JACQEULYN HARMON (NPI# 1689124588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689124588 |
| Entity Type | Individual |
| Full Name | JACQEULYN HARMON |
| Practice Address |
2819 Peckheath Rd Sw Apt D Wyoming MI 49509 |
| Mailing Address |
2819 Peckheath Rd Sw Apt D Wyoming MI 49509-2971 |
| Practice Telephone | 6167738042 |
| Mailing Telephone | 6167738042 |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
2819 PECKHEATH RD SW APT D |
| City | WYOMING |
| State | MI |
| Zip Code | 49509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023620713 | Lindsay Kayann Ottowitz | Behavior Technician | 1428 44th St. Sw, Wyoming, MI 49509 | 2020-08-23 |
| 1750990016 | Lindsay Alexandra Lyszczarz | Behavior Technician | 5281 Clyde Park Ave Se, Suite 2, Wyoming, MI 49509 | 2020-07-23 |
| 1033690409 | Courtney M Garner | Behavior Technician | 1428 44th Street, Wyoming, MI 49509 | 2018-08-23 |
| 1457857195 | Ashley Mae Autio | Case Manager/Care Coordinator | 795 36th Street, Wyoming, MI 49509 | 2018-04-02 |
| 1275988925 | Intsar Abdulahe | Social Worker | 1551 Charles Russell, Wyoming, MI 49509 | 2016-05-02 |
| 1992160071 | Concierge Home Care Services of West Michigan, LLC | Home Infusion | 1360 56th Street Sw, Wyoming, MI 49509 | 2015-12-16 |
| 1417349796 | Yashana Duncan | Case Manager/Care Coordinator | 225 Colrain St. Sw, Suite 2, Wyoming, MI 49509 | 2015-02-24 |
| 1710378377 | Rawm Vascular Access, Pllc | Internal Medicine | 1540 36th Street. Sw, Wyoming, MI 49509 | 2015-02-17 |
| 1366882755 | Kevin Timothy Solt | Dentist | 1535 44th St Sw Ste 200, Wyoming, MI 49509 | 2013-06-28 |
| 1245509348 | Fms Clyde Park South, LLC | Clinic/Center | 5311 Clyde Park Ave Sw, Grand Rapids, MI 49509 | 2011-12-19 |
| Find all providers in zip 49509 | ||||
| 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 |
|---|---|---|---|---|
| 1740771260 | Derek James Thocker | Behavioral Analyst | 1428 44th St Sw Ste B, Wyoming, MI 49509-4312 | 2018-05-21 |
| 1700307204 | Nathan John Vanderweele | Behavioral Analyst | 3907 Tioga Dr Sw, Wyoming, MI 49519-3130 | 2017-07-05 |
| 1962942441 | Sharon Church Maniscalco | Behavioral Analyst | 1280 Lee St Sw, Wyoming, MI 49509-1381 | 2017-03-02 |
| 1104270248 | Samantha Caswell | Behavioral Analyst | 5733 Barcroft Dr Sw, Wyoming, MI 49418-9313 | 2016-04-14 |
| 1639781008 | Maria Yeager | Behavioral Analyst | 235 E 8th St, Wyoming, PA 18644-2010 | 2020-08-18 |
| 1740736305 | Julia Marie Vormittag | Behavioral Analyst | 1428 44th St Sw, Wyoming, MI 49509 | 2016-09-01 |
| 1285018606 | Tammy Jennings | Behavioral Analyst | 1150 Wyoming Ave, Wyoming, PA 18644-1366 | 2015-07-15 |
| 1902280852 | Lisa Luksic | Behavioral Analyst | 1150 Wyoming Ave, Wyoming, PA 18644-1366 | 2015-07-09 |
| 1104200054 | Nicole Emiliani | Behavioral Analyst | 1150 Wyoming Ave, Wyoming, PA 18644-1366 | 2015-07-09 |
| 1033592068 | Jessica Gibbon | Behavioral Analyst | 1150 Wyoming Ave, Wyoming, PA 18644-1366 | 2015-07-08 |
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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.