LOGAN MAE FISH (NPI# 1851926307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851926307 |
| Entity Type | Individual |
| Full Name | LOGAN MAE FISH |
| Practice Address |
5877 Livernois Rd Troy MI 48098-3100 |
| Practice Telephone | 7325456335 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| 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 |
5877 LIVERNOIS RD |
| City | TROY |
| State | MI |
| Zip Code | 48098-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255380994 | Victor Jamtoon Yee | Dentist | 5877 Livernois Rd, Suite 102, Troy, MI 48098-3100 | 2006-05-09 |
| 1851928774 | Razan Abed | Behavior Technician | 5877 Livernois Rd, Troy, MI 48098-3100 | 2020-03-23 |
| 1326673112 | Marissa Axline | Behavior Technician | 5877 Livernois Rd, Troy, MI 48098-3100 | 2020-03-11 |
| 1619502093 | Fairwz Shoubah | Behavior Technician | 5877 Livernois Rd, Troy, MI 48098-3100 | 2020-03-06 |
| 1972133296 | Hally Alrihani | Behavior Technician | 5877 Livernois Rd, Troy, MI 48098-3100 | 2020-01-26 |
| 1497390801 | Ann Elizabeth Peoples | Behavior Technician | 5877 Livernois Rd, Troy, MI 48098-3100 | 2019-11-08 |
| 1770133456 | Kara Marie Lictawa | Behavior Technician | 5877 Livernois Rd, Troy, MI 48098-3100 | 2019-09-16 |
| 1609425891 | Sarah Ellen Reeves | Behavioral Analyst | 5877 Livernois Rd, Troy, MI 48098-3100 | 2019-09-10 |
| 1881242709 | Comprehensive Early Autism Services | Behavioral Analyst | 5877 Livernois Rd, Troy, MI 48098-3100 | 2019-09-04 |
| 1750849022 | Comprehensive Early Autism Services | Community/Behavioral Health | 5877 Livernois Rd, Troy, MI 48098-3100 | 2019-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053949289 | Douglas Ross | Physical Therapy Assistant | 4062 Livernois Rd, Troy, MI 48098 | 2020-04-01 |
| 1104382837 | Minxes Inc | Chiropractor | 1175 W. Long Lake Rd, Suite 100, Troy, MI 48098 | 2019-02-19 |
| 1689160053 | Nyssa J Swanson | Physical Therapist | 5440 Corporate Dr Ste 400, Troy, MI 48098 | 2018-07-09 |
| 1447742580 | Rebecca Jane Stros | Counselor | 900 Tower Dr, Troy, MI 48098 | 2018-06-05 |
| 1356863278 | Brigette Johnson | Occupational Therapist | 4794 Riverchase Dr, Troy, MI 48098 | 2017-07-12 |
| 1912448382 | Devyn Depeter | Technician/Technologist | 5877 Livernois Rd Ste 104, Troy, MI 48098 | 2017-03-17 |
| 1285025015 | Rochester Knee & Sports Medicine PC | Durable Medical Equipment & Medical Supplies | 4600 Investment Dr Ste 120, Troy, MI 48098 | 2015-02-16 |
| 1649690231 | Tammy Beesley-schick | Registered Nurse | 4568 Odette Ct, Troy, MI 48098 | 2014-04-22 |
| 1306269584 | Medi-care | Ambulance | 5741 Faircastle, Troy, MI 48098 | 2014-01-24 |
| 1881953644 | Diane Marie Bald | Social Worker | 1707 White Birch Ct, Troy, MI 48098 | 2012-05-14 |
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| 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 |
|---|---|---|---|---|
| 1366919581 | Megan Elise Sacco | Behavior Technician | 2221 Livernois Rd # Mi48083, Troy, MI 48083-1603 | 2018-10-25 |
| 1205327509 | Leynna Nguyen | Behavior Technician | 2413 Niagara Dr, Troy, MI 48083-5938 | 2018-05-22 |
| 1891284428 | Brianne M Bendel | Behavior Technician | 2281 Isabell Dr, Troy, MI 48083-2311 | 2018-05-09 |
| 1134729270 | Shara S Jamierson | Behavior Technician | 2221 Livernois Rd Ste 101, Troy, MI 48083-1603 | 2020-10-28 |
| 1215547682 | Madison Marie Williams | Behavior Technician | 1018 S Brundidge St, Troy, AL 36081-3148 | 2020-07-31 |
| 1740899251 | Taylor Tinney | Behavior Technician | 1018 S Brundidge St, Troy, AL 36081-3148 | 2020-07-30 |
| 1851928774 | Razan Abed | Behavior Technician | 5877 Livernois Rd, Troy, MI 48098-3100 | 2020-03-23 |
| 1326673112 | Marissa Axline | Behavior Technician | 5877 Livernois Rd, Troy, MI 48098-3100 | 2020-03-11 |
| 1619502093 | Fairwz Shoubah | Behavior Technician | 5877 Livernois Rd, Troy, MI 48098-3100 | 2020-03-06 |
| 1437782679 | Lakeisha Brooks | Behavior Technician | 1800 W Big Beaver Rd Ste 150, Troy, MI 48084-3535 | 2020-02-17 |
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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.