MIETTA SANFORD


Address: 79 W Alexandrine St, Detroit, MI 48201-2015
Phone: 3138315535

MIETTA SANFORD (NPI# 1578920344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578920344
Entity Type Individual
Full Name MIETTA SANFORD
Practice Address 79 W Alexandrine St
Detroit
MI 48201-2015
Practice Telephone 3138315535
Practice Fax Number 3138312608
Mailing Telephone 3138315535
Mailing Fax Number 3138312608
Enumeration Date 2016-01-25
Last Update Date 2016-01-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 103K00000X MI Behavioral Health & Social Service Providers

Office Location

Street Address 79 W ALEXANDRINE ST
City DETROIT
State MI
Zip Code 48201-2015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801846985 James Patrick Stenger Dentist 79 W Alexandrine St, 3rd Floor, Detroit, MI 48201-2015 2006-05-11
1518572809 Holly Paige Lawson Social Worker 79 W Alexandrine St, Detroit, MI 48201-2015 2020-09-13
1013522416 Sadie Berthiaume Case Manager/Care Coordinator 79 W Alexandrine St, Detroit, MI 48201-2015 2020-09-11
1720604028 Tasneem Mahmoud Abdelhamid Community Health Worker 79 W Alexandrine St, Detroit, MI 48201-2015 2020-06-23
1295358943 Jordan Michelle Nosis Student in an Organized Health Care Education/Training Program 79 W Alexandrine St, Detroit, MI 48201-2015 2020-05-28
1861032070 Joyce Witherspoon Case Manager/Care Coordinator 79 W Alexandrine St, Detroit, MI 48201-2015 2020-01-15
1770123176 Tyanna Elizabeth Jamison Peer Specialist 79 W Alexandrine St, Detroit, MI 48201-2015 2020-01-14
1518507565 Tia Mitchell Social Worker 79 W Alexandrine St, Detroit, MI 48201-2015 2020-01-07
1154960342 Kristin Marie Kunes Social Worker 79 W Alexandrine St, Detroit, MI 48201-2015 2020-01-05
1629615836 Stephanie Warren Dental Hygienist 79 W Alexandrine St, Detroit, MI 48201-2015 2019-12-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205459385 Dreamworks Behavioral Health Services LLC Behavioral Analyst 17554 Tracey St, Detroit, MI 48235-2634 2020-05-22
1336794338 Dennis Michael Thompson Behavioral Analyst Elmhurst Home Inc., 12010 Linwood, Detroit, MI 48206-1108 2019-08-06
1235796772 Angelo D Pharr II Behavioral Analyst 15606 E 7 Mile Rd, Detroit, MI 48205-2557 2019-05-21
1699257790 Chantel Shawnese Taylor Behavioral Analyst 15427 Littlefield St, Detroit, MI 48227-3617 2018-09-05
1508371550 Keena Marie Arrington Behavioral Analyst 5941 Somerset Ave, Detroit, MI 48224-3120 2017-12-12
1255887899 Jay Washington Behavioral Analyst 9146 Haper, Detroit, MI 48213 2016-09-01
1619423613 Rala Jenice Ford Behavioral Analyst 15461 Whitcomb, Detroit, MI 48227 2016-08-30
1518412683 Septima Harris Behavioral Analyst 6411 Artesian St, Detroit, MI 48228-4908 2016-08-18
1396298808 Christopher Brumm Behavioral Analyst 1511 1st St Apt 205, Detroit, MI 48226-1352 2016-08-01
1962850214 Yvonne Anne Pallone Behavioral Analyst 7420 Beaverland, Detroit, MI 48239-1049 2016-05-26
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Competitor

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City DETROIT
Zip Code 48201

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Dataset Information

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.

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