JESSICA BACON (NPI# 1033592878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033592878 |
| Entity Type | Individual |
| Full Name | JESSICA BACON |
| Practice Address |
200 Griffin Rd Suite 5 Portsmouth NH 03801-7145 |
| Practice Telephone | 8007785560 |
| Mailing Telephone | 8007785560 |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-15-19892 | NH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457781767 | Jessica Rose Ognian Bacon | Counselor | Search Homeless Services, 2015 Congress, Houston, TX 77002 | 2013-11-22 |
| 1780986075 | Jessica Bacon | Chiropractor | 3924 Wilson Blvd # C, Arlington, VA 22203-5853 | 2010-11-19 |
| 1821413063 | Jessica Bacon | Nurse Practitioner | 1 Childrens Plz, Dayton, OH 45404-1873 | 2014-02-25 |
| 1053663880 | Jessica A Bacon | Advanced Practice Midwife | 2300 Southwood Dr, Dartmouth Hitchcock - Ob/gyn, Nashua, NH 03063 | 2012-10-03 |
| 1932402641 | Jessica Bacon | Occupational Therapist | 546 Chicopee St, Chicopee, MA 01013-2148 | 2010-12-20 |
| 1275761033 | Jessica Lynn Bacon | Family Medicine | 13495 Gulf Blvd, Madeira Beach, FL 33708-2515 | 2009-06-30 |
| Street Address |
200 GRIFFIN RD SUITE 5 |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801-7145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679529424 | Kevin Hodges | Pediatrics | 200 Griffin Rd, Suite 15, Portsmouth, NH 03801-7145 | 2006-05-25 |
| 1639611254 | Victoria Miller | Behavioral Analyst | 200 Griffin Rd, Suite 5, Portsmouth, NH 03801-7145 | 2016-11-14 |
| 1871045732 | Karissa Bonner | Behavioral Analyst | 200 Griffin Rd, Suite 5, Portsmouth, NH 03801-7145 | 2016-10-26 |
| 1952769259 | Erin Tuveson | Behavioral Analyst | 200 Griffin Rd, Suite 5, Portsmouth, NH 03801-7145 | 2016-02-02 |
| 1104284470 | Heidi Hawkes | Behavioral Analyst | 200 Griffin Rd, Suite 5, Portsmouth, NH 03801-7145 | 2016-02-02 |
| 1457719734 | Hannah Duff | Behavioral Analyst | 200 Griffin Rd, Suite 5, Portsmouth, NH 03801-7145 | 2016-02-02 |
| 1134594112 | Danielle Yeaton | Behavioral Analyst | 200 Griffin Rd, Suite 5, Portsmouth, NH 03801-7145 | 2015-12-02 |
| 1043682206 | Colin Guare | Behavioral Analyst | 200 Griffin Rd, Suite 5, Portsmouth, NH 03801-7145 | 2015-10-28 |
| 1083086144 | Darci Wilder | Behavioral Analyst | 200 Griffin Rd, Suite 5, Portsmouth, NH 03801-7145 | 2015-10-28 |
| 1336511773 | Anna Oggeri | Behavioral Analyst | 200 Griffin Rd, Suite 5, Portsmouth, NH 03801-7145 | 2015-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| 1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
| 1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
| 1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
| 1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
| 1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
| Find all providers in zip 03801 | ||||
| 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 |
|---|---|---|---|---|
| 1619454261 | Katie Lauren Hoyle | Behavioral Analyst | 5109 Sweetbriar Cir, Portsmouth, VA 23703-4609 | 2018-07-26 |
| 1154814614 | Elise Marie Grybos | Behavioral Analyst | 702 Douglas Ave, Portsmouth, VA 23707-1908 | 2018-06-10 |
| 1043740269 | Leslie Mccleland | Behavioral Analyst | 231 Hatton St, Portsmouth, VA 23704-2254 | 2017-06-20 |
| 1932591690 | Jenna Garrett | Behavioral Analyst | 54 Harvard Rd, Portsmouth, VA 23701-2023 | 2015-03-04 |
| 1134553472 | Lorraine Bloom | Behavioral Analyst | 67 Riverview Ave, Portsmouth, VA 23704-1928 | 2013-08-22 |
| 1154662435 | Michelle M Hascall | Behavioral Analyst | 4421 Faigle Rd, Portsmouth, VA 23703-4814 | 2013-03-11 |
| 1205190246 | Kelly Allinson Couturier | Behavioral Analyst | 1465 Woodbury Ave, #375, Portsmouth, NH 03801-3210 | 2012-06-25 |
| 1508131020 | Kelly Myers Guyot | Behavioral Analyst | 4900 W Norfolk Rd, Portsmouth, VA 23703-2128 | 2012-03-16 |
| 1609140128 | Brianne M Fredericks | Behavioral Analyst | 200 Griffin Rd Ste 5, Portsmouth, NH 03801-7145 | 2012-03-01 |
| 1609173988 | Roberta Marie Hansel-union | Behavioral Analyst | 711 Court Street, Portsmouth, VA 23704 | 2011-02-22 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 03801 |
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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.