JORDAN GOUGEON (NPI# 1588190250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588190250 |
| Entity Type | Individual |
| Full Name | JORDAN GOUGEON |
| Practice Address |
1800 W Big Beaver Rd Suite 150 Troy MI 48084-3545 |
| Practice Telephone | 2489185600 |
| Mailing Telephone | 2489185600 |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |
| 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 |
1800 W BIG BEAVER RD SUITE 150 |
| City | TROY |
| State | MI |
| Zip Code | 48084-3545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154370351 | Pooja Vimal Jani | Physical Therapist | 1800 W Big Beaver Rd, Suite 150, Troy, MI 48084-3506 | 2006-05-08 |
| 1497385140 | Theresa Wink | Technician, Other | 1800 W Big Beaver Rd, Troy, MI 48084-3545 | 2020-01-22 |
| 1497235329 | Kayla Buffington | Behavior Technician | 1800 W Big Beaver Rd, Troy, MI 48084-3545 | 2018-08-20 |
| 1477033587 | Raqiya Jamilah Tates | Behavior Technician | 1800 W Big Beaver Rd, Troy, MI 48084-3545 | 2018-08-17 |
| 1245725050 | Erica L Jackson | Behavior Technician | 1800 W Big Beaver Rd, Troy, MI 48084-3545 | 2018-06-25 |
| 1063907871 | Hawkeem Omar Shipp | Behavior Technician | 1800 W Big Beaver Rd, Troy, MI 48084-3545 | 2018-06-25 |
| 1508359795 | Malgorzata Wolfe | Behavior Technician | 1800 W Big Beaver Rd, Troy, MI 48084-3545 | 2018-06-12 |
| 1982123634 | Shayna M Bedy | Behavioral Analyst | 1800 W Big Beaver Rd, Troy, MI 48084-3545 | 2017-09-13 |
| 1841725520 | Maria Syed | Behavior Technician | 1800 W Big Beaver Rd, Suite 150, Troy, MI 48084-3545 | 2017-05-01 |
| 1750816435 | Syed Aftab | Behavior Technician | 1800 W Big Beaver Rd, Suite 150, Troy, MI 48084-3545 | 2017-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| 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 |
|---|---|---|---|---|
| 1366919581 | Megan Elise Sacco | Behavior Technician | 2221 Livernois Rd # Mi48083, Troy, MI 48083-1603 | 2018-10-25 |
| 1205327509 | Leynna Nguyen | Behavior Technician | 2413 Niagara Dr, Troy, MI 48083-5938 | 2018-05-22 |
| 1891284428 | Brianne M Bendel | Behavior Technician | 2281 Isabell Dr, Troy, MI 48083-2311 | 2018-05-09 |
| 1134729270 | Shara S Jamierson | Behavior Technician | 2221 Livernois Rd Ste 101, Troy, MI 48083-1603 | 2020-10-28 |
| 1215547682 | Madison Marie Williams | Behavior Technician | 1018 S Brundidge St, Troy, AL 36081-3148 | 2020-07-31 |
| 1740899251 | Taylor Tinney | Behavior Technician | 1018 S Brundidge St, Troy, AL 36081-3148 | 2020-07-30 |
| 1851928774 | Razan Abed | Behavior Technician | 5877 Livernois Rd, Troy, MI 48098-3100 | 2020-03-23 |
| 1326673112 | Marissa Axline | Behavior Technician | 5877 Livernois Rd, Troy, MI 48098-3100 | 2020-03-11 |
| 1619502093 | Fairwz Shoubah | Behavior Technician | 5877 Livernois Rd, Troy, MI 48098-3100 | 2020-03-06 |
| 1851926307 | Logan Mae Fish | Behavior Technician | 5877 Livernois Rd, Troy, MI 48098-3100 | 2020-03-05 |
| Find all providers in TROY | ||||
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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.