| Full Name | CATHERINE ANNE SANDOVAL |
| Practice Address |
9641 Harper Ave Detroit MI 48213-2731 |
| Practice Telephone | 3139235050 |
| Mailing Telephone | 3139235050 |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |
| 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 |
9641 HARPER AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48213-2731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952718462 | Kristina Marie Taylor | Social Worker | 9641 Harper Ave, Detroit, MI 48213-2731 | 2014-07-16 |
| 1285266916 | Shelley Benjamin | Social Worker | 9641 Harper Ave, Detroit, MI 48213-2731 | 2020-02-11 |
| 1629623541 | Jennifer May Bardon | Social Worker | 9641 Harper Ave, Detroit, MI 48213-2731 | 2019-08-07 |
| 1275001521 | Saad Uddin | Social Worker | 9641 Harper Ave, Detroit, MI 48213-2731 | 2018-11-05 |
| 1750868113 | Brianna Lafran Moore | Behavior Technician | 9641 Harper Ave, Detroit, MI 48213-2731 | 2018-07-27 |
| 1457844631 | Samantha Brooks | Behavior Technician | 9641 Harper Ave, Detroit, MI 48213-2731 | 2018-06-12 |
| 1811493422 | Lashawn Marie Houze | Behavior Technician | 9641 Harper Ave, Detroit, MI 48213-2731 | 2018-04-03 |
| 1285130898 | Tremon Gougisha Jr. | Behavior Technician | 9641 Harper Ave, Detroit, MI 48213-2731 | 2018-04-03 |
| 1174030126 | Joey Turner | Behavior Technician | 9641 Harper Ave, Detroit, MI 48213-2731 | 2017-12-29 |
| 1023537537 | Sierra Flowers | Behavior Technician | 9641 Harper Ave, Detroit, MI 48213-2731 | 2017-09-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| 1073049144 | Cheryl Williams | Community Health Worker | 13929 Chalmers Ave., Detroit, MI 48213 | 2017-05-10 |
| 1164963401 | Smile Fresh Detroit PC | Dentist | 7230 Gratiot Avenue, Detroit, MI 48213 | 2017-03-20 |
| 1255887899 | Jay Washington | Behavioral Analyst | 9146 Haper, Detroit, MI 48213 | 2016-09-01 |
| 1396129532 | Sarietha King | Home Health | 14639 Manistique, Detroit, MI 48213 | 2015-07-17 |
| 1366823197 | Royal Treatment Mental Health Systems, LLC | Counselor | 5555 Corner Avenue, Detroit, MI 48213 | 2015-06-17 |
| 1477956779 | Monique Powell | Student in an Organized Health Care Education/Training Program | 5801 Lakeview S.t, Detroit, MI 48213 | 2014-09-30 |
| 1629339163 | Samuel Joseph Farmer | Counselor | 10100 Harper Ave., Detroit, MI 48213 | 2012-05-31 |
| 1609164755 | Vernon Keith Johnson | Social Worker | 20203 Kelly Road, Detroit, MI 48213 | 2011-07-11 |
| 1023312790 | Davenport Quality Home Care LLC | Home Health | 5027 Maxwell, Detroit, MI 48213 | 2011-01-10 |
| Find all providers in zip 48213 | ||||
| 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 |
|---|---|---|---|---|
| 1689214215 | Taylor Scott | Behavior Technician | 16532 Wildemere St, Detroit, MI 48221-3161 | 2020-01-11 |
| 1710525928 | Lerona Harris | Behavior Technician | 4107 Virginia Park St, Detroit, MI 48204-5713 | 2019-12-18 |
| 1194361097 | Ammer Nichols | Behavior Technician | 6142 Oldtown St, Detroit, MI 48224-2031 | 2019-11-26 |
| 1881230761 | Alexus Sturdivant | Behavior Technician | 19968 Kentfield St, Detroit, MI 48219-2015 | 2019-11-26 |
| 1578033684 | Corvette Burkes | Behavior Technician | 5898 Cadillac Ave, Detroit, MI 48213-3128 | 2018-12-01 |
| 1295214062 | Catrina Meshell Lee-jackson | Behavior Technician | 15227 Rossini Dr, Detroit, MI 48205-2052 | 2018-08-12 |
| 1720584139 | Adrienne Bradley | Behavior Technician | 4501 Woodward Ave Ste 101, Detroit, MI 48201-1890 | 2018-04-04 |
| 1245763879 | Regina Bass | Behavior Technician | 8760 E Outer Dr, Detroit, MI 48213-4002 | 2017-04-10 |
| 1821535667 | Tanisha Floyd | Behavior Technician | 18307 Mendota St., Detroit, MI 48221 | 2017-01-31 |
| 1740726488 | Tanisha Smith | Behavior Technician | 14620 Faust Ave, Detroit, MI 48223 | 2017-01-18 |
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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.