JALEESA STATEN


Address: 1420 Walnut St, Philadelphia, PA 19102-4017
Phone: 2155276740

JALEESA STATEN (NPI# 1508467390) 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) 1508467390
Entity Type Individual
Full Name JALEESA STATEN
Practice Address 1420 Walnut St
Philadelphia
PA 19102-4017
Mailing Address 2924 N Van Pelt St
Philadelphia
PA 19132-1506
Practice Telephone 2155276740
Mailing Telephone 2152390843
Enumeration Date 2020-11-06
Last Update Date 2020-11-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Office Location

Street Address 1420 WALNUT ST
City PHILADELPHIA
State PA
Zip Code 19102-4017

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417938788 Nilkanthrai M Mankad Dentist 1420 Walnut St, Suite 518, Philadelphia, PA 19102-4017 2005-11-14
1932682770 Christopher Richards Counselor 1420 Walnut St, Philadelphia, PA 19102-4017 2018-09-07
1437651833 Kristin Marie Dalzell Marriage & Family Therapist 1420 Walnut St, Philadelphia, PA 19102-4017 2018-03-02
1528576329 Vicki Tornetta Counselor 1420 Walnut St, Philadelphia, PA 19102-4017 2018-01-15
1396259511 Jason Herwick Counselor 1420 Walnut St, Philadelphia, PA 19102-4017 2017-11-27
1275059974 Martita Salley Togba Social Worker 1420 Walnut St, Philadelphia, PA 19102-4017 2017-08-15
1467991687 Alicia Schirato Counselor 1420 Walnut St, Philadelphia, PA 19102-4017 2017-02-21
1124564570 Michelle Hilton Counselor 1420 Walnut St, Suite 500, Philadelphia, PA 19102-4017 2017-01-10
1831646918 Jamilah Gray Counselor 1420 Walnut St, Suite 1350, Philadelphia, PA 19102-4017 2016-09-06
1316493315 Lara Garber Chiropractor 1420 Walnut St, Suite 1404, Philadelphia, PA 19102-4017 2016-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821650847 Alexandre Mason Sharma Student in an Organized Health Care Education/Training Program 200 N 16th St Apt 1318, Philadelphia, PA 19102 2019-06-29
1720648223 Ali Haydar Internal Medicine 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 2019-06-17
1124688734 Aakash Patel Internal Medicine Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 2019-06-17
1245898170 Parth Javia Internal Medicine 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 2019-06-05
1588120968 John Granger II Social Worker 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 2019-02-11
1750851390 Philadelphia Pain and Neurology Institute, LLC Chiropractor 1528 Walnut Street Suite 620, Philadelphia, PA 19102 2018-11-27
1770076465 Sarthi Dalal Internal Medicine 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 2018-06-07
1255824033 Joyce Nimo-boampong Internal Medicine Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 2018-06-07
1134625692 Emma Rose Gormley Social Worker 1601 Walnut St Ste 1516, Philadelphia, PA 19102 2018-04-03
1851808497 Sunish Shah Pharmacist 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 2018-01-04
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518565431 Allyson Caputa Behavior Technician 100 North 18th Street, Suite 300, Philadelphia, PA 19103 2020-10-13
1437772506 Tasia Dennis Behavior Technician 57 E Garfield St, Philadelphia, PA 19144-5934 2020-05-24
1811536311 Brittany Wagner Behavior Technician 4532 Pennypack St, Philadelphia, PA 19136-2112 2019-12-31
1588206221 Denise Lynn Armstrong Behavior Technician 1325 S 36th St, Philadelphia, PA 19146-3203 2019-10-15
1053953752 Victoria W Tarpeh Behavior Technician 6742 Guyer Ave, Philadelphia, PA 19142-2611 2019-10-14
1770041337 Cassandra Lynn Bodnar Behavior Technician 2035 S 4th St, Philadelphia, PA 19148-2550 2019-03-03
1659857720 Jaini Desai Behavior Technician 2982 Welsh Rd, Philadelphia, PA 19152 2018-07-12
1740798818 Charlena Harris Behavior Technician 1404 Disston St, Philadelphia, PA 19111-4504 2018-01-11
1689275885 Rachael Sciarretta Behavior Technician 1923 Welsh Rd, Philadelphia, PA 19115-4659 2020-11-04
1033719877 Brianna Suda Behavior Technician 1923 Welsh Rd, Philadelphia, PA 19115-4659 2020-10-30
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Competitor

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City PHILADELPHIA
Zip Code 19102

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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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