CARISSA JASMIN CAMPOS (NPI# 1356973093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356973093 |
| Entity Type | Individual |
| Full Name | CARISSA JASMIN CAMPOS |
| Practice Address |
89 Hawthorne St Bridgeport CT 06610-1606 |
| Practice Telephone | 2035431592 |
| Mailing Telephone | 2035431592 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639483761 | Carissa Ruth Campos | Massage Therapist | 14783 Sw 109th Ave, Apt 1, Tigard, OR 97224-3224 | 2010-07-30 |
| 1528691045 | Carissa Simona Campos | Behavior Technician | 5550 W Flamingo Rd Ste C5, Las Vegas, NV 89103-0137 | 2020-02-13 |
| 1144563560 | Carissa Eve Campos | Dentist | 2265 3rd Ave, New York, NY 10035-2231 | 2013-04-03 |
| Street Address |
89 HAWTHORNE ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553698 | Juan G Farfan | Nurse Anesthetist, Certified Registered | 267 Grant Sreet, Bridgeport, CT 06610 | 2020-06-22 |
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1194247916 | Jessica M. Maddern | Social Worker | 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 | 2017-07-13 |
| 1922532746 | Megha Kureti | Student in an Organized Health Care Education/Training Program | 267 Grant St Fl 3, Bridgeport, CT 06610 | 2017-04-18 |
| 1831623099 | Cynthia Joseph Walters | Nurse Anesthetist, Certified Registered | Bridgeport Hospital-anesthesia Department, 267 Grant Street, Bridgeport, CT 06610 | 2017-04-14 |
| 1285186148 | Helen Leahy | Nurse Practitioner | 439 Mill Hill Ave., Bridgeport, CT 06610 | 2016-10-26 |
| Find all providers in zip 06610 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584305 | Ryan Abraham Labean | Behavior Technician | 6296 Village Square Drive, Suite 2, Bridgeport, MI 48722 | 2020-10-06 |
| 1235765462 | Andrew Nathan Reid | Behavior Technician | 46 Lewis Pl, Bridgeport, CT 06610-2921 | 2020-03-19 |
| 1427604339 | Tammy Sue Cox | Behavior Technician | 68583 Scott Street, Bridgeport, OH 43912 | 2019-08-15 |
| 1164075370 | Makenzie Kay Mentel | Behavior Technician | 6296 Bridgeport Village Square Dr, Bridgeport, MI 48722-9655 | 2019-07-17 |
| 1790348639 | Aleksandra Wielogorski | Behavior Technician | 3715 Main St Ste 410, Bridgeport, CT 06606-3620 | 2019-04-16 |
| 1245748094 | Clifton Mcswain II | Behavior Technician | 70 Yaremich Dr Apt 7, Bridgeport, CT 06606-2584 | 2018-01-15 |
| 1093322620 | Sarah Kay Larsen | Behavior Technician | 6296 Bridgeport Village Square Dr Ste 2, Bridgeport, MI 48722-9655 | 2020-09-28 |
| 1639787419 | Kyle Gregory Havens | Behavior Technician | 6296 Bridgeport Village Square Dr Ste 2, Bridgeport, MI 48722-9655 | 2020-07-17 |
| 1023630142 | Brianna C Sahr | Behavior Technician | 6296 Bridgeport Village Square Dr, Bridgeport, MI 48722-9655 | 2020-05-12 |
| 1518506823 | Christopher Rodriguez | Behavior Technician | 1000 Lafayette Blvd Ste 1100, Bridgeport, CT 06604-4710 | 2020-01-03 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06610 |
Please comment or provide details below to improve the information on CARISSA JASMIN CAMPOS.
| 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.