MS. JESSICA ANN IRISH (NPI# 1407185291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407185291 |
| Entity Type | Individual |
| Full Name | MS. JESSICA ANN IRISH |
| Other Name | MRS. JESSICA ANN ROGERS |
| Credential | BCBA |
| Practice Address |
4201 Varsity Dr Suite C Ann Arbor MI 48108-5005 |
| Mailing Address |
853 Valley Circle Dr Apt 101 Saline MI 48176-1451 |
| Practice Telephone | 7349260740 |
| Practice Fax Number | 7343698851 |
| Mailing Telephone | 2698705665 |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2016-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-08-4391 | MI | Behavioral Health & Social Service Providers |
| Street Address |
4201 VARSITY DR SUITE C |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396372942 | Jessica Ardner | Speech-Language Pathologist | 4201 Varsity Dr, Ann Arbor, MI 48108-5005 | 2020-03-24 |
| 1619523008 | Kyle Senk | Behavior Technician | 4201 Varsity Dr, Ann Arbor, MI 48108-5005 | 2019-08-13 |
| 1770142002 | Victoria Zaharopoulos | Behavior Technician | 4201 Varsity Dr, Ann Arbor, MI 48108-5005 | 2019-06-11 |
| 1477111730 | Lauren Bass | Behavior Technician | 4201 Varsity Dr, Ann Arbor, MI 48108-5005 | 2019-06-03 |
| 1578121836 | Maymuna Jamil | Behavior Technician | 4201 Varsity Dr, Ann Arbor, MI 48108-5005 | 2019-06-03 |
| 1124685813 | Rafael Skrobola | Behavior Technician | 4201 Varsity Dr, Ann Arbor, MI 48108-5005 | 2019-05-29 |
| 1730745654 | Ashley Bunker | Behavior Technician | 4201 Varsity Dr, Ann Arbor, MI 48108-5005 | 2019-05-16 |
| 1477119485 | Abigail Nichols | Behavior Technician | 4201 Varsity Dr, Ann Arbor, MI 48108-5005 | 2019-05-15 |
| 1215593223 | Shelby Roberts | Behavior Technician | 4201 Varsity Dr, Ann Arbor, MI 48108-5005 | 2019-05-15 |
| 1396301305 | Mikayla Kalik | Behavior Technician | 4201 Varsity Dr, Ann Arbor, MI 48108-5005 | 2019-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
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| 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 |
|---|---|---|---|---|
| 1366058141 | Michigan Learning Community, LLC | Behavioral Analyst | 2704 Radcliffe Ave, Ann Arbor, MI 48104-6544 | 2020-09-17 |
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1366936353 | Nancy Lee | Behavioral Analyst | 2086 Autumn Hill Dr, Ann Arbor, MI 48103-2176 | 2018-06-21 |
| 1285169870 | Anne Quesnell | Behavioral Analyst | 2144 Greenview Dr, Ann Arbor, MI 48103-6112 | 2017-04-21 |
| 1104368075 | Elaina Heard | Behavioral Analyst | 2890 Carpenter Rd Ste 1100, Ann Arbor, MI 48108-1190 | 2016-11-09 |
| 1437535069 | Amber Dawn Crumb | Behavioral Analyst | 3313 Oakwood St, Ann Arbor, MI 48104 | 2015-08-05 |
| 1053714923 | Novel Responses | Behavioral Analyst | 1832 W Liberty St, Ann Arbor, MI 48103-4148 | 2014-10-06 |
| 1437565215 | Jessica Morrison | Behavioral Analyst | 100 N Staebler Rd, Ann Arbor, MI 48103-9755 | 2014-07-01 |
| 1598188484 | Robert Prudhomme | Behavioral Analyst | 3125 Professional Drive, Ann Arbor, MI 48104-5131 | 2014-01-28 |
| 1891050126 | Angie Marie Fuqua | Behavioral Analyst | 637 Lakeview Ave, Ann Arbor, MI 48103-9704 | 2012-07-12 |
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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.