KRISTINE MEDLEN (NPI# 1578172599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578172599 |
| Entity Type | Individual |
| Full Name | KRISTINE MEDLEN |
| Practice Address |
2378 Woodlake Dr Ste 280 Okemos MI 48864-6016 |
| Mailing Address |
2614 Martina Dr Apt 22 Holt MI 48842-1166 |
| Practice Telephone | 5177060421 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 12041001 | MI | Behavioral Health & Social Service Providers |
| Street Address |
2378 WOODLAKE DR STE 280 |
| City | OKEMOS |
| State | MI |
| Zip Code | 48864-6016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285075622 | Stephanie Suzanne Armstrong | Occupational Therapist | 2378 Woodlake Dr Ste 280, Okemos, MI 48864 | 2013-07-15 |
| 1265046635 | Marissa Ann Hill | Occupational Therapist | 2378 Woodlake Dr Ste 280, Okemos, MI 48864-6016 | 2020-09-03 |
| 1366056004 | Kelly Louise Hoinski | Behavior Technician | 2378 Woodlake Dr Ste 280, Okemos, MI 48864-6016 | 2020-09-01 |
| 1942825914 | Kathleen Hager | Speech-Language Pathologist | 2378 Woodlake Dr Ste 280, Okemos, MI 48864-6016 | 2020-06-15 |
| 1710511530 | Amber Rachelle Brown | Occupational Therapist | 2378 Woodlake Dr Ste 280, Okemos, MI 48864-6016 | 2020-03-02 |
| 1962035899 | Ashton M Brooks | Occupational Therapist | 2378 Woodlake Dr Ste 280, Okemos, MI 48864-6016 | 2020-02-19 |
| 1679106074 | Sage Hyatt | Speech-Language Pathologist | 2378 Woodlake Dr Ste 280, Okemos, MI 48864-6016 | 2020-02-14 |
| 1750937686 | Ashley Nicole Bennett | Physical Therapist | 2378 Woodlake Dr Ste 280, Okemos, MI 48864-6016 | 2019-08-15 |
| 1679136147 | Monique Renee Jorae | Occupational Therapist | 2378 Woodlake Dr Ste 280, Okemos, MI 48864-6016 | 2019-04-19 |
| 1124588223 | Josie Boike | Behavior Technician | 2378 Woodlake Dr Ste 280, Okemos, MI 48864-6016 | 2019-03-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
| 1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
| 1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
| 1134653306 | Kayleigh Delaney | Dietitian, Registered | 5050 Marsh Road, Suite 5, Okemos, MI 48864 | 2017-04-14 |
| 1922544402 | Elsabeth Engeda | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4464 Hickory Drive, Okemos, MI 48864 | 2017-01-09 |
| 1104373752 | Joslyn Fraidenburg | Registered Nurse | 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 | 2016-09-01 |
| 1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
| 1437505971 | Jessica Lynn Reslock | Occupational Therapist | 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 | 2016-05-13 |
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| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543042 | Noah Pipper | Behavioral Analyst | 2279 Shawnee Trl, Okemos, MI 48864-2527 | 2019-11-25 |
| 1548615271 | Misty Herson | Behavioral Analyst | 3387 Okemos Rd, Ste. A1, Okemos, MI 48864 | 2016-05-02 |
| 1801278304 | Kylie Densmore | Behavioral Analyst | 3887 Okemos Rd Ste A1, Okemos, MI 48864-3663 | 2015-06-22 |
| 1306466354 | Nidhi Marcus | Behavioral Analyst | 2400 Science Pkwy, Okemos, MI 48864-2560 | 2020-04-20 |
| 1881213114 | Rebecca Chase | Behavioral Analyst | 2400 Science Pkwy, Okemos, MI 48864-2560 | 2020-04-16 |
| 1578114906 | Amber Annette Ruhstorfer | Behavioral Analyst | 2549 Jolly Rd, Okemos, MI 48864-3678 | 2019-09-26 |
| 1699329151 | Ashley Friedrichs | Behavioral Analyst | 2400 Science Pkwy, Okemos, MI 48864 | 2019-08-01 |
| 1437623949 | Kyle Steury | Behavioral Analyst | 3887 Okemos Rd Ste A1, Okemos, MI 48864-3663 | 2019-01-17 |
| 1851877187 | Alison Mcvey | Behavioral Analyst | 2400 Science Pkwy, Okemos, MI 48864-2560 | 2018-07-19 |
| 1417442187 | Brittany Ooms | Behavioral Analyst | 3887 Okemos Rd Ste A1, Okemos, MI 48864-3663 | 2018-06-26 |
| Find all providers in OKEMOS | ||||
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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.