Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700472412 Individual Practitioner Female Practitioner

Lisanna Star Lewis

Behavior Technician • Gladwin, MI

Professional Overview & Biography Verified Profile Summary

Lisanna Lewis is a registered healthcare professional specializing in Behavior Technician in Gladwin, MI. Practice services are available at 1234 W CEDAR AVE STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1234 W Cedar Ave Ste B

Gladwin, MI 486241818

Telephone 9894230971

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Gladwin, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.1 Yrs
Regional Practice Density
91 Specialists

Practicing in Gladwin, MI (63826 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-04-13
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
L200522777404 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Lynae Hansen

Registered Nurse

NPI 1033926241
Onyinyechi Okenwa

Licensed Practical Nurse

NPI 1073320289
Ijeoma Onyene

Licensed Practical Nurse

NPI 1124835335
Vicki Wiles

Licensed Practical Nurse

NPI 1164239372
Molly Dittrich

Licensed Practical Nurse

NPI 1225775950
Tamela Gonzales

Registered Nurse

NPI 1225845431

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2022

Behavior Technician

NPI Profile Active December 16, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 16, 2020

Registered at 1234 W CEDAR AVE STE B, GLADWIN, MI 486241818 (Tel: 9894230971)

📍
Updated Business Mailing Address December 16, 2020

Registered at 2600 MOSTETLER RD LOT 28, HARRISON, MI 486259139 (Tel: 9894247198)

👤
Provider Name / Credentials Updated December 16, 2020

Recorded as LISANNA LEWIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2020

Behavior Analyst

🟢
Initial NPI Registration & Enumeration December 16, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700472412
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 16, 2020
Last Update: April 13, 2022
Sole Proprietor: No

Mailing Address

2600 Mostetler Rd Lot 28

Harrison, MI 486259139

Phone: 9894247198

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.