MS. JADINE SANDRA WILSON (NPI# 1336746155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336746155 |
| Entity Type | Individual |
| Full Name | MS. JADINE SANDRA WILSON |
| Credential | M.ED, BCBA, LBA |
| Practice Address |
610 Manton Ave Providence RI 02909-5633 |
| Mailing Address |
176 Atlantic Ave Apt 4 Providence RI 02907-1861 |
| Practice Telephone | 4012637829 |
| Mailing Telephone | 4012637829 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | LBA00229 | RI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | DEPARTMENT OF HEALTH | LBA00229 | 01 |
| BACB | 1-20-44001 | 01 |
| Street Address |
610 MANTON AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02909-5633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396751830 | Groden Center,inc | Day Training, Developmentally Disabled Services | 610 Manton Ave, Providence, RI 02909-5633 | 2006-08-01 |
| 1588129084 | Keri-ann Cooney | Behavioral Analyst | 610 Manton Ave, Providence, RI 02909-5633 | 2019-02-08 |
| 1124532437 | Brittany Victoria Dalpe | Social Worker | 610 Manton Ave, Providence, RI 02909-5633 | 2017-11-22 |
| 1669928503 | Steffanie Lynn Hozempa | Social Worker | 610 Manton Ave, Providence, RI 02909-5633 | 2016-08-31 |
| 1316308356 | The Groden Center | In Home Supportive Care | 610 Manton Ave, 3rd Floor, Providence, RI 02909-5633 | 2016-03-18 |
| 1649636291 | Kathryn Mottau | Community/Behavioral Health | 610 Manton Ave, Providence, RI 02909-5633 | 2016-01-12 |
| 1487010112 | Renee Teresa Hanley | Behavioral Analyst | 610 Manton Ave, Providence, RI 02909-5633 | 2016-01-11 |
| 1295118834 | Ivy Kolb | Social Worker | 610 Manton Ave, Providence, RI 02909-5633 | 2015-07-01 |
| 1184046245 | Julie Gilbert | Behavioral Analyst | 610 Manton Ave, Providence, RI 02909-5633 | 2014-01-09 |
| 1235563842 | Laura Ann Beaudry | Social Worker | 610 Manton Ave, Providence, RI 02909-5633 | 2013-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578021754 | Roberta Bellas Portugal | Registered Nurse | Behave Care, 188 Valley St, Providence, RI 02909 | 2019-03-07 |
| 1912137324 | Catherine Elaine Tuttle | Social Worker | 623 Atwells Avenue, Suite 201, Providence, RI 02909 | 2009-07-20 |
| 1477736452 | City Dental, LLC | Dentist | 314f Pocasset Avenue, Providence, RI 02909 | 2007-12-12 |
| 1245449651 | Walter R. Vandyck | Occupational Therapist | Springfield Middle School, Providene School Department, 152 Springfield St, Providence, RI 02909 | 2007-05-22 |
| 1780805283 | Marcel A Trisvan | Counselor | Codac Providence, 349 Huntington Ave, Providence, RI 02909 | 2007-05-01 |
| 1215153945 | Codac Inc | Peer Specialist | 349 Huntington Ave, Codac Providence, Providence, RI 02909 | 2007-04-18 |
| 1316076342 | Mulak Chiropractic Center Inc | Chiropractor | 411 Broadway, Providence, RI 02909 | 2007-03-05 |
| 1710042742 | Michael Antonio Pensa | Chiropractor | 45 Eagle St Bld J Unit 100, Providence, RI 02909 | 2006-12-27 |
| 1780768234 | Providence Community Action | Case Management | 662 Hartford Avenue, Providence, RI 02909 | 2006-10-24 |
| 1881629608 | Cora Brigid Mayer | Counselor | 623 Atwells Ave., Communities for People, Inc., Providence, RI 02909 | 2006-07-11 |
| Find all providers in zip 02909 | ||||
| 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 |
|---|---|---|---|---|
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1295373140 | Sarahi Herrera | Behavioral Analyst | 118 Houston St, Providence, RI 02905-1811 | 2019-12-11 |
| 1699269506 | Alejandra Urena | Behavioral Analyst | 159 Bridgham St Apt A22, Providence, RI 02907-2359 | 2018-06-15 |
| 1336638493 | Elizabeth Ferioli | Behavioral Analyst | 290 West Exchange St, Suite 101, Providence, RI 02903 | 2018-05-04 |
| 1790284495 | Chris Mcfaun | Behavioral Analyst | 290 W. Exchange Street, 101, Providence, RI 02903 | 2018-02-08 |
| 1902314677 | Marlon Charles Williams | Behavioral Analyst | 78 Indiana Ave, Providence, RI 02905-5302 | 2018-01-16 |
| 1427451822 | Brian Mcgovern | Behavioral Analyst | 18 Imperial Pl Unit 3c, Providence, RI 02903-4643 | 2014-09-30 |
| 1891092110 | Erin Lynne Cooney-lefort | Behavioral Analyst | 11 Alger Ave, Providence, RI 02907-3603 | 2011-02-23 |
| 1275837130 | Megan Ann Dare | Behavioral Analyst | 14 Tell St # 3, Providence, RI 02909-1044 | 2011-01-06 |
| 1588897425 | Climb Behavior Analytic Services | Behavioral Analyst | 521 Rockwood Cir, Providence, UT 84332-9477 | 2009-08-26 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02909 |
Please comment or provide details below to improve the information on MS. JADINE SANDRA WILSON.
| 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.