MEGAN KEYES (NPI# 1639545148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639545148 |
| Entity Type | Individual |
| Full Name | MEGAN KEYES |
| Practice Address |
1070 W Houghton Lake Dr Prudenville MI 48651-9613 |
| Mailing Address |
1046 S West Silver Lake Rd Traverse City MI 49685-8656 |
| Practice Telephone | 9892024900 |
| Mailing Telephone | 2315903376 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| Y | 106E00000X | Assistant Behavior Analyst | 0-19-9726 | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LARA | 7402000018 | 01 |
| BACB | 0-19-9726 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619138385 | Megan Drury Keyes | Psychologist | 700 19th St S, Vamc - 116a, Birmingham, AL 35233-1927 | 2008-06-24 |
| Street Address |
1070 W HOUGHTON LAKE DR |
| City | PRUDENVILLE |
| State | MI |
| Zip Code | 48651-9613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013342815 | Patricia J Stearns | Speech-Language Pathologist | 1070 W Houghton Lake Dr, Suite B, Prudenville, MI 48651-9673 | 2013-09-11 |
| 1457966111 | Casey Krajenka | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-09-10 |
| 1154949865 | Hillary Dinh Tran | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-07-09 |
| 1255967311 | Denise Louise Spring | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-03-19 |
| 1558997999 | Timothy Justin Therrien | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-03-17 |
| 1104452895 | Courtenay Larkin | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-03-13 |
| 1548895337 | Joseph Daniel Morgan | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-03-12 |
| 1285268706 | Nichole Lynn Latowski | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-02-24 |
| 1205460805 | Denise Marie Leaym | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-02-24 |
| 1578196531 | Melissa Merritt | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2020-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710469036 | Stephenie Irish | Behavior Technician | Rise Center for Autism, 1840 West Houghton Lake Dr Unit 2, Prudenville, MI 48651 | 2018-09-04 |
| 1083965404 | Mercy Physician Network | Clinic/Center | 2585 W Houghton Lake Drive, Prudenville, MI 48651 | 2012-09-25 |
| 1609976968 | Kronner Pharmacy Inc | Pharmacy | 778 W Houghton Lake Dr, Prudenville, MI 48651 | 2006-09-25 |
| 1255352936 | Mclaren Primary Care | Family Medicine | 200 N. Grand Ave, Prudenville, MI 48651 | 2006-07-21 |
| 1053381871 | Marvin Earl Mcelroy | Internal Medicine | 1064 W West Branch Rd, Prudenville, MI 48651 | 2006-01-24 |
| 1598390080 | Rhiannon Burch | Behavior Technician | Rise Center for Autism, 1070 W. Houghton Lake Drive, Prudenville, MI 48651 | 2020-03-05 |
| 1629357090 | Mclaren Bay Region | Nurse Practitioner | 200 Grand Ave, Prudenville, MI 48651 | 2011-08-16 |
| 1427320894 | Patricia Henning Caswell | Counselor | 1401 Short Dr., Prudenville, MI 48651-0019 | 2012-02-01 |
| 1023015104 | Suzanne A Blanchard | Nurse Practitioner | 1401 Short Drive, Prudenville, MI 48651-0019 | 2005-07-05 |
| 1023640992 | Julie Ignatowski | Speech-Language Pathologist | 847 Springwood Dr, Prudenville, MI 48651-8405 | 2020-02-10 |
| Find all providers in zip 48651 | ||||
| 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 |
|---|---|---|---|---|
| 1003438052 | Inspire Autism LLC | Assistant Behavior Analyst | 39525 W 14 Mile Rd Ste 100, Novi, MI 48377-1635 | 2020-05-13 |
| 1699300228 | Blue Diamond Aba Services LLC | Assistant Behavior Analyst | 102 North Avenue, Mt. Clemens, MI 48043 | 2020-03-04 |
| 1013549062 | Bianca Burch | Assistant Behavior Analyst | 5708 Castlebury Cir, Lansing, MI 48917-5163 | 2020-02-07 |
| 1326678756 | Gabriel Marini | Assistant Behavior Analyst | 6126 Farrington Ct Apt B6, East Lansing, MI 48823-7808 | 2020-01-24 |
| 1639709116 | Rahul Gannapureddy | Assistant Behavior Analyst | 23501 Paddock Dr, Farmington Hills, MI 48336-2259 | 2020-01-23 |
| 1649818196 | Rachel Zemla | Assistant Behavior Analyst | 2900 Northwind Dr Apt 330, East Lansing, MI 48823-5024 | 2019-12-16 |
| 1871138107 | Ky'wana Zynise Smith | Assistant Behavior Analyst | 950 Railroad St Apt 105b, Ypsilanti, MI 48197-3510 | 2019-11-11 |
| 1295377042 | Taylor Anker | Assistant Behavior Analyst | 2919 Wilder Rd Ste 100, Bay City, MI 48706-9299 | 2019-10-14 |
| 1396395448 | Kristi Marie Pienkosz | Assistant Behavior Analyst | 43334 7 Mile Rd Ste 1000, Northville, MI 48167-2487 | 2019-09-19 |
| 1750848636 | Robin Wontorcik | Assistant Behavior Analyst | 712 E Grove St, Midland, MI 48640-5279 | 2019-02-27 |
| Find all providers with the same taxonomy | ||||
| City | PRUDENVILLE |
| Zip Code | 48651 |
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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.