ALISSA FREYER (NPI# 1538627328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538627328 |
| Entity Type | Individual |
| Full Name | ALISSA FREYER |
| Practice Address |
2505 E Jefferson Blvd South Bend IN 46615-2635 |
| Practice Telephone | 5742894831 |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 51960 Gumwood Rd, Granger, IN 465306207 | 5742474665 |
| Street Address |
2505 E JEFFERSON BLVD |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46615-2635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124249867 | Kristin Shide | Occupational Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2007-05-01 |
| 1437756277 | Angela Snyder | Developmental Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2020-10-05 |
| 1376155424 | Kodie Heading | Behavioral Analyst | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2020-08-20 |
| 1922618032 | Susanne Borders | Developmental Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2020-08-04 |
| 1396378774 | Cailin Grace Kennedy | Occupational Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2020-02-13 |
| 1770125692 | Kristina Borkholder | Behavioral Analyst | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-10-11 |
| 1891345443 | Valerie Ann Brubaker | Speech-Language Pathologist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-09-16 |
| 1013563568 | Ellen Jean Eaton | Occupational Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-08-12 |
| 1356909758 | Kaitlyn Fleming | Speech-Language Pathologist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-05-31 |
| 1194289694 | Chrystal Marie Phan | Developmental Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954804 | Healthlinc, Inc. | Clinic/Center | 1002 S Esther St, South Bend, IN 46615 | 2015-06-12 |
| 1861897688 | Michelle Jean Streb | Registered Nurse | 1960 Northside Boulevard, South Bend, IN 46615 | 2014-10-23 |
| 1275848962 | Charles Mikel Craig | Optometrist | 220 N. Ironwood Dr., South Bend, IN 46615 | 2010-08-18 |
| 1710219613 | Debra Vasquez | Occupational Therapy Assistant | 1950 Ridgedaleroad, South Bend, IN 46615 | 2010-02-03 |
| 1114259132 | Christopher Joseph Smith | Physical Therapist | 1005 Hickory Rd, South Bend, IN 46615 | 2010-02-01 |
| 1295064525 | Starlight Care Facilities, Inc | Skilled Nursing Facility | 915 So. 27th Street, South Bend, IN 46615 | 2009-12-16 |
| 1699002642 | Ann G Pryor | Contractor | 1516 E. Wayne St., South Bend, IN 46615 | 2009-11-12 |
| 1891917449 | Logan Community Resources, Inc. | Community/Behavioral Health | 2505 E. Jefferson Blvd, South Bend, IN 46615 | 2007-05-03 |
| 1487712683 | Julie Gaydos Plagens | Dentist | 604 South Eddy St, South Bend, IN 46615 | 2006-12-04 |
| 1629163084 | Edward F Klodzinski | Counselor | 3603 E. Jefferson Blvd., South Bend, IN 46615 | 2006-10-03 |
| Find all providers in zip 46615 | ||||
| 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 |
|---|---|---|---|---|
| 1871059824 | Delainey Kinney | Behavior Technician | 1308 Sunnymede Ave, South Bend, IN 46615-1018 | 2019-02-14 |
| 1942807953 | Faith Marisa Spiteri | Behavior Technician | 17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512 | 2020-10-02 |
| 1205443694 | Jesus Lozano | Behavior Technician | 17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512 | 2020-09-29 |
| 1457968505 | Mychaela Mychelle Winston | Behavior Technician | 17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512 | 2020-09-23 |
| 1609480508 | Amanda Marie Latta | Behavior Technician | 17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512 | 2020-09-08 |
| 1689288839 | Haley Rose Traxler | Behavior Technician | 17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512 | 2020-09-04 |
| 1215541461 | Trenton Anthony Adair | Behavior Technician | 17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512 | 2020-09-04 |
| 1396359543 | Ieshia Maxine Mason | Behavior Technician | 17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512 | 2020-09-04 |
| 1518571835 | Aylin Saray Arriaga | Behavior Technician | 17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512 | 2020-09-03 |
| 1851905160 | Haley Rose Wigfall | Behavior Technician | 17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512 | 2020-09-03 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46615 |
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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.