JACKIE LOUISE DUTCHER (NPI# 1902468622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902468622 |
| Entity Type | Individual |
| Full Name | JACKIE LOUISE DUTCHER |
| Practice Address |
2284 S Ballenger Hwy Ste G Flint MI 48503-3446 |
| Practice Telephone | 8102217871 |
| Mailing Telephone | 8102217871 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| 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 |
2284 S BALLENGER HWY STE G |
| City | FLINT |
| State | MI |
| Zip Code | 48503-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851791461 | Sarah Katherine Yurgelaitis | Physical Therapy Assistant | 2284 S Ballenger Hwy Ste G, Flint, MI 48503-3446 | 2014-09-02 |
| 1093340507 | Courtney Rae Pulvirenti | Technician, Health Information | 2284 S Ballenger Hwy Ste G, Flint, MI 48503-3446 | 2020-03-04 |
| 1700418936 | Jessica Lynn Beeson | Behavior Technician | 2284 S Ballenger Hwy Ste G, Flint, MI 48503-3446 | 2020-02-05 |
| 1922630326 | Angelina Abufarha | Technician, Health Information | 2284 S Ballenger Hwy Ste G, Flint, MI 48503-3446 | 2020-02-04 |
| 1871130450 | Jessica Lache Hester | Technician, Other | 2284 S Ballenger Hwy Ste G, Flint, MI 48503-3446 | 2019-12-03 |
| 1912544594 | Ashlie Marie Foster | Behavior Technician | 2284 S Ballenger Hwy Ste G, Flint, MI 48503-3446 | 2019-12-03 |
| 1134763709 | Cameron Lee Richardson | Technician, Other | 2284 S Ballenger Hwy Ste G, Flint, MI 48503-3446 | 2019-11-06 |
| 1598314866 | Tonya Lea Goretski | Technician, Other | 2284 S Ballenger Hwy Ste G, Flint, MI 48503-3446 | 2019-09-09 |
| 1437708195 | Thalia Fraguada | Technician, Other | 2284 S Ballenger Hwy Ste G, Flint, MI 48503-3446 | 2019-09-05 |
| 1225690860 | Hayli Byers | Behavior Technician | 2284 S Ballenger Hwy Ste G, Flint, MI 48503-3446 | 2019-07-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
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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 |
|---|---|---|---|---|
| 1598374852 | Leah Stadel | Behavior Technician | 4469 Rainbow Ln, Flint, MI 48507-6228 | 2020-07-23 |
| 1689220543 | Bria Marese Jones | Behavior Technician | 6102 Dupont St, Flint, MI 48505-2684 | 2019-08-15 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1972017309 | Gabriel Reddoch | Behavior Technician | 5221 W Court St, Flint, MI 48532-4114 | 2017-11-21 |
| 1275052573 | Alexis Kristina Nedanis | Behavior Technician | 1026 Sussex Ln, Flint, MI 48532-2654 | 2017-09-18 |
| 1912424193 | Courtney Reed | Behavior Technician | 4121 M L King Ave, Flint, MI 48505 | 2017-08-28 |
| 1649718909 | Elexis Moore | Behavior Technician | 909 Stevens Street, Flint, MI 48502-1620 | 2017-02-07 |
| 1366993743 | Craig Gray | Behavior Technician | 5714 Suburban Ct, Flint, MI 48505-2645 | 2016-10-20 |
| 1609232487 | Taquaysha Taylor | Behavior Technician | 1815 Oxley Dr, Flint, MI 48504-7039 | 2016-01-08 |
| 1558993139 | Hailee Strong | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2020-02-11 |
| Find all providers in FLINT | ||||
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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.