BROOKE MCKENZIE MILLER (NPI# 1619591559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619591559 |
| Entity Type | Individual |
| Full Name | BROOKE MCKENZIE MILLER |
| Practice Address |
3245 Keewahdin Rd Fort Gratiot MI 48059-3498 |
| Mailing Address |
5039 Villa Linde Pkwy Ste 30 Flint MI 48532-3450 |
| Practice Telephone | 8109372345 |
| Enumeration Date | 2020-06-06 |
| Last Update Date | 2020-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568002855 | Brooke Miller | Physical Therapist | 402 Oakridge Blvd, Lewisville, TX 75057-2246 | 2020-01-14 |
| 1437657517 | Brooke Brooke Miller | Behavioral Analyst | 3006 S Highland Dr, Salt Lake City, UT 84106-3020 | 2018-01-24 |
| 1821695172 | Brooke Marie Miller | Counselor | 10150 W National Ave Ste 390, Milwaukee, WI 53227-2145 | 2020-10-08 |
| 1326660614 | Brooke Elizabeth Miller | Family Medicine | 109 Physicians Dr, Greer, SC 29650-2446 | 2020-05-11 |
| 1831731447 | Brooke Miller | Adult Companion | 13317 Se Powell Blvd, Portland, OR 97236-3335 | 2019-10-15 |
| 1538714761 | Brooke Alexander Miller | Specialist/Technologist | 2302 College Ave, Conway, AR 72034-6297 | 2019-08-05 |
| 1295380475 | Brooke N Miller | Nurse Practitioner | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2019-08-05 |
| 1205495652 | Brooke Nicole Miller | Speech-Language Pathologist | 75 Hale St, Wilmington, OH 45177-2104 | 2019-06-10 |
| 1427614486 | Brooke Melissa Miller | Social Worker | 525 Metro Pl N, Dublin, OH 43017-5342 | 2019-05-15 |
| 1902369580 | Brooke Miller | Pharmacist | 181 E Medical Tower Dr, Murray, UT 84107-4872 | 2019-04-10 |
| Street Address |
3245 KEEWAHDIN RD |
| City | FORT GRATIOT |
| State | MI |
| Zip Code | 48059-3498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134661846 | Becky Apfel | Behavioral Analyst | 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498 | 2016-11-11 |
| 1902406127 | Tabitha L Kaboni | Behavior Technician | 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498 | 2020-10-27 |
| 1679172340 | Crystal Elizabeth Smith | Behavior Technician | 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498 | 2020-10-22 |
| 1689273708 | Samantha Hood | Behavior Technician | 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498 | 2020-10-20 |
| 1023617107 | Rebecca Schwartz | Behavior Technician | 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498 | 2020-10-20 |
| 1861090524 | Donald Paul Shaffer | Behavior Technician | 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498 | 2020-10-15 |
| 1427655109 | Paige Eileen Koglin | Behavior Technician | 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498 | 2020-10-06 |
| 1508463373 | Ariana Skinner | Behavior Technician | 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498 | 2020-10-05 |
| 1467069674 | Yasmine Nicole Henry | Behavior Technician | 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498 | 2020-09-30 |
| 1306453055 | Aspria Knight | Behavior Technician | 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679096374 | Rebecca Campau | Registered Nurse | 4985 Lakeshore Rd, Fort Gratiot, MI 48059 | 2017-07-25 |
| 1598175481 | David Kelley Sr. | Pharmacist | 4475 24th Ave., Fort Gratiot, MI 48059 | 2014-05-01 |
| 1316110968 | Apheresis and Transfusion Medicine of Port Huron Pllc | Pathology | 4970 Lakeshore Road, Fort Gratiot, MI 48059 | 2008-04-03 |
| 1275754152 | Jennifer Ann Peyerk | Physical Therapist | 3902 Arlington Ave., Fort Gratiot, MI 48059 | 2007-05-01 |
| 1013097278 | Randy John Plonka | Internal Medicine | 5979 Lakeshore, Ft Gratiot, MI 48059 | 2006-10-16 |
| 1881708428 | John Nathan Seppo | Social Worker | 3847 Pine Grove Avenue, Fort Gratiot, MI 48059 | 2006-08-19 |
| 1396756615 | Blue Water Family Dentistry PC | Dentist | 4044 24th Ave, Fort Gratiot, MI 48059 | 2006-08-11 |
| 1720018823 | Minden City Community Healthcare Outreach | Clinic/Center | 28 Deer Creek Drive, Fort Gratiot, MI 48059 | 2006-07-04 |
| 1982103966 | Luke Michael Privette | Physical Therapist | 4351 24th Ave Ste 1, Fort Gratiot, MI 48059 | 2018-02-06 |
| 1194115352 | Rachel Brooks | Chiropractor | 2844 Krafft Rd, Fort Gratiot, MI 48059 | 2015-01-27 |
| Find all providers in zip 48059 | ||||
| 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 |
|---|---|---|---|---|
| 1134779762 | Kari J Kliemann | Behavior Technician | 3252 N Shoreview Dr, Fort Gratiot, MI 48059-2846 | 2019-09-16 |
| 1902406127 | Tabitha L Kaboni | Behavior Technician | 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498 | 2020-10-27 |
| 1679172340 | Crystal Elizabeth Smith | Behavior Technician | 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498 | 2020-10-22 |
| 1689273708 | Samantha Hood | Behavior Technician | 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498 | 2020-10-20 |
| 1023617107 | Rebecca Schwartz | Behavior Technician | 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498 | 2020-10-20 |
| 1861090524 | Donald Paul Shaffer | Behavior Technician | 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498 | 2020-10-15 |
| 1427655109 | Paige Eileen Koglin | Behavior Technician | 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498 | 2020-10-06 |
| 1508463373 | Ariana Skinner | Behavior Technician | 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498 | 2020-10-05 |
| 1467069674 | Yasmine Nicole Henry | Behavior Technician | 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498 | 2020-09-30 |
| 1306453055 | Aspria Knight | Behavior Technician | 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498 | 2020-09-28 |
| Find all providers in FORT GRATIOT | ||||
| City | FORT GRATIOT |
| Zip Code | 48059 |
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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.