MS. MADISON COLLINS


Address: 12912 Coldwater Rd Ste E, Fort Wayne, IN 46845-8871
Phone: 2602451455

MS. MADISON COLLINS (NPI# 1083138929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083138929
Entity Type Individual
Full Name MS. MADISON COLLINS
Credential BCABA
Practice Address 12912 Coldwater Rd Ste E
Fort Wayne
IN 46845-8871
Mailing Address 6060 N College Ave
Indianapolis
IN 46220-1907
Practice Telephone 2602451455
Practice Fax Number 3172883396
Mailing Telephone 3175845166
Mailing Fax Number 3172883396
Enumeration Date 2017-08-02
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106E00000X Assistant Behavior Analyst Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3948 New Vision Dr Ste D, Fort Wayne, IN 468451721 2602451455 3172883396
5750 Falls Dr Ste 102, Fort Wayne, IN 468047147 2602451455 3172883396

Other Providers MADISON COLLINS

NPI Name Taxonomy Address Enumeration
1609414127 Madison Collins Behavioral Analyst 431 E Broad St, Columbus, OH 43215-4004 2019-12-16
1629611744 Madison Collins Registered Nurse 1802 6th Ave S, Birmingham, AL 35233-1932 2019-10-21
1760045694 Madison Leigh Collins Student in an Organized Health Care Education/Training Program 281 1st Ave, New York, NY 10003-2925 2019-04-16
1639656143 Madison Hope Collins Speech-Language Pathologist 9041 Executive Park Dr Ste 126, Knoxville, TN 37923-4603 2018-07-26
1730600529 Madison Collins Counselor 359 Fenn St, Pittsfield, MA 01201-5261 2017-06-30
1366878787 Madison Collins Physician Assistant 2315 Myrtle St, Ste 290, Erie, PA 16502-4602 2013-09-17
1801188248 Madison Leigh Collins Internal Medicine 1705 E 19th St, Ste 302, Tulsa, OK 74104-5405 2011-05-04

Office Location

Street Address 12912 COLDWATER RD STE E
City FORT WAYNE
State IN
Zip Code 46845-8871

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518458256 Jacob Gerondale Behavior Technician 12912 Coldwater Rd Ste E, Fort Wayne, IN 46845-8871 2018-05-29
1467943118 Brooke Morin Behavior Technician 12912 Coldwater Rd Ste E, Fort Wayne, IN 46845-8871 2018-05-29
1164913810 Holly Meyers Behavior Technician 12912 Coldwater Rd Ste E, Fort Wayne, IN 46845-8871 2018-05-29
1316438062 Kaitlyn Turner Behavior Technician 12912 Coldwater Rd Ste E, Fort Wayne, IN 46845-8871 2018-05-29
1033600788 Abbi Hoover Behavior Technician 12912 Coldwater Rd Ste E, Fort Wayne, IN 46845-8871 2018-05-29
1659862308 Sarah Maneval Behavior Technician 12912 Coldwater Rd Ste E, Fort Wayne, IN 46845-8871 2018-05-29
1043701782 Heather Hill Behavioral Analyst 12912 Coldwater Rd Ste E, Fort Wayne, IN 46845-8871 2018-05-29
1942700166 Amber Decker Behavioral Analyst 12912 Coldwater Rd Ste E, Fort Wayne, IN 46845-8871 2018-02-14
1568962777 Samuel Barrett Behavior Technician 12912 Coldwater Rd Ste E, Fort Wayne, IN 46845-8871 2018-02-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881154110 Nancy Jean Ehmke Clinical Nurse Specialist 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 2019-03-22
1043703903 Kara Stackhouse Nurse Practitioner 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 2018-06-14
1871082412 Tara K Jellison Pharmacist 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 2018-05-09
1578097572 Forefront Dermatology, S.c. Dermatology 4020 New Vision Drive, Fort Wayne, IN 46845 2017-04-17
1811437999 Jessica Ann Lefever Behavioral Analyst 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 2017-03-08
1033668041 Bhi Home Care, Inc. In Home Supportive Care 820 Mill Lake Road, Fort Wayne, IN 46845 2016-10-03
1467814939 Austin Wyss Specialist/Technologist 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 2016-03-24
1154713584 Ashley Whitcraft Specialist/Technologist 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 2015-02-23
1275975682 Lakshmi Mohan Viji Das Internal Medicine 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 2013-07-26
1336482496 Mithun Mohana Shenoi Colon & Rectal Surgery 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 2013-03-27
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Taxonomy Information

Taxonomy Code 106E00000X
Grouping Behavioral Health & Social Service Providers
Classification Assistant Behavior Analyst

Taxonomy Definition

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770134918 Kristin Elizabeth Barnes Assistant Behavior Analyst 3030 Lake Ave Ste 20, Fort Wayne, IN 46805-5428 2019-09-27
1710459391 Alexis A Taylor Assistant Behavior Analyst 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 2018-12-20
1033619341 Sara Callaghan Assistant Behavior Analyst 3948 New Vision Dr Ste D, Fort Wayne, IN 46845-1721 2018-02-14
1326402678 Sylvia Morones Assistant Behavior Analyst 12912 Coldwater Rd, Fort Wayne, IN 46845-8870 2016-04-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376140848 Allison Marie Coulston Assistant Behavior Analyst 8650 Commerce Park Pl Ste A, Indianapolis, IN 46268-3174 2020-10-07
1073114468 Carissa Culver Assistant Behavior Analyst 8762 Louisiana St Ste J, Merrillville, IN 46410-7190 2020-11-03
1033727342 Shaniya Mcmiller Assistant Behavior Analyst 2906 Highway Ave, Highland, IN 46322-1631 2020-07-22
1558999201 Stephanie Terborg Assistant Behavior Analyst 7405 Westfield Blvd, Indianapolis, IN 46240-3056 2020-03-30
1972136844 Sarah Elizabeth Moore Assistant Behavior Analyst 3601 W Bethel Ave, Muncie, IN 47304-5408 2020-02-19
1073156402 Joelle Antonia Opyt Assistant Behavior Analyst 8398 Mississippi St, Merrillville, IN 46410-6316 2019-10-17
1487201711 Susan D Som Assistant Behavior Analyst 1558 E Boulevard Ste A, Kokomo, IN 46902-2479 2019-08-21
1548822034 Nikia O'hearn Assistant Behavior Analyst 70 E 91st St Ste 109, Indianapolis, IN 46240-1550 2019-07-03
1881255131 Krista Jade Kranz Assistant Behavior Analyst 3601 W Bethel Ave, Muncie, IN 47304-5408 2019-06-27
1871059543 Lindsay Jo Walker Assistant Behavior Analyst 3464 S 4th St, Terre Haute, IN 47802-4168 2019-02-18
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Competitor

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City FORT WAYNE
Zip Code 46845

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Dataset Information

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.

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