JORDAN C CAMPOS (NPI# 1023617271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023617271 |
| Entity Type | Individual |
| Full Name | JORDAN C CAMPOS |
| Credential | RBT |
| Practice Address |
6131 N Clinton St Fort Wayne IN 46825-4905 |
| Mailing Address |
5601 Coventry Ln Fort Wayne IN 46804-7145 |
| Practice Telephone | 2607551438 |
| Mailing Telephone | 2607551438 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
6131 N CLINTON ST |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-4905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013573427 | Danielle N Degitz | Behavior Technician | 6131 N Clinton St, Fort Wayne, IN 46825-4905 | 2019-05-13 |
| 1689273690 | Nichole R Wormcastle | Behavioral Analyst | 6131 N Clinton St, Fort Wayne, IN 46825-4905 | 2020-10-21 |
| 1851990006 | Layne D Mayhew | Behavioral Analyst | 6131 N Clinton St, Fort Wayne, IN 46825-4905 | 2020-10-20 |
| 1467068387 | Kristyn A Atz | Behavioral Analyst | 6131 N Clinton St, Fort Wayne, IN 46825-4905 | 2020-09-16 |
| 1588273619 | Jessica Hammond | Behavioral Analyst | 6131 N Clinton St, Fort Wayne, IN 46825-4905 | 2020-07-24 |
| 1417580630 | Cameron Crick | Behavior Technician | 6131 N Clinton St, Fort Wayne, IN 46825-4905 | 2020-02-17 |
| 1538791595 | Janice A Straley | Behavior Technician | 6131 N Clinton St, Fort Wayne, IN 46825-4905 | 2020-02-07 |
| 1689205387 | Matthew R Dejesus | Behavior Technician | 6131 N Clinton St, Fort Wayne, IN 46825-4905 | 2020-01-31 |
| 1891332185 | Tierra L Gibson | Behavior Technician | 6131 N Clinton St, Fort Wayne, IN 46825-4905 | 2019-12-05 |
| 1033756432 | Bridget A Bramel | Behavior Technician | 6131 N Clinton St, Fort Wayne, IN 46825-4905 | 2019-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689204042 | Casey Corullo Boersma | Behavioral Analyst | 12219 Golden Harvest Dr, Fort Wayne, IN 46845-9030 | 2020-01-24 |
| 1790339737 | Julie Pettibone | Behavioral Analyst | 4719 S Calhoun St, Fort Wayne, IN 46807-2811 | 2019-07-29 |
| 1063077535 | Pathway Aba LLC | Behavioral Analyst | 5651 Coventry Ln Ste 226, Fort Wayne, IN 46804-7145 | 2019-05-09 |
| 1114495835 | Amy Sheefel | Behavioral Analyst | 201 E Rudisill Blvd Ste B100, Fort Wayne, IN 46806-1738 | 2018-11-12 |
| 1336651736 | Great Heights Aba Inc. | Behavioral Analyst | 343 W Suttenfield St, Fort Wayne, IN 46807-1339 | 2017-10-26 |
| 1851819759 | Chelsea Wahl-bridge | Behavioral Analyst | 2270 Lake Ave Ste 101, Fort Wayne, IN 46805-5360 | 2017-08-31 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1831542380 | Small Steps - Giant Leaps, Inc. | Behavioral Analyst | 7429 Nature Trail Dr, Fort Wayne, IN 46835-1425 | 2016-07-20 |
| 1497116578 | Brenton Cox | Behavioral Analyst | 3948 New Vision Dr, Suite D, Fort Wayne, IN 46845-1720 | 2016-03-16 |
| 1700241866 | Wendy Renee Boehm | Behavioral Analyst | 7631 Lakeridge Dr, Fort Wayne, IN 46819-1969 | 2015-12-16 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46825 |
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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.