SAMANTHA KIMMERER (NPI# 1568078004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568078004 |
| Entity Type | Individual |
| Full Name | SAMANTHA KIMMERER |
| Other Name | SAMANTHA LOWERY |
| Practice Address |
912 S Washington St Owosso MI 48867-4447 |
| Mailing Address |
Po Box 663 Lakeland MI 48143-0663 |
| Practice Telephone | 9892178061 |
| Mailing Telephone | 8105992129 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| 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 |
912 S WASHINGTON ST |
| City | OWOSSO |
| State | MI |
| Zip Code | 48867-4447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083065312 | Lauren Quinlan | Behavioral Analyst | 912 S Washington St, Owosso, MI 48867 | 2016-06-28 |
| 1679170815 | Kayla Gehrcke | Behavior Technician | 912 S Washington St, Owosso, MI 48867-4447 | 2020-10-01 |
| 1275145229 | Allyson Kellogg | Behavior Technician | 912 S Washington St, Owosso, MI 48867-4447 | 2020-08-20 |
| 1063034353 | Leann Cullimore | Behavior Technician | 912 S Washington St, Owosso, MI 48867-4447 | 2020-05-11 |
| 1437796703 | Gizelle Ross | Behavior Technician | 912 S Washington St, Owosso, MI 48867-4447 | 2019-12-05 |
| 1861038135 | Chelsea Hetherington | Behavior Technician | 912 S Washington St, Owosso, MI 48867-4447 | 2019-11-21 |
| 1750935912 | Bronwyn Conklin | Behavior Technician | 912 S Washington St, Owosso, MI 48867-4447 | 2019-07-26 |
| 1649836438 | Dawn Fuller | Behavior Technician | 912 S Washington St, Owosso, MI 48867-4447 | 2019-05-16 |
| 1881250660 | Angela Rowell | Behavior Technician | 912 S Washington St, Owosso, MI 48867-4447 | 2019-05-16 |
| 1437615317 | Jaime M Danek | Behavior Technician | 912 S Washington St, Owosso, MI 48867-4447 | 2019-02-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275093908 | Sabrina Hughes | Technician | 1350 E M 21 Ste 304, Owosso, MI 48867 | 2019-03-20 |
| 1124521869 | Karry Lynn Wilson | Occupational Therapist | 275 Caledonia Drive, Owosso, MI 48867 | 2018-03-08 |
| 1740782051 | Holly Krystine Taylor | Occupational Therapy Assistant | 275 Caledonia Dr, Owosso, MI 48867 | 2018-03-02 |
| 1255833703 | Misty Sue Yerrick | Occupational Therapy Assistant | 275 Caladonia Dr, Owosso, MI 48867 | 2018-03-01 |
| 1699276212 | Chantel Marie Ferrio | Physical Medicine & Rehabilitation | 275 Caldonia Drive, Owosso, MI 48867 | 2018-02-28 |
| 1083127880 | The Arc Shiawassee County Inc | Respite Care | 1905 West M-21, Owosso, MI 48867 | 2017-11-15 |
| 1609317486 | Moses Prempeh | Pharmacist | 1002 E Main St, Owosso, MI 48867 | 2017-03-14 |
| 1952790990 | Ashley Nemeth | Occupational Therapy Assistant | 3130 W Brewer Rd, Owosso, MI 48867 | 2015-01-14 |
| 1538432174 | Marc W. Perry | Counselor | 120 W. Exchange Street, Suite 300, Catholic Charities, Owosso, MI 48867 | 2012-02-13 |
| 1134491202 | Great Lakes Bay Health Centers | Clinic/Center | 1555 Industrial Drive, Owosso, MI 48867 | 2012-02-03 |
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| 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 |
|---|---|---|---|---|
| 1679170815 | Kayla Gehrcke | Behavior Technician | 912 S Washington St, Owosso, MI 48867-4447 | 2020-10-01 |
| 1275145229 | Allyson Kellogg | Behavior Technician | 912 S Washington St, Owosso, MI 48867-4447 | 2020-08-20 |
| 1063034353 | Leann Cullimore | Behavior Technician | 912 S Washington St, Owosso, MI 48867-4447 | 2020-05-11 |
| 1437796703 | Gizelle Ross | Behavior Technician | 912 S Washington St, Owosso, MI 48867-4447 | 2019-12-05 |
| 1861038135 | Chelsea Hetherington | Behavior Technician | 912 S Washington St, Owosso, MI 48867-4447 | 2019-11-21 |
| 1750935912 | Bronwyn Conklin | Behavior Technician | 912 S Washington St, Owosso, MI 48867-4447 | 2019-07-26 |
| 1649836438 | Dawn Fuller | Behavior Technician | 912 S Washington St, Owosso, MI 48867-4447 | 2019-05-16 |
| 1881250660 | Angela Rowell | Behavior Technician | 912 S Washington St, Owosso, MI 48867-4447 | 2019-05-16 |
| 1437615317 | Jaime M Danek | Behavior Technician | 912 S Washington St, Owosso, MI 48867-4447 | 2019-02-15 |
| 1790241677 | Crystal L Esper | Behavior Technician | 912 S Washington St, Owosso, MI 48867-4447 | 2019-02-15 |
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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.