MICHELLE ANN STICH (NPI# 1588173298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588173298 |
| Entity Type | Individual |
| Full Name | MICHELLE ANN STICH |
| Credential | BCABA |
| Practice Address |
376 Powder Springs St Ste 130 Marietta GA 30064 |
| Mailing Address |
3271 Catkin Ct Marietta GA 30066-4444 |
| Practice Telephone | 6786912206 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2018-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790194231 | Michelle Stich | Hearing Instrument Specialist | 4543 Post Oak Place Dr, Suite 125, Houston, TX 77027-3160 | 2014-08-08 |
| Street Address |
376 POWDER SPRINGS ST STE 130 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518451541 | Kimberly Diane Cruz | Behavior Technician | 376 Powder Springs St Ste 130, Marietta, GA 30064-3448 | 2018-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| 1427400266 | Fresh Start Recovery Center, LLC | Clinic/Center | 25 Whitlock Pl Sw Ste 101, Marietta, GA 30064 | 2016-07-05 |
| Find all providers in zip 30064 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1497226567 | Florida Autism Center | Assistant Behavior Analyst | 137 Johnson Ferry Rd, Marietta, GA 30068-4945 | 2018-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230781 | Annita Binta Bangura | Assistant Behavior Analyst | 4486 Parmalee Path, Conley, GA 30288-1630 | 2020-09-18 |
| 1871115287 | Pinnacle Autism Services, LLC | Assistant Behavior Analyst | 400 W Peachtree St Nw Unit 5168, Atlanta, GA 30308-3536 | 2020-05-08 |
| 1245862119 | Florida Autism Center | Assistant Behavior Analyst | 105 Grand Central Blvd Ste 101, Pooler, GA 31322-4146 | 2020-02-10 |
| 1467084848 | Dana Opsahl | Assistant Behavior Analyst | 5102 Lakewood Dr, Acworth, GA 30101-5258 | 2020-02-04 |
| 1265071955 | Florida Autism Center | Assistant Behavior Analyst | 3850 Holcomb Bridge Rd Ste 180, Norcross, GA 30092-5223 | 2019-12-30 |
| 1093354946 | Katherine Marie Santiago | Assistant Behavior Analyst | 701 Baytree Rd Ste D, Valdosta, GA 31602-2881 | 2019-12-24 |
| 1225674054 | Gillian Chance Caudill | Assistant Behavior Analyst | 315 Buckingham Ter, Athens, GA 30607-1576 | 2019-11-27 |
| 1710521927 | Eryn Nettles | Assistant Behavior Analyst | 185 Steven St, Richmond Hill, GA 31324-7236 | 2019-10-30 |
| 1093358541 | Florida Autism Center | Assistant Behavior Analyst | 1220 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2019-10-28 |
| 1457994907 | Florida Autism Center | Assistant Behavior Analyst | 5328 Lanier Islands Pkwy, Buford, GA 30518-9071 | 2019-10-28 |
| Find all providers with the same taxonomy | ||||
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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.