MICHELLE A ETCHELLS (NPI# 1790249068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790249068 |
| Entity Type | Individual |
| Full Name | MICHELLE A ETCHELLS |
| Credential | MA |
| Practice Address |
401 Cypress St Manchester NH 03103 |
| Mailing Address |
2 Wall St Ste 300 Manchester NH 03101-1518 |
| Practice Telephone | 6036684111 |
| Practice Fax Number | 6036287757 |
| Mailing Telephone | 6036684111 |
| Mailing Fax Number | 6036287757 |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 51 Silver Lake Rd, Hollis, NH 030496252 | 6034653371 |
| Street Address |
401 CYPRESS ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475193 | Marquise Kendrick | Specialist | 401 Cypress St, Manchester, NH 03103-3628 | 2020-10-26 |
| 1124625819 | Ashley Nicole Purugganan | Social Worker | 401 Cypress St, Manchester, NH 03103-3628 | 2020-10-06 |
| 1609482124 | Emily Irene Hebert | Registered Nurse | 401 Cypress St, Manchester, NH 03103-3628 | 2020-09-21 |
| 1033725841 | Sydney Ellen Greeno | Specialist | 401 Cypress St, Manchester, NH 03103-3628 | 2020-09-17 |
| 1932715794 | Gillian L Savitch | Counselor | 401 Cypress St, Manchester, NH 03103-3628 | 2020-09-17 |
| 1891300117 | Kaley Morgan Michaels | Specialist | 401 Cypress St, Manchester, NH 03103-3628 | 2020-09-14 |
| 1023622248 | Inga Renzulli | Registered Nurse | 401 Cypress St, Manchester, NH 03103-3628 | 2020-09-04 |
| 1487267084 | Ava Aurora Parr | Specialist | 401 Cypress St, Manchester, NH 03103-3628 | 2020-08-25 |
| 1043829443 | Ashley Ann Gregory | Specialist | 401 Cypress St, Manchester, NH 03103-3628 | 2020-07-31 |
| 1467070870 | Dawn Elise Laroche | Registered Nurse | 401 Cypress St, Manchester, NH 03103-3628 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023583374 | Melissa K Bascom | Social Worker | C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 | 2018-10-12 |
| 1538650650 | Bluestone Healthcare Services L.L.C. | Physician Assistant | Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 | 2018-05-24 |
| 1538662424 | Minal Jamkhande | Pharmacist | 50 S Willow Street, Manchester, NH 03103 | 2018-03-16 |
| 1447776240 | Manchester Health Supplies | Durable Medical Equipment & Medical Supplies | 373 S Willow Street, #328, Manchester, NH 03103 | 2017-08-14 |
| 1184145898 | Susan E Herman | Physical Therapist | 3000 Goffs Falls Road Suite 101, Manchester, NH 03103 | 2017-07-03 |
| 1316476757 | Sara Rose Hanrahan | Occupational Therapist | 3000 Goffs Falls Road, Suite 101, Manchester, NH 03103 | 2017-06-08 |
| 1457802811 | Holly Ann Cekala | Counselor | 140 Central St, Manchester, NH 03103 | 2016-10-20 |
| 1114301249 | Families In Transition | Counselor | 282 Belmont St, Manchester, NH 03103 | 2015-07-18 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
| Find all providers in zip 03103 | ||||
| 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 |
|---|---|---|---|---|
| 1811523707 | Megan Mcdermott | Behavior Technician | 220 Youville St, Manchester, NH 03102-3034 | 2020-03-23 |
| 1972135085 | Heather Sneed | Behavior Technician | 373 S Willow St Ste 226, Manchester, NH 03103-5751 | 2020-02-06 |
| 1043852536 | Hannah Lee | Behavior Technician | 664 Mast Rd, Manchester, NH 03102-1429 | 2019-10-16 |
| 1851941124 | Morgan Katherine Anne Dresch | Behavior Technician | 300 River Bend St, Manchester, MI 48158-9532 | 2019-09-18 |
| 1225686538 | Shannon Lee Wagner | Behavior Technician | 203 Union St, Manchester, CT 06042-1938 | 2019-08-29 |
| 1497302855 | Ashley Marie Capraro | Behavior Technician | 769 Somerville St Apt 3, Manchester, NH 03103-4535 | 2019-08-21 |
| 1063065100 | Kelsey Sanders | Behavior Technician | 280 Bodwell Rd, Manchester, NH 03109-5000 | 2019-07-18 |
| 1194378240 | Kayla Sovie | Behavior Technician | 335 Belmont St, Manchester, NH 03103-4346 | 2019-07-18 |
| 1417500570 | Robert Tompkins | Behavior Technician | 1163 Island Pond Rd, Manchester, NH 03109-5407 | 2019-07-18 |
| 1982257127 | Shawna Packard | Behavior Technician | 1583 Belmont St, Manchester, NH 03104-2759 | 2019-07-17 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03103 |
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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.