TAHRIMA KHANOM (NPI# 1669909719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669909719 |
| Entity Type | Individual |
| Full Name | TAHRIMA KHANOM |
| Practice Address |
3887 Okemos Rd Ste A1 Okemos MI 48864-3663 |
| Mailing Address |
1111 Parkdale St Lansing MI 48910-1835 |
| Practice Telephone | 3135590864 |
| Mailing Telephone | 3135590864 |
| Enumeration Date | 2017-05-20 |
| Last Update Date | 2017-05-20 |
| 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 |
3887 OKEMOS RD STE A1 |
| City | OKEMOS |
| State | MI |
| Zip Code | 48864-3663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801278304 | Kylie Densmore | Behavioral Analyst | 3887 Okemos Rd Ste A1, Okemos, MI 48864-3663 | 2015-06-22 |
| 1437623949 | Kyle Steury | Behavioral Analyst | 3887 Okemos Rd Ste A1, Okemos, MI 48864-3663 | 2019-01-17 |
| 1760957898 | Maggie Billhorn | Behavior Technician | 3887 Okemos Rd Ste A1, Okemos, MI 48864-3663 | 2018-10-04 |
| 1780165068 | Rachel Houtteman | Behavior Technician | 3887 Okemos Rd Ste A1, Okemos, MI 48864-3663 | 2018-08-24 |
| 1417442187 | Brittany Ooms | Behavioral Analyst | 3887 Okemos Rd Ste A1, Okemos, MI 48864-3663 | 2018-06-26 |
| 1649769472 | Kimberly Wernecke | Behavior Technician | 3887 Okemos Rd Ste A1, Okemos, MI 48864-3663 | 2018-05-07 |
| 1154830933 | Sarah Jane Talbott | Behavior Technician | 3887 Okemos Rd Ste A1, Okemos, MI 48864-3663 | 2017-09-25 |
| 1487172565 | Maleigha Jackson | Behavior Technician | 3887 Okemos Rd Ste A1, Okemos, MI 48864-3663 | 2017-09-08 |
| 1851818900 | Macy Nicole Mederski | Behavior Technician | 3887 Okemos Rd Ste A1, Okemos, MI 48864-3663 | 2017-08-29 |
| 1124555750 | Christian Olukayode Kotoye | Behavior Technician | 3887 Okemos Rd Ste A1, Okemos, MI 48864-3663 | 2017-05-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
| 1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
| 1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
| 1134653306 | Kayleigh Delaney | Dietitian, Registered | 5050 Marsh Road, Suite 5, Okemos, MI 48864 | 2017-04-14 |
| 1922544402 | Elsabeth Engeda | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4464 Hickory Drive, Okemos, MI 48864 | 2017-01-09 |
| 1104373752 | Joslyn Fraidenburg | Registered Nurse | 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 | 2016-09-01 |
| 1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
| 1437505971 | Jessica Lynn Reslock | Occupational Therapist | 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 | 2016-05-13 |
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| 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 |
|---|---|---|---|---|
| 1790348795 | Rebecca Holden Renfro | Behavior Technician | 2549 Jolly Rd Ste 380, Okemos, MI 48864-3680 | 2019-04-16 |
| 1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
| 1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
| 1881130987 | Sara Marie Dziubek | Behavior Technician | 1620 Fifth Ave Apt A10, Okemos, MI 48864-1180 | 2017-01-12 |
| 1346849320 | Grace Klemmer | Behavior Technician | 2400 Science Pkwy, Okemos, MI 48864-2560 | 2020-10-21 |
| 1992304976 | Alexandria Thomas | Behavior Technician | 2400 Science Pkwy, Okemos, MI 48864-2560 | 2020-10-21 |
| 1952908451 | Megan Kline | Behavior Technician | 2400 Science Pkwy, Okemos, MI 48864-2560 | 2020-10-07 |
| 1457958316 | Paige Doyle | Behavior Technician | 2400 Science Pkwy, Okemos, MI 48864-2560 | 2020-10-05 |
| 1174120042 | Nicole Willard | Behavior Technician | 2400 Science Pkwy, Okemos, MI 48864-2560 | 2020-10-05 |
| 1952915407 | Reina Miner | Behavior Technician | 2400 Science Pkwy, Okemos, MI 48864-2560 | 2020-09-02 |
| Find all providers in OKEMOS | ||||
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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.