SAMANTHA DELREAL (NPI# 1699285585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699285585 |
| Entity Type | Individual |
| Full Name | SAMANTHA DELREAL |
| Practice Address |
110 N Saginaw St Ste 3 Lapeer MI 48446-4600 |
| Mailing Address |
628 N Calhoun St Apt 5 Lapeer MI 48446-2081 |
| Practice Telephone | 8105355587 |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-04 |
| 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 |
110 N SAGINAW ST STE 3 |
| City | LAPEER |
| State | MI |
| Zip Code | 48446-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306367222 | Sarah Lorraine Stevens | Assistant Behavior Analyst | 110 N Saginaw St Ste 3, Lapeer, MI 48446-4600 | 2017-06-30 |
| 1548765175 | Amy Jo Page | Behavior Technician | 110 N Saginaw St Ste 3, Lapeer, MI 48446-4600 | 2018-03-26 |
| 1306354113 | Kizzy Yvonne Price | Technician | 110 N Saginaw St Ste 3, Lapeer, MI 48446-4600 | 2018-01-15 |
| 1992212120 | Melanie Ginzel | Technician | 110 N Saginaw St Ste 3, Lapeer, MI 48446-4600 | 2018-01-09 |
| 1225545775 | Mary C Lumley | Technician | 110 N Saginaw St Ste 3, Lapeer, MI 48446-4600 | 2018-01-05 |
| 1023524931 | Stacey A Weiss | Technician | 110 N Saginaw St Ste 3, Lapeer, MI 48446-4600 | 2017-12-15 |
| 1508371105 | Amanda Lee Webster | Assistant Behavior Analyst | 110 N Saginaw St Ste 3, Lapeer, MI 48446-4600 | 2017-12-06 |
| 1134648306 | Renay Bonesteel | Nurse's Aide | 110 N Saginaw St Ste 3, Lapeer, MI 48446-4600 | 2017-09-19 |
| 1811412760 | Cameron G Brackins | Behavioral Analyst | 110 N Saginaw St Ste 3, Lapeer, MI 48446-4600 | 2017-08-11 |
| 1518482751 | Zachary Parker | Behavior Technician | 110 N Saginaw St Ste 3, Lapeer, MI 48446-4600 | 2017-08-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285136986 | Michelle Jean Windom | Social Worker | 608 Fox St., Lapeer, MI 48446 | 2018-03-08 |
| 1831448927 | Christina Thick | Registered Nurse | 1570 Suncrest Drive, Lapeer, MI 48446 | 2012-09-05 |
| 1740556109 | Nina S Lopatin | Audiologist | 951 S. Main Street, Ste. 2, Lapeer, MI 48446 | 2012-03-29 |
| 1316249295 | Adam Richard Ahlgren | Occupational Therapist | 2525 Demille Blvd, Lapeer, MI 48446 | 2010-11-26 |
| 1780903898 | Melissa Ann Price | Occupational Therapy Assistant | 1582 Heather Drive, Lapeer, MI 48446 | 2010-05-28 |
| 1801123732 | Colleen Marie Soto | Counselor | 608 Fox Street, Lapeer, MT 48446 | 2009-11-13 |
| 1396071684 | Michigan Spinal Rehabilitation Clinics Pllc | Psychiatry & Neurology | 2401 W. Genesee Street, Suite A, Lapeer, MI 48446 | 2009-10-22 |
| 1659541902 | Hesham E Gayar, Md, PC | Specialist | 1295 Barry Drive, Suite A, Lapeer, MI 48446 | 2008-03-03 |
| 1790977494 | Stanley S. Roland, D.o., P.C. | Dermatology | 610 North Main Street, Lapeer, MI 48446 | 2007-08-16 |
| 1316139603 | Kimberly Ann Proffer | Pharmacist | 15555 Demill Rd, Lapeer, MI 48446 | 2007-08-10 |
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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 |
|---|---|---|---|---|
| 1427604446 | Ashley Marie Lambert | Behavior Technician | 2299 S Elba Rd, Lapeer, MI 48446-9746 | 2019-08-15 |
| 1881135481 | Jeanne Kelly | Behavior Technician | 110 N Saginaw St, Lapeer, MI 48446-4600 | 2017-03-15 |
| 1326649971 | Courtney Pickett | Behavior Technician | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2020-11-02 |
| 1104427756 | Alexis Dodgin | Behavior Technician | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2020-11-02 |
| 1699380931 | Kirsten Gentry | Behavior Technician | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2020-09-14 |
| 1376157883 | Abigail Wells | Behavior Technician | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2020-09-02 |
| 1124630538 | Kathleen Crawford | Behavior Technician | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2020-08-18 |
| 1245841642 | Casandra Cranick | Behavior Technician | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2020-08-11 |
| 1417565474 | Lindsey Merrow | Behavior Technician | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2020-07-16 |
| 1710503016 | Holly Burda | Behavior Technician | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2020-06-23 |
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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.