JENNA WAZ (NPI# 1316346612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316346612 |
| Entity Type | Individual |
| Full Name | JENNA WAZ |
| Credential | MA, BCBA |
| Practice Address |
21 Orchard Ln Middlefield CT 06455-1151 |
| Mailing Address |
8200 Woodglen Ln #201 Downers Grove IL 60516-4551 |
| Practice Telephone | 8602505849 |
| Practice Fax Number | 8603492280 |
| Mailing Telephone | 6024716802 |
| Mailing Fax Number | 6303959198 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-10-7692 | IL | Behavioral Health & Social Service Providers |
| Street Address |
21 ORCHARD LN |
| City | MIDDLEFIELD |
| State | CT |
| Zip Code | 06455-1151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811037690 | Millicent M Malcolm LLC | Nurse Practitioner | 369 Baileyville Rd, Middlefield, CT 06455 | 2007-02-08 |
| 1710547096 | Jeremy R Carroll | Acupuncturist | 474 Main Street, Middlefield, CT 06455 | 2019-06-18 |
| 1154455699 | Regional School District 13 | Local Education Agency (LEA) | 124 Hubbard Street, Middlefield, CT 06455-0446 | 2007-03-15 |
| 1346691300 | Connecticut Behavior Consultants LLC | Community/Behavioral Health | 42 Valleyview Dr, Middlefield, CT 06455-1004 | 2016-06-30 |
| 1851912745 | Ben's Behavioral Health | Behavioral Analyst | 42 Valleyview Dr, Middlefield, CT 06455-1004 | 2020-05-01 |
| 1598021123 | Elisabeth H Frimberger | Psychiatry & Neurology | 255 Baileyville Rd, Middlefield, CT 06455-1014 | 2012-04-09 |
| 1265934103 | Inspire Recovery LLC | Counselor | 6 Way Rd Ste 138, Middlefield, CT 06455-1080 | 2018-03-07 |
| 1689660052 | Stephen Martin Fowler | Chiropractor | 6 Way Rd, Middlefield, CT 06455-1080 | 2005-09-21 |
| 1285135855 | Mcgrath's Home Care Services, LLC | Home Health | 6 Way Rd, Middlefield, CT 06455-1080 | 2018-02-28 |
| 1700384856 | Tricircle, Inc. | Clinic/Center | 6 Way Rd, Middlefield, CT 06455-1080 | 2018-01-24 |
| Find all providers in zip 06455 | ||||
| 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 |
|---|---|---|---|---|
| 1851912745 | Ben's Behavioral Health | Behavioral Analyst | 42 Valleyview Dr, Middlefield, CT 06455-1004 | 2020-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302160 | Heartlinks Aba LLC | Behavioral Analyst | 65 Cables Ave Apt 2, Waterbury, CT 06710-1644 | 2020-10-01 |
| 1609483411 | Michelle Ribas Alves | Behavioral Analyst | 620 Peet St, Bridgeport, CT 06606-2731 | 2020-09-25 |
| 1669088829 | Naiesha A Jean-claude | Behavioral Analyst | 67 Yale St, Stratford, CT 06615-6363 | 2020-09-22 |
| 1356957617 | Kristen E Walsh | Behavioral Analyst | 80 New St, Ridgefield, CT 06877-3822 | 2020-09-21 |
| 1023624855 | Annika Simmons | Behavioral Analyst | 878 Silver Street, Coventry, Ct, Usa, Coventry, CT 06238 | 2020-09-17 |
| 1487260337 | Chileshe Chisanga | Behavioral Analyst | 32c Wall St, Madison, CT 06443-3100 | 2020-09-16 |
| 1912512252 | Sarah Howard | Behavioral Analyst | 56 Horace St, Stratford, CT 06614-4225 | 2020-09-14 |
| 1093320582 | Kristin Rhea Fortier | Behavioral Analyst | 9 Pollack Rd, Mansfield Center, CT 06250-1625 | 2020-09-10 |
| 1063027753 | Amanda Imbriglio | Behavioral Analyst | 37 Mechanic St Fl 2, Pawcatuck, CT 06379-2133 | 2020-09-10 |
| 1356956221 | Lindsay A Yanke | Behavioral Analyst | 34 Lilley Rd, West Hartford, CT 06119-1333 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEFIELD |
| Zip Code | 06455 |
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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.