MACKENZIE TAYLOR JACOBS (NPI# 1871001909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871001909 |
| Entity Type | Individual |
| Full Name | MACKENZIE TAYLOR JACOBS |
| Practice Address |
1260 Ekhart St Ne Grand Rapids MI 49503-1380 |
| Mailing Address |
3300 36th St Se Grand Rapids MI 49512-2810 |
| Practice Telephone | 6169653492 |
| Mailing Telephone | 6169422110 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-03-17 |
| 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 |
|---|---|---|
| 3300 36th St Se, Grand Rapids, MI 495122810 | 6169422110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043619208 | Mackenzie Jacobs | Physical Therapist | 119 Washington St, Norwell, MA 02061-1728 | 2014-08-13 |
| Street Address |
1260 EKHART ST NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-1380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811974017 | Rajendra Katragadda | Internal Medicine | 1260 Ekhart St Ne, Grand Rapids, MI 49503-1372 | 2005-12-28 |
| 1194286278 | Justin Joseph Ingraham | Behavior Technician | 1260 Ekhart St Ne, Grand Rapids, MI 49503-1380 | 2019-03-29 |
| 1922594001 | Suzanne Delacour | Behavior Technician | 1260 Ekhart St Ne, Grand Rapids, MI 49503-1380 | 2018-07-02 |
| 1063903888 | Lisa Marie Dehaan | Behavior Technician | 1260 Ekhart St Ne, Grand Rapids, MI 49503-1380 | 2018-05-29 |
| 1518456300 | Jacob Scheller | Behavior Technician | 1260 Ekhart St Ne, Grand Rapids, MI 49503-1380 | 2018-05-07 |
| 1518454248 | Angela Lee Tonielli | Behavior Technician | 1260 Ekhart St Ne, Grand Rapids, MI 49503-1380 | 2018-04-18 |
| 1093218240 | Morgan Elizabeth Bengel | Behavior Technician | 1260 Ekhart St Ne, Grand Rapids, MI 49503-1380 | 2018-03-14 |
| 1386159507 | Jonathan David Scott | Behavior Technician | 1260 Ekhart St Ne, Grand Rapids, MI 49503-1380 | 2017-12-11 |
| 1073028445 | Camille Elaine Macklin | Behavior Technician | 1260 Ekhart St Ne, Grand Rapids, MI 49503-1380 | 2017-12-07 |
| 1306351754 | Sydnee Ellison | Behavior Technician | 1260 Ekhart St Ne, Grand Rapids, MI 49503-1380 | 2017-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| 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 |
|---|---|---|---|---|
| 1508467093 | Leah Jueckstock | Behavior Technician | 1703 N Greenfield Cir Ne Apt 102, Grand Rapids, MI 49505-5690 | 2020-11-03 |
| 1700492824 | Silas Mittelstaedt | Behavior Technician | 916 Benjamin Ave Se, Grand Rapids, MI 49506-3221 | 2020-09-23 |
| 1902413065 | Esther Kim | Behavior Technician | 3201 Burton St Se # Phi33, Grand Rapids, MI 49546-4301 | 2020-09-23 |
| 1619587995 | Taylor Villano | Behavior Technician | 2544 Sagewood Ave Ne Unit 618, Grand Rapids, MI 49525-2976 | 2020-08-03 |
| 1336757632 | Donte Castleberry | Behavior Technician | 415 Bradford St Ne, Grand Rapids, MI 49503-1638 | 2020-07-22 |
| 1467079574 | Kendall Romano | Behavior Technician | 1528 Hidden Creek Circle Dr Ne Apt F, Grand Rapids, MI 49505-5478 | 2020-07-06 |
| 1457976268 | Anna Wolff | Behavior Technician | 951 Sherman St Se, Grand Rapids, MI 49506-2603 | 2020-06-08 |
| 1194348763 | Alex Leahy | Behavior Technician | 255 Lane Ave Nw, Grand Rapids, MI 49504-7206 | 2020-05-18 |
| 1669095238 | Sarah Jackson | Behavior Technician | 234 Market Ave Sw Apt 49503, Grand Rapids, MI 49503-4080 | 2020-05-18 |
| 1952921926 | Vivian Horsch | Behavior Technician | 15 Gunnison Ave Sw, Grand Rapids, MI 49504-6217 | 2020-04-20 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on MACKENZIE TAYLOR JACOBS.
| 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.