MADISON VANDERVENNET (NPI# 1669826582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669826582 |
| Entity Type | Individual |
| Full Name | MADISON VANDERVENNET |
| Credential | M.S., QBHP |
| Practice Address |
4998 Tiohero Blvd Clarkston MI 48348-3382 |
| Practice Telephone | 2488073102 |
| Mailing Telephone | 2488073102 |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2019-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5093 Waterford Rd, Clarkston, MI 483463460 | 2488073102 |
| Street Address |
4998 TIOHERO BLVD |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48348-3382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1134787906 | Claudia Maryann Beauvais | Peer Specialist | 4533 Sedona Dr, Clarkston, MI 48348 | 2019-06-05 |
| 1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
| 1164794251 | Kong C. Choi | Family Medicine | 8324 Caribou Trl., Clarkston, MI 48348 | 2012-02-03 |
| 1447587753 | Carrie Ann Schlicht | Occupational Therapist | 7508 Mecad Boulevard, Suite A, Clarkston, MI 48348 | 2009-11-06 |
| 1740424290 | Nedra Gean Downing | General Practice | 5715 Bella Rose Blvd., Ste 100, Clarkston, MI 48348 | 2009-04-28 |
| 1467600528 | Brian Davidson Dds PC | Dentist | 5720 Clarkston Road, Clarkston, MI 48348 | 2008-09-03 |
| 1962624957 | Keri Sue Hickmott | Social Worker | 9340 Dixie Highway, Clarkston, MI 48348 | 2007-05-02 |
| 1720209273 | Linda Carole Gualdoni | Physical Therapist | 7508 M.e. Cad Blvd., Suite A, Clarkston, MI 48348 | 2007-05-01 |
| 1396964466 | David William Regiani | Dentist | 10435 Ortonville Road, Suite B, Clarkston, MI 48348 | 2007-04-25 |
| Find all providers in zip 48348 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932759214 | Samantha Morgan | Behavioral Analyst | 9519 Maple Ln, Clarkston, MI 48348-1552 | 2019-09-18 |
| 1083169288 | Joseph Zacharias Jr. | Behavioral Analyst | 4877 Spring Meadow Dr, Clarkston, MI 48348-5155 | 2016-08-18 |
| 1497179279 | North Oakland Autism Center, LLC | Behavioral Analyst | 824 Heather Lake Dr, Clarkston, MI 48348-3648 | 2014-02-13 |
| 1689950602 | Sfmb-snel LLC | Behavioral Analyst | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2011-10-24 |
| 1396983854 | Danika Gwinn | Behavioral Analyst | 900 7th Street, Clarkston, WA 99403 | 2009-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930905 | Fatima Alkassir Othman | Behavioral Analyst | 4164 Westover Dr, West Bloomfield, MI 48323-2867 | 2020-10-23 |
| 1659970572 | Budding Behavior Therapy | Behavioral Analyst | 33923 Ryan Rd, Sterling Heights, MI 48310-6304 | 2020-10-21 |
| 1033726229 | Proud Moments Aba of Michigan Pllc | Behavioral Analyst | 25129 Pierce St, Southfield, MI 48075-2019 | 2020-09-30 |
| 1366058141 | Michigan Learning Community, LLC | Behavioral Analyst | 2704 Radcliffe Ave, Ann Arbor, MI 48104-6544 | 2020-09-17 |
| 1184239279 | Roopa Singh | Behavioral Analyst | 10751 S Saginaw St Ste E, Grand Blanc, MI 48439-8169 | 2020-09-15 |
| 1467064691 | Kaitlyn Jewel Tuttle | Behavioral Analyst | 2535 Hagley Rd, Standish, MI 48658-9148 | 2020-08-19 |
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1194333542 | Nation of Wonders Inclusive Education | Behavioral Analyst | 19211 Beech Daly Rd, Redford, MI 48240-1418 | 2020-07-21 |
| 1184242216 | Brittany O'grady | Behavioral Analyst | 2314 Helen Ave Ste 100, Portage, MI 49002-1684 | 2020-07-06 |
| 1669098588 | Kiernan Mae Doud | Behavioral Analyst | 2305 Hawthorn Dr Ste A, Mt Pleasant, MI 48858-1202 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
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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.