JENNA POTTER (NPI# 1487142899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487142899 |
| Entity Type | Individual |
| Full Name | JENNA POTTER |
| Credential | BCBA |
| Practice Address |
701 Glencrest Ln Ste A Longview TX 75601-5145 |
| Mailing Address |
3100 Premier Dr Ste 234 Irving TX 75063-2693 |
| Practice Telephone | 4306257905 |
| Mailing Telephone | 9403007606 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2019-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-18-29689 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BACB | 1-18-29689 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5700 Rowlett Rd Ste 145, Rowlett, TX 750897927 | 4693041037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720495484 | Jenna L. Potter | Nurse Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2014-07-15 |
| 1962790303 | Jenna M. Potter | Social Worker | 607 E 200 S, Salt Lake City, UT 84102-2110 | 2011-07-19 |
| Street Address |
701 GLENCREST LN STE A |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-5145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205331204 | Danielle Mulder | Behavioral Analyst | 701 Glencrest Ln Ste A, Longview, TX 75601-5145 | 2018-03-29 |
| 1134720014 | Jillian Mcgill | Behavior Technician | 701 Glencrest Ln Ste A, Longview, TX 75601-5145 | 2020-11-05 |
| 1649878125 | Tommy Bell | Behavior Technician | 701 Glencrest Ln Ste A, Longview, TX 75601-5145 | 2020-10-15 |
| 1518565290 | Brittney Schroeder | Behavior Technician | 701 Glencrest Ln Ste A, Longview, TX 75601-5145 | 2020-10-14 |
| 1992312441 | Kamilah J Tatum | Behavior Technician | 701 Glencrest Ln Ste A, Longview, TX 75601-5145 | 2020-09-29 |
| 1437784683 | Marquice D Hall | Behavior Technician | 701 Glencrest Ln Ste A, Longview, TX 75601-5145 | 2020-03-09 |
| 1407480098 | Hunter Wink | Behavior Technician | 701 Glencrest Ln Ste A, Longview, TX 75601-5145 | 2020-02-24 |
| 1497388235 | Ebonie Spigner | Behavior Technician | 701 Glencrest Ln Ste A, Longview, TX 75601-5145 | 2020-02-20 |
| 1932732765 | Datoya Patterson | Behavior Technician | 701 Glencrest Ln Ste A, Longview, TX 75601-5145 | 2020-02-20 |
| 1619500451 | Margaret Willis | Behavior Technician | 701 Glencrest Ln Ste A, Longview, TX 75601-5145 | 2020-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
| 1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
| 1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
| 1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
| 1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
| 1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
| 1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
| 1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
| 1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
| 1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
| Find all providers in zip 75601 | ||||
| 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 |
|---|---|---|---|---|
| 1447866629 | Laura Elizabeth Bailey | Behavioral Analyst | 701 Glencrest Ln, Longview, TX 75601-5145 | 2020-09-22 |
| 1205331204 | Danielle Mulder | Behavioral Analyst | 701 Glencrest Ln Ste A, Longview, TX 75601-5145 | 2018-03-29 |
| 1710424734 | Nicole Marie Levernier | Behavioral Analyst | 1700 Hudson St Ste 204, Longview, WA 98632-2931 | 2017-01-28 |
| 1346787942 | Ryan Smith | Behavioral Analyst | 3251 Nebraska St, Longview, WA 98632-4228 | 2017-01-21 |
| 1831721133 | Rory Herterich | Behavioral Analyst | 701 Glencrest Ln Ste A, Longview, TX 75601-5145 | 2020-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063188 | Victoria Renee Sanchez | Behavioral Analyst | 3201 Cherry Ridge Dr Ste 205, San Antonio, TX 78230-4835 | 2020-11-02 |
| 1235739285 | Emily Sanchez | Behavioral Analyst | 4084 S Regent Dr, Wichita Falls, TX 76308-1508 | 2020-10-29 |
| 1194325522 | Sridivya Pattisam | Behavioral Analyst | 1215 W Slaughter Ln Apt 534, Austin, TX 78748-6709 | 2020-10-26 |
| 1013516673 | Stephanie Carolina Lopez | Behavioral Analyst | 40 Cypress Creek Pkwy # 234, Houston, TX 77090-3530 | 2020-10-23 |
| 1184223737 | Radiant Autism Center, LLC | Behavioral Analyst | 2831 W Eldorado Pkwy Ste 106, Little Elm, TX 75068-3540 | 2020-10-23 |
| 1942809124 | Lacuna Autism Services LLC | Behavioral Analyst | 2923 Dason Ledge, San Antonio, TX 78258-4591 | 2020-10-20 |
| 1639777196 | Ninja Smith | Behavioral Analyst | 3801 Brandywine Dr Apt 216, Bedford, TX 76021-5261 | 2020-10-15 |
| 1609474337 | Samantha Katchy | Behavioral Analyst | 20751 Holly Rain Dr, Katy, TX 77449-1667 | 2020-10-14 |
| 1528666583 | Darcy Rose Davison | Behavioral Analyst | 3000 Moseley Rd, Crossroads, TX 76227-8025 | 2020-10-13 |
| 1407453749 | Southlake Hb Aba Services LLC | Behavioral Analyst | 940 S Kimball Ave Ste 175, Southlake, TX 76092-9024 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JENNA POTTER.
| 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.