ABA INSIGHT, LLC (NPI# 1710419528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710419528 |
Entity Type | Organization |
Organization Name | ABA INSIGHT, LLC |
Practice Address |
6267 Webster Church Rd Dexter MI 48130-9659 |
Practice Telephone | 7349722550 |
Mailing Telephone | 7349722550 |
Enumeration Date | 2017-03-30 |
Last Update Date | 2017-03-30 |
Authorized Official Name | ANGIE MARIE FUQUA (PRESIDENT) |
Authorized Official Telephone | 7349722550 |
Authorized Official Credential | M.A., BCBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11313269 | MI | Residential Treatment Facilities |
Street Address |
6267 WEBSTER CHURCH RD |
City | DEXTER |
State | MI |
Zip Code | 48130-9659 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356829014 | Justin Jones | Behavior Technician | 6267 Webster Church Rd, Dexter, MI 48130-9659 | 2018-08-03 |
1154808434 | Mackenzie Lee Need | Behavior Technician | 6267 Webster Church Rd, Dexter, MI 48130-9659 | 2018-07-19 |
1730672569 | Danielle Rachel Rothstein | Behavior Technician | 6267 Webster Church Rd, Dexter, MI 48130-9659 | 2018-06-06 |
1063909091 | Garrison Riley Hocker | Technician/Technologist | 6267 Webster Church Rd, Dexter, MI 48130-9659 | 2018-04-16 |
1265932636 | Kyle Dean Yerebeck | Behavior Technician | 6267 Webster Church Rd, Dexter, MI 48130-9659 | 2018-02-13 |
1396252854 | Sarah Sorenson | Behavior Technician | 6267 Webster Church Rd, Dexter, MI 48130-9659 | 2018-01-05 |
1255844007 | Kameron L Kuzich | Behavior Technician | 6267 Webster Church Rd, Dexter, MI 48130-9659 | 2017-11-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013497585 | Julie Anne Bumpus X | Nurse Practitioner | 4848 Gregory, Dexter, MI 48130 | 2018-08-15 |
1255726592 | Alliance for Hope and Healing | Psychologist | 8005 Main St., Dexter, MI 48130 | 2015-04-03 |
1588979926 | Beata Malgorzata Jagoda-ohman | Physical Therapist | 7057 Dexter-ann Arbor Rd, Dexter, MI 48130 | 2010-08-10 |
1639317514 | Thrive Chiropractic Dexter P.C. | Preferred Provider Organization | 3219 Broad St, Suite 106, Dexter, MI 48130 | 2009-01-30 |
1083888622 | Alan Stephen Boyce | Chiropractor | 3151 Baker Rd, Dexter, MI 48130 | 2008-04-15 |
1720200785 | Brenda Denise Eisele | Speech-Language Pathologist | 3630 Noble Drive, Dexter, MI 48130 | 2007-05-02 |
1104041649 | Robert Joseph Turck | Dentist | 3060 Baker Rd, Dexter, MI 48130 | 2007-04-17 |
1073647343 | Amy Alexandra Whitney | Pharmacist | 7080 Dexter- Ann Arbor Rd, Dexter, MI 48130 | 2007-03-16 |
1457481442 | John Douglas Higgins | Audiologist | 7900 W Huron River Dr, Dexter, MI 48130 | 2007-03-07 |
1235264425 | Boyce Dc Pllc | Chiropractor | 3151 Baker Road, Dexter, MI 48130 | 2007-02-21 |
Find all providers in zip 48130 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881715365 | Stoddard County Arc Gh 2w | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 716 Boucher St, Dexter, MO 63841-2400 | 2007-04-03 |
1356461693 | Stoddard County Arc Gh | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S Walnut St, Dexter, MO 63841-2145 | 2007-03-30 |
1386703452 | Cape Home Oxygen, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1009 Hickory Log Dr, Dexter, MO 63841-1664 | 2006-12-06 |
1699896175 | Stoddard County Arc Isl | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1318 W Grant St, Dexter, MO 63841-1861 | 2007-04-03 |
1316062763 | Specialty Products & Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 402 S Walnut St, Dexter, MO 63841-2146 | 2007-03-21 |
1003930520 | Specialty Products & Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 402 S Walnut St, Dexter, MO 63841-2146 | 2007-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144855123 | Hope Shores, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1383 E Maple Ave, Burton, MI 48529-2059 | 2020-03-10 |
1760030183 | Specially Made Co. LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 845 E Summerfield Glen Cir, Ann Arbor, MI 48103-9161 | 2019-08-28 |
1033776919 | South Coast Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 72633 M 43, South Haven, MI 49090-8734 | 2019-05-25 |
1275001448 | St. Jude's Assisted Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 509 S 22nd St, Escanaba, MI 49829-2247 | 2018-11-06 |
1457826315 | Northrop Loving Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17777 Northrop St, Detroit, MI 48219-2321 | 2018-10-08 |
1548745961 | Residential Opportunities Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 612 Landsdowne Ave, Portage, MI 49002-0556 | 2018-10-02 |
1134604051 | Unity Group II LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 63 Wood Dr, Coldwater, MI 49036-1046 | 2018-09-26 |
1578048401 | Unity Group V LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Wood Dr, Coldwater, MI 49036-1046 | 2018-09-26 |
1417432337 | Unity Group IIi LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1831 Case Dr, Union City, MI 49094-9348 | 2018-09-26 |
1033694963 | Unity Group Iv LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 126 Gail Ann Dr, Coldwater, MI 49036-9327 | 2018-09-26 |
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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.