MRS. JESSICA LYNN DONNELLY (NPI# 1174857056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174857056 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA LYNN DONNELLY |
| Credential | M.ED BCBA |
| Practice Address |
21007 E. Avendia Del Valle Queen Creek AZ 85242 |
| Mailing Address |
9702 East Country Place Palominas AZ 85615 |
| Practice Telephone | 4803611025 |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124314125 | Jessica M. Donnelly | Psychologist | 2 Summer St, Suite 3, Randolph, VT 05060-1173 | 2011-06-28 |
| 1689954844 | Jessica Marie Donnelly | Physical Therapist | 1104 Welsh Rd, Philadelphia, PA 19115-3730 | 2011-08-19 |
| Street Address |
21007 E. AVENDIA DEL VALLE |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699091363 | Nicole G Suchomel | Behavioral Analyst | 21007 E. Avendia Del Valle, Queen Creek, AZ 85242 | 2010-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932430618 | Di Nguyen | Pharmacist | 3111 West Hunt Highway, Queen Creek, AZ 85242 | 2010-01-20 |
| 1306093984 | Charles Mckenzie | Dentist | 40815 N Ironwood Drive, Ste A102, Queen Creek, AZ 85242 | 2008-08-26 |
| 1104014943 | Queen Creek Smiles, LLP | Dentist | 18550 East Rittenhouse Road, Suite 103, Queen Creek, AZ 85242 | 2007-10-05 |
| 1972700359 | Sunrise Internal Medicine PC | Internal Medicine | 22707 S. Ellsworth Rd., Suite #h105, Queen Creek, AZ 85242 | 2007-06-29 |
| 1083811277 | Brian Joseph Goodman | Dentist | 18610 E. Rittenhouse Rd., Queen Creek, AZ 85242 | 2007-06-29 |
| 1972704757 | San Tan Urgent Care Health Center | Clinic/Center | 21321 E Ocotillo Road, Suite 118, Queen Creek, AZ 85242 | 2007-05-30 |
| 1538375647 | Jennifer Jean Job | Occupational Therapy Assistant | 3575 E Lawndale Place, Queen Creek, AZ 85242 | 2007-05-15 |
| 1972718823 | Eric Joseph Harris | Dentist | 20261 E. Ocotillo Road, Suite 120, Queen Creek, AZ 85242 | 2007-05-14 |
| 1477767010 | San Tam Dental Care & Mobile Clinic PC | Dentist | 22240 S Ellsworth Rd, Suite 102, Queen Creek, AZ 85242 | 2007-05-10 |
| 1538371604 | Queen Creek Primary Care, P.C. | Clinic/Center | 20713 E. Ocotillo Road #100, Queen Creek, AZ 85242 | 2007-05-03 |
| Find all providers in zip 85242 | ||||
| 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 |
|---|---|---|---|---|
| 1871945519 | Jennifer Huffman | Behavioral Analyst | 2510 E Hunt Hwy, Queen Creek, Az 85143, Queen Creek, AZ 85142-8514 | 2016-07-06 |
| 1104285485 | Kellie M Kotwicki | Behavioral Analyst | 18521 E Queen Creek Rd., Suite 105-627, Queen Creek, AZ 85142 | 2016-02-16 |
| 1548628324 | Deborah Kay Renfroe | Behavioral Analyst | 18521 E. Queen Creek Rd, Ste 105-627, Queen Creek, AZ 85142-5870 | 2016-02-08 |
| 1154718583 | Julia Larson | Behavioral Analyst | 18772 E Apricot Ln, Queen Creek, AZ 85142-3527 | 2015-04-23 |
| 1922449222 | Elizabeth Wielebinski | Behavioral Analyst | 18521 E Queen Creek Rd Ste 105-627, Queen Creek, AZ 85142-5870 | 2013-07-15 |
| 1821305657 | Rickey Woolfolk | Behavioral Analyst | 3644 W Goldmine Mountain Dr, Queen Creek, AZ 85142-6593 | 2010-08-31 |
| 1225359490 | Kelle Witt | Behavioral Analyst | 21007 E Avenida Del Valle, Queen Creek, AZ 85142-4866 | 2010-06-22 |
| 1356599435 | Erica Holwager | Behavioral Analyst | 18521 E Queen Creek Rd, Suite 105-627, Queen Creek, AZ 85142-5866 | 2008-09-03 |
| 1487265989 | Rachel Maria Fulciniti | Behavioral Analyst | 18521 E Queen Creek Rd Ste 105-627, Queen Creek, AZ 85142-5870 | 2020-08-10 |
| 1144736455 | Mindy Kraus | Behavioral Analyst | 18521 E Queen Creek Rd Ste 105-627, Queen Creek, AZ 85142-5870 | 2017-12-21 |
| Find all providers in QUEEN CREEK | ||||
| City | QUEEN CREEK |
| Zip Code | 85242 |
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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.