MS. SUSAN D SOM (NPI# 1487201711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487201711 |
| Entity Type | Individual |
| Full Name | MS. SUSAN D SOM |
| Credential | BA, BCABA |
| Practice Address |
1558 E Boulevard Ste A Kokomo IN 46902-2479 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 7652520530 |
| Practice Fax Number | 3175208200 |
| Mailing Telephone | 3175208200 |
| Mailing Fax Number | 3175208200 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 0-19-9511 | IN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21 S Park Blvd Ste 21, Greenwood, IN 461438838 | 3174492104 | 3175208200 |
| Street Address |
1558 E BOULEVARD STE A |
| City | KOKOMO |
| State | IN |
| Zip Code | 46902-2479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891820668 | Hopebridge, LLC | Occupational Therapist | 1558 E Boulevard Ste A, Kokomo, IN 46902-2479 | 2007-02-22 |
| 1033716071 | Devi Paige Hall | Behavior Technician | 1558 E Boulevard Ste A, Kokomo, IN 46902-2587 | 2020-10-02 |
| 1124625223 | Kristen Joy Miller | Behavior Technician | 1558 E Boulevard Ste A, Kokomo, IN 46902-2587 | 2020-10-02 |
| 1164029237 | Elleree Ashlynne Joyce Beatty | Behavior Technician | 1558 E Boulevard Ste A, Kokomo, IN 46902-2587 | 2020-10-02 |
| 1508463738 | Lakita Renea Ward | Behavior Technician | 1558 E Boulevard Ste A, Kokomo, IN 46902-2587 | 2020-10-01 |
| 1215544598 | Beza Helina Townsend | Behavior Technician | 1558 E Boulevard Ste A, Kokomo, IN 46902-2587 | 2020-09-30 |
| 1942817226 | Hannah Camille Murphy | Behavior Technician | 1558 E Boulevard Ste A, Kokomo, IN 46902-2587 | 2020-09-30 |
| 1861009177 | Kaitlin Miranda Thomas | Behavior Technician | 1558 E Boulevard Ste A, Kokomo, IN 46902-2587 | 2020-09-30 |
| 1255948543 | Cherah Renee Graves | Behavior Technician | 1558 E Boulevard Ste A, Kokomo, IN 46902-2587 | 2020-09-30 |
| 1144837261 | Abbie Lauren Frueh | Behavior Technician | 1558 E Boulevard Ste A, Kokomo, IN 46902-2587 | 2020-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| 1649738931 | Kc Caregivers, Inc. | In Home Supportive Care | 4053 S Webster St, Kokomo, IN 46902 | 2019-03-06 |
| 1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
| 1285127548 | Jeremy Matthew Gibson | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902 | 2018-06-12 |
| 1821585175 | Kneeded Balance and Tranquility | Massage Therapist | 3708 S. Lafountain St, Kokomo, IN 46902 | 2018-04-21 |
| 1063812899 | Gabriel Valentine | Counselor | 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 | 2014-08-28 |
| 1588085740 | Roni Dinglasa | Physical Therapist | 2102 Cedar Run Drive, Kokomo, IN 46902 | 2013-12-13 |
| 1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
| Find all providers in zip 46902 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1376140848 | Allison Marie Coulston | Assistant Behavior Analyst | 8650 Commerce Park Pl Ste A, Indianapolis, IN 46268-3174 | 2020-10-07 |
| 1083138929 | Madison Collins | Assistant Behavior Analyst | 12912 Coldwater Rd Ste E, Fort Wayne, IN 46845-8871 | 2017-08-02 |
| 1073114468 | Carissa Culver | Assistant Behavior Analyst | 8762 Louisiana St Ste J, Merrillville, IN 46410-7190 | 2020-11-03 |
| 1033727342 | Shaniya Mcmiller | Assistant Behavior Analyst | 2906 Highway Ave, Highland, IN 46322-1631 | 2020-07-22 |
| 1558999201 | Stephanie Terborg | Assistant Behavior Analyst | 7405 Westfield Blvd, Indianapolis, IN 46240-3056 | 2020-03-30 |
| 1972136844 | Sarah Elizabeth Moore | Assistant Behavior Analyst | 3601 W Bethel Ave, Muncie, IN 47304-5408 | 2020-02-19 |
| 1073156402 | Joelle Antonia Opyt | Assistant Behavior Analyst | 8398 Mississippi St, Merrillville, IN 46410-6316 | 2019-10-17 |
| 1770134918 | Kristin Elizabeth Barnes | Assistant Behavior Analyst | 3030 Lake Ave Ste 20, Fort Wayne, IN 46805-5428 | 2019-09-27 |
| 1548822034 | Nikia O'hearn | Assistant Behavior Analyst | 70 E 91st St Ste 109, Indianapolis, IN 46240-1550 | 2019-07-03 |
| 1881255131 | Krista Jade Kranz | Assistant Behavior Analyst | 3601 W Bethel Ave, Muncie, IN 47304-5408 | 2019-06-27 |
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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.