JACQUELYN PAIGE RENARD (NPI# 1760036164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760036164 |
| Entity Type | Individual |
| Full Name | JACQUELYN PAIGE RENARD |
| Practice Address |
4410 W 13 Mile Rd Royal Oak MI 48073-6515 |
| Practice Telephone | 2485546355 |
| Mailing Telephone | 2485546355 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |
| 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 |
4410 W 13 MILE RD |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033264890 | Judson Center, Inc. | Case Management | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2007-01-24 |
| 1861036188 | Amanda Lynn Zeffero | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-10-30 |
| 1821649799 | Jennifer Lynn Radowick | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-09-23 |
| 1053960039 | Chrishara Shanae Richardson | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-09-11 |
| 1154970531 | Olesia Kellezi | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-09-09 |
| 1497308092 | Lauren Macleod | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-07-23 |
| 1073165387 | Rebecca Wilson | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-07-16 |
| 1114579208 | Monique Jackson | Counselor | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-07-10 |
| 1487211488 | Stephanie Page Ender | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-05-24 |
| 1649735903 | Dana Marie Milliman | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| 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 |
|---|---|---|---|---|
| 1467002139 | Melissa Waelder | Behavior Technician | 4410 W 13 Mile Rd # 6515, Royal Oak, MI 48073-6515 | 2019-09-16 |
| 1083213755 | Janica So | Behavior Technician | 28000 Woodward Ave, Royal Oak, MI 48067-0960 | 2020-10-22 |
| 1407469562 | Batsheva Forta | Behavior Technician | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2020-08-28 |
| 1417583238 | Elizabeth Kendall | Behavior Technician | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2020-03-13 |
| 1134752272 | Megan Leonatti | Behavior Technician | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2020-02-18 |
| 1124651260 | Regan Soriano | Behavior Technician | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2020-02-18 |
| 1861036188 | Amanda Lynn Zeffero | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-10-30 |
| 1821649799 | Jennifer Lynn Radowick | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-09-23 |
| 1053960039 | Chrishara Shanae Richardson | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-09-11 |
| 1154970531 | Olesia Kellezi | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-09-09 |
| Find all providers in ROYAL OAK | ||||
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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.