DANIELLE WILDE (NPI# 1750990040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750990040 |
| Entity Type | Individual |
| Full Name | DANIELLE WILDE |
| Practice Address |
3361 36th St Se Kentwood MI 49512-2809 |
| Practice Telephone | 6164016206 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11172 Adams St, Holland, MI 494239163 | 6164016206 | |
| 1256 Walker Ave Nw # G, Grand Rapids, MI 495044067 | 6164016206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598277352 | Danielle Wilde | Counselor | 4460 S Highland Dr Ste 230, Slc, UT 84124-3550 | 2017-11-01 |
| Street Address |
3361 36TH ST SE |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49512-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003137 | Jacquie Dominguez | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-11-04 |
| 1306446331 | Sarah Elisabeth Olson | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-10-28 |
| 1528674207 | Samantha Joy Riihimaa | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-09-18 |
| 1649885278 | Tyler Marcus | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-09-10 |
| 1427660117 | Cierra Jackson | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-08-23 |
| 1750991808 | Paige Feehery | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-08-04 |
| 1689282949 | Brian Schmidt Haynes | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-07-22 |
| 1972111342 | Kayla Muyskens | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-07-21 |
| 1770119208 | Jessica Jackson | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-03-16 |
| 1144852641 | Jennifer Lynn Owens | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| 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 |
|---|---|---|---|---|
| 1386294643 | Diep- Kimberly Ngoc Nguyen | Behavior Technician | 5338 Wyndtree Ln Se, Kentwood, MI 49548-0836 | 2019-09-18 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1215470539 | Kathryn Fisher | Behavior Technician | 5366 Eastern Ave Se, Kentwood, MI 49508-6018 | 2016-11-19 |
| 1134676976 | Vahe Grigoryan | Behavior Technician | 1458 Brookmark St Se, Kentwood, MI 49508-6117 | 2016-09-09 |
| 1962003137 | Jacquie Dominguez | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-11-04 |
| 1306446331 | Sarah Elisabeth Olson | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-10-28 |
| 1528674207 | Samantha Joy Riihimaa | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-09-18 |
| 1649885278 | Tyler Marcus | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-09-10 |
| 1427660117 | Cierra Jackson | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-08-23 |
| 1750991808 | Paige Feehery | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-08-04 |
| Find all providers in KENTWOOD | ||||
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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.