JESSICA L CAMPBELL (NPI# 1134696354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134696354 |
| Entity Type | Individual |
| Full Name | JESSICA L CAMPBELL |
| Credential | BCABA |
| Practice Address |
9520 Bluewater Dr. Pinckney MI 48169 |
| Mailing Address |
Po Box 663 Lakeland MI 48143-0663 |
| Practice Telephone | 8105992129 |
| Mailing Telephone | 8105592129 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144889726 | Jessica Campbell | Occupational Therapist | 587 Riverside St, Portland, ME 04103-1289 | 2019-06-07 |
| 1447796511 | Jessica Campbell | Licensed Practical Nurse | 416 Waterstone Ct, Trenton, OH 45067-1495 | 2017-01-13 |
| 1275081267 | Jessica Campbell | Acupuncturist | 515 E 39th St, Vancouver, WA 98663-2240 | 2016-09-19 |
| 1942666755 | Jessica Campbell | Case Management | 535 N Hamilton St, Powell, WY 82435-2133 | 2016-01-08 |
| 1912309634 | Jessica Campbell | Social Worker | 5756 Fordham Cir, Please Select, Canton, MI 48187-3344 | 2014-09-25 |
| 1568889681 | Jessica Campbell | Social Worker | 3642 Beard Rd Apt H, Eastover, NC 28312-6730 | 2014-03-26 |
| 1396167490 | Jessica K Campbell | Nurse Practitioner | 300 Med Park Dr, Thomasville, AL 36784-5760 | 2014-01-09 |
| 1770921306 | Jessica Michelle Campbell | Counselor | 807 Holcomb Blvd, Ocean Springs, MS 39564-3943 | 2013-06-05 |
| 1609210780 | Jessica Brian Campbell | Internal Medicine | 5939 Harry Hines Blvd 8th Fl Ste Hq08.124, Dallas, TX 75390-4139 | 2013-04-19 |
| 1912271594 | Jessica Tate Campbell | Pharmacist | 1008 Covewood Ln, Guntersville, AL 35976-7555 | 2012-02-29 |
| Street Address |
9520 BLUEWATER DR. |
| City | PINCKNEY |
| State | MI |
| Zip Code | 48169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851663447 | Maija Marika Reisterer | Behavioral Analyst | 9520 Bluewater Dr., Pinckney, MI 48169 | 2012-01-30 |
| 1740746650 | Kaylee L Lester | Behavior Technician | 9520 Bluewater Dr., Pinckney, MI 48169 | 2019-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043777451 | Karli Denise Proctor | Behavior Technician | 9520 Bluewater Dr, Pinckney, MI 48169 | 2019-02-22 |
| 1710474812 | Linda Ann Jensen | Occupational Therapist | 644 S Howell, Pinckney, MI 48169 | 2018-04-16 |
| 1003335316 | Sharon Marie Mcphail | Occupational Therapy Assistant | 664 Howell St., Pinckney, MI 48169 | 2017-09-18 |
| 1497271647 | Victoria Joanne Seal | Occupational Therapist | 664 Howell St, Pinckney, MI 48169 | 2017-08-19 |
| 1093164394 | Derek Robison | Dentist | 1245 East Main Street, Pinckney, MI 48169 | 2016-06-07 |
| 1851783468 | Stephen Waltersdorf | Specialist/Technologist | 2526 Sandwedge Ln, Pinckney, MI 48169 | 2015-02-19 |
| 1477863132 | Birch Ann Farkas Paffenbarger | Chiropractor | 2022 Rush Lake Rd, Pinckney, MI 48169 | 2010-10-15 |
| 1447575857 | Joanne Dodick | Social Worker | 9520 Bluewater Drive, Pinckney, MI 48169 | 2010-03-30 |
| 1407993546 | William Stevenson | Dentist | 1243 East Main Street, Pinckney, MI 48169 | 2007-01-30 |
| 1891848289 | John Shamraj | Dentist | 1243 E Main St, Pinckney, MI 48169 | 2007-01-19 |
| Find all providers in zip 48169 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| 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] |
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| 1013549062 | Bianca Burch | Assistant Behavior Analyst | 5708 Castlebury Cir, Lansing, MI 48917-5163 | 2020-02-07 |
| 1326678756 | Gabriel Marini | Assistant Behavior Analyst | 6126 Farrington Ct Apt B6, East Lansing, MI 48823-7808 | 2020-01-24 |
| 1639709116 | Rahul Gannapureddy | Assistant Behavior Analyst | 23501 Paddock Dr, Farmington Hills, MI 48336-2259 | 2020-01-23 |
| 1649818196 | Rachel Zemla | Assistant Behavior Analyst | 2900 Northwind Dr Apt 330, East Lansing, MI 48823-5024 | 2019-12-16 |
| 1871138107 | Ky'wana Zynise Smith | Assistant Behavior Analyst | 950 Railroad St Apt 105b, Ypsilanti, MI 48197-3510 | 2019-11-11 |
| 1295377042 | Taylor Anker | Assistant Behavior Analyst | 2919 Wilder Rd Ste 100, Bay City, MI 48706-9299 | 2019-10-14 |
| 1396395448 | Kristi Marie Pienkosz | Assistant Behavior Analyst | 43334 7 Mile Rd Ste 1000, Northville, MI 48167-2487 | 2019-09-19 |
| 1750848636 | Robin Wontorcik | Assistant Behavior Analyst | 712 E Grove St, Midland, MI 48640-5279 | 2019-02-27 |
| Find all providers with the same taxonomy | ||||
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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.