HEATHER L SHEPPARD (NPI# 1629690169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629690169 |
| Entity Type | Individual |
| Full Name | HEATHER L SHEPPARD |
| Practice Address |
945 Barlow St Traverse City MI 49686-4250 |
| Mailing Address |
107 State St Petoskey MI 49770-2715 |
| Practice Telephone | 2312680007 |
| Mailing Telephone | 2316204573 |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417391186 | Heather Elaine Sheppard | Physical Therapist | 1010 South 336th St, Suite 210, Federal Way, WA 98003 | 2013-04-24 |
| 1396216511 | Heather Sheppard | Social Worker | Bassett Army Community Hospital, 1060 Gaffney Rd, Ft. Wainwright, AK 99703 | 2018-12-16 |
| 1104209196 | Heather Marie Sheppard | Nurse Practitioner | 5321 S Fm 14, Hawkins, TX 75765-4839 | 2015-07-08 |
| 1881893568 | Heather Gazjuk Sheppard | Counselor | 10720 Carmel Commons Blvd, Suite 350, Charlotte, NC 28226-3785 | 2007-07-13 |
| Street Address |
945 BARLOW ST |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686-4250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548740012 | North Arrow Aba, LLC | Behavioral Analyst | 945 Barlow St, Traverse City, MI 49686-4250 | 2018-08-15 |
| 1336776988 | Mallory Marie Lewis | Behavior Technician | 945 Barlow St, Traverse City, MI 49686-4250 | 2020-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
| 1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
| 1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
| Find all providers in zip 49686 | ||||
| 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 |
|---|---|---|---|---|
| 1205443686 | Janelle See | Behavior Technician | 10781 E Cherry Bend Rd, Traverse City, MI 49684-5249 | 2020-09-29 |
| 1619585924 | Christine Twietmeyer | Behavior Technician | 3881 Paddock Dr, Traverse City, MI 49685-8767 | 2020-07-22 |
| 1588281695 | Carly Overmire | Behavior Technician | 3000 Arborvitae Dr Apt 11, Traverse City, MI 49685-6708 | 2020-07-06 |
| 1386269181 | Kara Rickenberg | Behavior Technician | 5802 Joanne Ct, Traverse City, MI 49685-8650 | 2020-06-08 |
| 1689207821 | Suzanne M Threet | Behavior Technician | 4855 Waldon Cir, Traverse City, MI 49685-8915 | 2020-02-17 |
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1073159109 | Ashleigh Marlene Cole | Behavior Technician | 10262 Timber Meadows Dr, Traverse City, MI 49685-7002 | 2019-11-25 |
| 1376184648 | Sherri Ann Bourgeois | Behavior Technician | 1520 Eastbriar, Traverse City, MI 49696-9125 | 2019-10-08 |
| 1942781901 | Alexandrea Marie Dickinson | Behavior Technician | 1363 Douglas Dr Ste 21f, Traverse City, MI 49696-8980 | 2018-08-27 |
| 1689168510 | Ray Andrew Wilson | Behavior Technician | 1363 Douglas Dr Ste 110, Traverse City, MI 49696-8980 | 2018-06-14 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
Please comment or provide details below to improve the information on HEATHER L SHEPPARD.
| 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.