CHARLES MICHAEL HERRMANN (NPI# 1801393673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801393673 |
| Entity Type | Individual |
| Full Name | CHARLES MICHAEL HERRMANN |
| Practice Address |
17 Dixie Dr Fenton MO 63026-4502 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 3146091946 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |
| Gender Code | M |
| 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 |
17 DIXIE DR |
| City | FENTON |
| State | MO |
| Zip Code | 63026-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| 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 |
|---|---|---|---|---|
| 1356955967 | Mckayla Graves | Behavior Technician | 1640 Littleton Ct, Fenton, MO 63026-3015 | 2020-09-01 |
| 1316555626 | Joshua Jaggers | Behavior Technician | 11310 Greenview Dr, Fenton, MI 48430-2534 | 2020-07-22 |
| 1811546971 | Melissa Howe | Behavior Technician | 4569 Eleanor Dr, Fenton, MI 48430-9142 | 2019-09-10 |
| 1053928077 | Jeremy Kucinski | Behavior Technician | 14 Soccer Park Rd, Fenton, MO 63026-2564 | 2020-09-24 |
| 1407494545 | Tony Latham | Behavior Technician | 14 Soccer Park Rd, Fenton, MO 63026-2564 | 2019-12-19 |
| 1932754389 | Ryan Luketich | Behavior Technician | 14 Soccer Park Rd, Fenton, MO 63026-2564 | 2019-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990386 | Brigitte A Thorn | Behavior Technician | 607 Vivian Ct, Park Hills, MO 63601-4441 | 2020-10-26 |
| 1558960906 | Joshua Kemp | Behavior Technician | 2957 Madison 208, Fredericktown, MO 63645-8478 | 2020-10-17 |
| 1649878158 | Bridget Heaton Garner | Behavior Technician | 33636 Country Club Rd, Slater, MO 65349-2238 | 2020-10-16 |
| 1922612787 | Julie Schrum | Behavior Technician | 751 Timberline Dr, Farmington, MO 63640-7800 | 2020-08-31 |
| 1508479528 | Alexis Marie Gallegos | Behavior Technician | 214 Ferrel St, Platte City, MO 64079-9511 | 2020-08-28 |
| 1881207264 | Kenyatta Dakesha Cole | Behavior Technician | 4889 Kossuth Ave Fl 1, Saint Louis, MO 63115-2107 | 2020-08-26 |
| 1336752872 | Jojinam Alicia Agbokou | Behavior Technician | 13087 Fox Haven Ct, Florissant, MO 63033-4800 | 2020-08-25 |
| 1912519372 | Chelsea Arnold | Behavior Technician | 1300 Locust St, Harrisonville, MO 64701-1366 | 2020-08-18 |
| 1629689633 | Veronica Lynn Kirk | Behavior Technician | 2270 Orleans Ln, Florissant, MO 63031-2114 | 2020-08-13 |
| 1902417843 | Delaney Hicks | Behavior Technician | 3048 S Clifton Ave Ste 122, Springfield, MO 65807-5957 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
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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.