MRS. KIMBERLY ELLISON DE JONG (NPI# 1033485123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033485123 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY ELLISON DE JONG |
| Credential | M.S., BCBA |
| Practice Address |
15905 Chateau Ave Austin TX 78734-2639 |
| Mailing Address |
15905 Chateau Avenue Austin TX 78734 |
| Practice Telephone | 2404182233 |
| Practice Fax Number | 3012636870 |
| Mailing Telephone | 2404182233 |
| Mailing Fax Number | 3012636870 |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2014-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598053381 | Kimberly Anne De Jong | Nurse Practitioner | 500 Superior Ave Ste 160, Newport Beach, CA 92663-3677 | 2011-07-14 |
| 1093727281 | Kimberly Joy De Jong | Counselor | 6006 159th St Bldg C, The Genesis Therapy Center, Oak Forest, IL 60452-2904 | 2006-08-13 |
| Street Address |
15905 CHATEAU AVE |
| City | AUSTIN |
| State | TX |
| Zip Code | 78734-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499757 | Wcs Medical Management LLC | Emergency Medicine | 1700 B Rr 620 South, Austin, TX 78734 | 2020-02-17 |
| 1851930788 | Beasley Counseling Pllc | Counselor | 311 Ranch Road 620 S, Building 311, Suite 102, Lake Travis Business Park, Austin, TX 78734 | 2019-12-23 |
| 1437664067 | Austin Cosmetic Surgery | Surgery | 3102 Rr 620 S, Lakeway, TX 78734 | 2017-12-05 |
| 1568907913 | Pure Pharmacy | Pharmacy | 1927 Lohmans Crossing Rd Ste 203, Lakeway, TX 78734 | 2016-12-21 |
| 1558735050 | Magnolia Instructional Center | Behavioral Analyst | 2903 Rr 620 N, Bldg B, Austin, TX 78734 | 2015-11-20 |
| 1285012815 | H-e-b, Lp | Clinical Medical Laboratory | 2000 Ranch Rd. 620 South Ste A, Lakeway, TX 78734 | 2015-05-15 |
| 1932591385 | Benjamin House | Contractor | 14301 Hunters Pass, Austin, TX 78734 | 2015-02-23 |
| 1215350913 | Yiyang Emily Liu | Nurse Practitioner | 2306 Rent Rd 620 S, Minuteclinic, Lake Way, TX 78734 | 2014-01-31 |
| 1033473905 | Magnolia Instructional Center | Speech-Language Pathologist | 2903 Rr 620 N Bldg B, Austin, TX 78734 | 2012-06-26 |
| 1073830246 | Ricardo Jesus Chapa | Pediatrics | 900 Ranch Road 620 South, Suite C201, Lakeway, TX 78734 | 2010-04-28 |
| Find all providers in zip 78734 | ||||
| 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 |
|---|---|---|---|---|
| 1194325522 | Sridivya Pattisam | Behavioral Analyst | 1215 W Slaughter Ln Apt 534, Austin, TX 78748-6709 | 2020-10-26 |
| 1942817200 | Songbird Health Tx LLC | Behavioral Analyst | 1401 Lavaca St, Austin, TX 78701-1634 | 2020-09-29 |
| 1962020099 | Mayra Cristina Barreda | Behavioral Analyst | 2000 Cedar Bend Dr Apt 1134, Austin, TX 78758-5351 | 2020-07-06 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1326677212 | Tx Mc Sprout 1 LLC | Behavioral Analyst | 5323 Levander Loop, Austin, TX 78702-5146 | 2020-04-03 |
| 1922632405 | Little Light Aba, LLC | Behavioral Analyst | 6001 W Parmer Ln Ste 370 #3064, Austin, TX 78727 | 2020-02-24 |
| 1417580648 | Ashley K Bloodworth | Behavioral Analyst | 2100 Kramer Ln Ste 300, Austin, TX 78758-4094 | 2020-02-17 |
| 1376173013 | Haley Erin Van Klompenburg | Behavioral Analyst | 5700 S Mo Pac Expy Ste 310, Austin, TX 78749-1457 | 2020-01-22 |
| 1386282630 | Kourtney Souza | Behavioral Analyst | 1500 S Lamar Blvd Apt 2015, Austin, TX 78704-2944 | 2019-12-18 |
| 1447891098 | Vision Aba | Behavioral Analyst | 6205 Adel Cv, Austin, TX 78749-1656 | 2019-10-04 |
| Find all providers in AUSTIN | ||||
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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.