JONAH DANIEL MARTIN


Address: 900 Royal Heights Rd, Belleville, IL 62226-5457
Phone: 3145607063

JONAH DANIEL MARTIN (NPI# 1427426782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427426782
Entity Type Individual
Full Name JONAH DANIEL MARTIN
Credential BCBA
Practice Address 900 Royal Heights Rd
Belleville
IL 62226-5457
Mailing Address Po Box 58
405 West Ward
Energy
IL 62933-0058
Practice Telephone 3145607063
Mailing Telephone 6185340315
Enumeration Date 2015-09-03
Last Update Date 2015-09-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 1-09-5883 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
BEHAVIOR ANALYST CERTIFICATION BOARD 1-09-5883 01

Office Location

Street Address 900 ROYAL HEIGHTS RD
City BELLEVILLE
State IL
Zip Code 62226-5457

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760711980 Support Systems and Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 900 Royal Heights Rd, Belleville, IL 62226-5457 2009-12-17
1306459649 Stephanie Miner Case Manager/Care Coordinator 900 Royal Heights Rd, Belleville, IL 62226-5457 2020-08-26
1427660869 Kayla R Adams Counselor 900 Royal Heights Rd, Belleville, IL 62226-5457 2020-08-18
1336751775 Lisa Nicole Wellerritter Counselor 900 Royal Heights Rd, Belleville, IL 62226-5457 2020-08-18
1154932366 Marjorie Kaye Wilson Counselor 900 Royal Heights Rd, Belleville, IL 62226-5457 2020-08-11
1437629276 Michele Renee Tennyson Counselor 900 Royal Heights Rd, Belleville, IL 62226-5457 2018-12-04
1609346253 Alexis Lore Murphy-furlough Counselor 900 Royal Heights Rd, Belleville, IL 62226 2018-11-27
1467993154 Hoyleton Youth and Family Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 900 Royal Heights Rd, Suite 3150, Belleville, IL 62226-5457 2017-03-14
1518337245 Vintage Support Group, Inc. Day Training, Developmentally Disabled Services 900 Royal Heights Rd, Belleville, IL 62226-5457 2015-10-07
1790189157 Kristen Whiteford Behavioral Analyst 900 Royal Heights Rd, Belleville, IL 62226-5457 2014-10-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639778160 Roxanna Lee Gunnels Nurse Practitioner 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 2020-10-26
1053969790 Consistent Medical Transportation Driver 2012 N 17th St, Swansea, IL 62226 2019-08-27
1497314371 Medi-plex Hospice of Illinois, LLC Registered Nurse 8 Park Place, Suite #3, Swansea, IL 62226 2019-06-13
1336617364 Nicole Renee Schmidt Speech-Language Pathologist 150 N 27th St., Belleville, IL 62226 2018-11-07
1295258903 Catherine Espino Pharmacist 11 Chambers Blvd, Swansea, IL 62226 2017-07-25
1366806838 Kiley Faires Nurse Practitioner 4600 Memorial Drive Ste 360, Belleville, IL 62226 2016-04-11
1760857585 Mvp Transportation Non-emergency Medical Transport (VAN) 1229 N 17th Street, Number 23, Belleville, IL 62226 2015-12-04
1275952566 Aisha Danyale Franklin Internal Medicine 4261 Woodfield Pl, Belleville, IL 62226 2014-04-15
1396168332 Jayne E. Ninness Physical Therapy Assistant 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 2014-01-28
1053758193 Gateway Foundation, Inc. Clinic/Center 1 Bronze Point, Suite 1, Swansea, IL 62226 2013-05-30
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801362421 Jacqueline Maddi Behavioral Analyst 42 Overhill Rd, Belleville, NJ 07109-1414 2018-10-22
1962977975 Lyanne Karina Gonzalez Behavioral Analyst 160 Union Ave Fl 2, Belleville, NJ 07109-2067 2018-10-05
1811381130 Melissa Valent Behavioral Analyst 23 Forest St, Belleville, NJ 07109-2226 2015-03-25
1003231127 Scott Wiggins Behavioral Analyst 151 Carlyle E, Apartment F, Belleville, IL 62221-4543 2014-02-26
1336636448 Team Behavioral Consultants Behavioral Analyst 23 Forest St, Belleville, NJ 07109-2226 2018-04-16
1790189157 Kristen Whiteford Behavioral Analyst 900 Royal Heights Rd, Belleville, IL 62226-5457 2014-10-14
1902210016 Emily Krauklis Behavioral Analyst 900 Royal Heights Rd, Belleville, IL 62226-5457 2014-06-17
1073934766 Sarah Marie Bocock Behavioral Analyst 900 Royal Heights Rd, Belleville, IL 62226-5457 2013-12-23
1982044236 Jane Ann Walker Behavioral Analyst 900 Royal Heights Rd, Belleville, IL 62226-5457 2013-07-01
1487983508 David William Jaques Behavioral Analyst 900 Royal Heights Rd, Belleville, IL 62226-5457 2009-12-19
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Competitor

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City BELLEVILLE
Zip Code 62226

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Dataset Information

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.

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