KELLY KISH (NPI# 1700355500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700355500 |
| Entity Type | Individual |
| Full Name | KELLY KISH |
| Practice Address |
32 S Homer Rd Midland MI 48640-8367 |
| Practice Telephone | 9894868351 |
| Mailing Telephone | 9894868351 |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2020-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2521 N Elms Rd, Flushing, MI 484339423 | 8104875571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609322304 | Kelly Kish | Occupational Therapist | 200 E Wilson Bridge Rd, Worthington, OH 43085-2823 | 2016-09-01 |
| Street Address |
32 S HOMER RD |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-8367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522531 | Irene Cline | Behavior Technician | 32 S Homer Rd, Midland, MI 48640-8367 | 2020-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| 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 |
|---|---|---|---|---|
| 1437789054 | Erin J Fink | Behavioral Analyst | 4008 N Saginaw Rd, Midland, MI 48640-2389 | 2020-01-23 |
| 1790329753 | Mariah Reyes | Behavioral Analyst | 3711 Salem St, Midland, MI 48642-4925 | 2019-11-03 |
| 1770046880 | Next Phase Behavioral Solutions LLC | Behavioral Analyst | 9637 Hollow Pine Dr, Midland, GA 31820-6314 | 2019-04-08 |
| 1861968448 | Korbin Williams | Behavioral Analyst | 2409 W Illinois Ave Ste D, Midland, TX 79701-6308 | 2018-10-22 |
| 1376926162 | Aba Connections of Central Michigan, LLC | Behavioral Analyst | 3301 Ridecrest Dr, Midland, MI 48642 | 2015-06-30 |
| 1518353713 | Tina M. Marcellis | Behavioral Analyst | 3301 Ridgecrest Dr, Midland, MI 48642-5860 | 2015-04-14 |
| 1851797476 | Kelly Spangler | Behavioral Analyst | 233 E Larkin St, Midland, MI 48640-5110 | 2014-11-10 |
| 1962816611 | Aba Pathways | Behavioral Analyst | 3905 Cambridge St, Midland, MI 48642-3697 | 2014-06-19 |
| 1023648904 | Lisa Marie Anderson | Behavioral Analyst | 4301 Jefferson Ave, Midland, MI 48640-3513 | 2020-01-20 |
| 1518523448 | Sandra Kay House | Behavioral Analyst | 337 Lemke St, Midland, MI 48642-5926 | 2019-05-16 |
| Find all providers in MIDLAND | ||||
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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.