SAMANTHA SERRA (NPI# 1619521176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619521176 |
| Entity Type | Individual |
| Full Name | SAMANTHA SERRA |
| Practice Address |
27777 Inkster Rd Suite 100 Farmington Hills MI 48334 |
| Practice Telephone | 2482990030 |
| Mailing Telephone | 2482990030 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |
| 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 |
27777 INKSTER RD SUITE 100 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184266991 | Joy Wright | Licensed Practical Nurse | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-10-14 |
| 1770137234 | Patricia Kowalski | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| 1972029676 | Shannon Marie Harbin | Psychologist | 31700 W 12 Mile Rd Ste 100, Farmington Hills, MI 48334 | 2017-08-15 |
| Find all providers in zip 48334 | ||||
| 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 |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1043855398 | Elizabeth Mary Pappas | Behavior Technician | 24712 Springbrook Dr, Farmington Hills, MI 48336-1942 | 2019-11-11 |
| 1700427549 | Aisha Amjad Ali | Behavior Technician | 27542 E Echo Vly Unit 251, Farmington Hills, MI 48334-4425 | 2019-10-02 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1114584471 | Jordan Mims | Behavior Technician | 31075 Floralview Dr S Apt 208, Farmington Hills, MI 48331-5861 | 2019-05-22 |
| 1780147512 | Hamdah W Awan | Behavior Technician | 29306 Fieldstone, Farmington Hills, MI 48334-4103 | 2019-04-09 |
| 1841761418 | Nida Zehra Kazmi | Behavior Technician | 29386 Strathmore Dr, Farmington Hills, MI 48331-2398 | 2018-12-07 |
| 1447745419 | Shelby Ockert | Behavior Technician | 21399 Tulane Ave Apt 104, Farmington Hills, MI 48336-5676 | 2018-06-22 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
Please comment or provide details below to improve the information on SAMANTHA SERRA.
| 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.