MARLENE JIM


Address: 1001 W Broadway Ste D, Farmington, NM 87401-5638
Phone: 5053250238

MARLENE JIM (NPI# 1144867706) 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) 1144867706
Entity Type Individual
Full Name MARLENE JIM
Credential PSR
Practice Address 1001 W Broadway Ste D
Farmington
NM 87401-5638
Mailing Address 1001 W Broadway
Farmington
NM 87401-5638
Practice Telephone 5053250238
Enumeration Date 2019-12-03
Last Update Date 2019-12-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Office Location

Street Address 1001 W BROADWAY STE D
City FARMINGTON
State NM
Zip Code 87401-5638

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336132356 Darren Powell Counselor 1001 W Broadway Ste D, Farmington, NM 87401-5638 2005-08-24
1376142679 Michelle M Medina Case Manager/Care Coordinator 1001 W Broadway Ste D, Farmington, NM 87401-5638 2020-10-19
1972117729 Valaria Lisa Kee Case Manager/Care Coordinator 1001 W Broadway Ste D, Farmington, NM 87401-5638 2020-08-31
1255952826 Breanna Smith Case Manager/Care Coordinator 1001 W Broadway Ste D, Farmington, NM 87401-5638 2020-05-05
1518506724 Joni J Duran Case Manager/Care Coordinator 1001 W Broadway Ste D, Farmington, NM 87401-5638 2020-01-06
1417503483 James Andrew Bigham Nurse Practitioner 1001 W Broadway Ste D, Farmington, NM 87401-5638 2019-08-14
1679125124 Joshua Norris Powell Social Worker 1001 W Broadway Ste D, Farmington, NM 87401-5638 2019-07-15
1043870330 Karen A Silversmith Case Manager/Care Coordinator 1001 W Broadway Ste D, Farmington, NM 87401-5638 2019-06-18
1215595343 Summer Popplewell Case Manager/Care Coordinator 1001 W Broadway Ste D, Farmington, NM 87401-5638 2019-06-04
1023596640 Jessica Hernandez Behavioral Analyst 1001 W Broadway Ste D, Farmington, NM 87401-5638 2018-08-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164035192 Jaylene Miller Behavior Technician 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 2020-08-28
1255940326 John Andrew Martinez Behavioral Analyst 211 N Auburn, Farmington, NM 87401 2020-07-24
1598304990 Chasitity Beulah Nez Behavior Technician 37 Rd 7101 #127, Farmington, NM 87401 2020-01-02
1205478575 Micah Magee Speech-Language Pathologist Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 2019-10-08
1831659754 Lelilah Todacheene Social Worker 1204 Camina Real, Farmington, NM 87401 2019-03-25
1306323555 Litany of Life Counselor 1010 Ridgeway Place, Farmington, NM 87401 2018-07-20
1093291213 Brittany Bigham Nurse Practitioner 1001 W Broadway Ste E, Farmington, NM 87401 2018-07-11
1528556305 Hairoun Home Health Home Health 1200 East 20th Street, Farmington, NM 87401 2018-04-26
1003338732 Silver Tongue Speech & Voice, LLC Clinic/Center 3001 Northridge Dr Ste C, Farmington, NM 87401 2017-07-14
1902256621 Capacity Builders Inc Taxi 418 W Broadway, Farmington, NM 87401 2016-06-14
Find all providers in zip 87401

Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588274187 Emily Watson Behavioral Analyst 507 Hornetown Rd, Farmington, NH 03835-4020 2020-08-07
1255940326 John Andrew Martinez Behavioral Analyst 211 N Auburn, Farmington, NM 87401 2020-07-24
1073132650 Aaron Beauford Behavioral Analyst 61 County Road 5590, Farmington, NM 87401-1456 2020-04-13
1225545155 Kristen Weglarz Behavioral Analyst 1 Montieth Dr, Farmington, CT 06032-1082 2017-12-31
1396267464 Chelsea Epling Behavioral Analyst 230 Farmington Ave Ste 12, Farmington, CT 06032-1916 2017-07-11
1841674942 Stephen Oleson Behavioral Analyst 21594 Birchwood St, Farmington, MI 48336-4502 2015-07-17
1619223112 Meaghan Leathem Damato Behavioral Analyst 3 Tunxis St, Farmington, CT 06032-2813 2012-08-02
1316215551 Joann Nicole Martinez Behavioral Analyst 1001 W. Broadway Ste D, Farmington, NM 87401 2011-12-02
1588942023 Ingo Bergsteinsson Behavioral Analyst 42 Mountain Rd, Farmington, CT 06032-2341 2011-08-02
1164733226 Emma J Benally Behavioral Analyst 1001 W, Broadway, Farmington, NM 87401 2010-06-23
Find all providers in FARMINGTON

Competitor

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City FARMINGTON
Zip Code 87401

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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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