JORDAN ROSE (NPI# 1558812818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558812818 |
| Entity Type | Individual |
| Full Name | JORDAN ROSE |
| Credential | BCBA |
| Practice Address |
101 Longwater Cir Ste 101 Norwell MA 02061-1641 |
| Mailing Address |
9 Thompson Ave Westwood MA 02090-2928 |
| Practice Telephone | 8452670920 |
| Mailing Telephone | 5086884695 |
| Mailing Fax Number | 6179259217 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2019-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-16-23502 | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9 Thompson Ave, Westwood, MA 020902928 | 5086884695 | 6179259217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851658322 | Jordan Prosser Rose | Registered Nurse | 1701 E Cotati Ave, Student Health Center, Rohnert Park, CA 94928-3612 | 2012-04-20 |
| 1538768114 | Jordan Rose | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-10-23 |
| 1144635715 | Jordan Rose | Registered Nurse | 132 Harbor Ln, Massapequa Park, NY 11762-4003 | 2014-06-23 |
| 1699025817 | Jordan T Rose | Counselor | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2012-09-14 |
| Street Address |
101 LONGWATER CIR STE 101 |
| City | NORWELL |
| State | MA |
| Zip Code | 02061-1641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306399837 | Toni Rose Agana | Counselor | 101 Longwater Cir Ste 101, Norwell, MA 02061-1641 | 2016-08-02 |
| 1184266215 | Tali Rudy Zaltzman | Behavioral Analyst | 101 Longwater Cir Ste 101, Norwell, MA 02061-1641 | 2019-10-10 |
| 1700448313 | All Points Licensed Behavior Analysts, Pllc | Behavioral Analyst | 101 Longwater Cir Ste 101, Norwell, MA 02061-1641 | 2019-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561113 | Adaptive Design for Living, LLC | Occupational Therapist | 53 Cushing Hill Road, Norwell, MA 02061 | 2020-02-28 |
| 1578116471 | Alyssa Beth Matthews | Behavior Technician | Proven Behavioral Solutions, 80 Washington Street Building P55, Norwell, MA 02061 | 2019-07-19 |
| 1225524986 | John Michael Mullen | Counselor | 384 Washington Street, Norwell, MA 02061 | 2018-07-06 |
| 1669973947 | Brittany White | Counselor | 200 Corwainer Dr, Suite 200, Norwell, MA 02061 | 2018-02-22 |
| 1720525470 | Nathaniel Chan Dmd PC | Dentist | 353 Washington Street, Norwell, MA 02061 | 2017-01-19 |
| 1053786707 | Proven Behavior Solutions, LLC | Behavioral Analyst | 80 Washington St Ste P55, Norwell, MA 02061 | 2015-12-07 |
| 1922405547 | Elizabeth Goggin | Speech-Language Pathologist | 329 Washington Street, Royal Norwell, Norwell, MA 02061 | 2014-11-25 |
| 1215332473 | Nicole Cisneros Pegher | Midwife | 164 Washington St Ste 104, Norwell, MA 02061 | 2014-10-30 |
| 1073918348 | Hingham Pediatric Dentistry, PC | Dentist | 45 Pond Street, Norwell, MA 02061 | 2014-10-29 |
| 1669874954 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 40 Accord Park Dr, Suite 104, Norwell, MA 02061 | 2014-09-18 |
| Find all providers in zip 02061 | ||||
| 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 |
|---|---|---|---|---|
| 1902342389 | Emily Kerwin | Behavioral Analyst | 101 Longwater Cir, Suite 101, Norwell, MA 02061-1640 | 2017-01-10 |
| 1972056927 | Diana Tran | Behavioral Analyst | 45r Washington St, Norwell, MA 02061-1715 | 2016-07-26 |
| 1053786707 | Proven Behavior Solutions, LLC | Behavioral Analyst | 80 Washington St Ste P55, Norwell, MA 02061 | 2015-12-07 |
| 1538536925 | Lindsey Snider | Behavioral Analyst | 283 Pine St, Norwell, MA 02061-2612 | 2015-09-01 |
| 1619386059 | Zoe Shumate | Behavioral Analyst | 80 Washington St Bldg P, Norwell, MA 02061-1740 | 2014-08-11 |
| 1952652539 | Alesia Marie Sheridan | Behavioral Analyst | 45 R Washington St., Norwell, MA 02061-1715 | 2012-09-24 |
| 1205186798 | Siena Priestley Evans | Behavioral Analyst | 76 Accord Park Dr, Norwell, MA 02061 | 2012-09-12 |
| 1720365190 | Julie Callahan | Behavioral Analyst | 374 Mount Blue St, Norwell, MA 02061-1008 | 2011-11-13 |
| 1821695958 | Marie Phanord | Behavioral Analyst | 80 Washington St Ste P55, Norwell, MA 02061-1742 | 2020-10-01 |
| 1508472978 | Cara Olsson | Behavioral Analyst | 45 Pond St, Norwell, MA 02061-1627 | 2020-09-21 |
| Find all providers in NORWELL | ||||
Please comment or provide details below to improve the information on JORDAN ROSE.
| 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.