JENNIFER LEANNE ELLIS (NPI# 1568746642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568746642 |
| Entity Type | Individual |
| Full Name | JENNIFER LEANNE ELLIS |
| Practice Address |
1717 W 33rd St Edmond OK 73013-3863 |
| Mailing Address |
1713 Nw 148th St Edmond OK 73013-1396 |
| Practice Telephone | 4052165608 |
| Practice Fax Number | 4052165272 |
| Mailing Telephone | 4056576885 |
| Mailing Fax Number | 4052165272 |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200123000A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487157277 | Jennifer Ellis | Nurse Practitioner | 16101 Ventura Blvd Ste 333, Encino, CA 91436-2516 | 2018-03-17 |
| 1609286194 | Jennifer Ellis | Clinic/Center | 208 Oriole St., Harrisonville, MO 64701-0000 | 2014-05-06 |
| 1376986745 | Jennifer Shermaine Ellis | Counselor | 273 S 118th East Ave, Tulsa, OK 74128-2224 | 2013-04-16 |
| 1316212913 | Jennifer M Ellis | Counselor | 1816 W Point Pike Ste 209, Lansdale, PA 19446-5696 | 2012-03-14 |
| 1639457997 | Jennifer Lynne Ellis | Pharmacist | 333 Westfield St, Silverton, OR 97381-1936 | 2011-08-03 |
| 1851683775 | Jennifer Ellis | Massage Therapist | 180 S Cherry St, Suite F, Monticello, FL 32344-1929 | 2011-05-11 |
| 1609180819 | Jennifer Jeanne Ellis | Counselor | 7745 Jonagold Dr Se, Grand Rapids, MI 49508-7602 | 2010-07-29 |
| 1952577603 | Jennifer Ellis | Social Worker | 3800 University Ave, Columbus, GA 31907-5609 | 2008-05-02 |
| 1972702819 | Jennifer Lowe Ellis | Preventive Medicine | 1539 Ashland City Rd Ste C, Clarksville, TN 37040-6416 | 2007-07-12 |
| 1083839492 | Jennifer Ellis | Pharmacist | 6111 Ferguson Rd, Oskaloosa, KS 66066-5388 | 2007-04-13 |
| Street Address |
1717 W 33RD ST |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-3863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568422988 | Mark E Brown | Physical Therapist | 1717 W 33rd St, Edmond, OK 73013-3819 | 2006-03-28 |
| 1669735361 | Rakeia Simone Mcneill | Counselor | 1717 W 33rd St, Edmond, OK 73013-3863 | 2012-06-19 |
| 1891066130 | Nancy Louise Winn | Behavioral Analyst | 1717 W 33rd St, Edmond, OK 73013-3863 | 2012-01-18 |
| 1780954172 | Stephanie Cottrell | Behavioral Analyst | 1717 W 33rd St, Edmond, OK 73013-3863 | 2012-01-03 |
| 1699045104 | Tera Jackson | Behavioral Analyst | 1717 W 33rd St, Edmond, OK 73013-3863 | 2012-01-01 |
| 1245520980 | Richard Lewis Bean | Behavioral Analyst | 1717 W 33rd St, Edmond, OK 73013-3819 | 2011-04-14 |
| 1043519267 | Darrell Roy Williams | Social Worker | 1717 W 33rd St, Edmond, OK 73013-3819 | 2011-03-28 |
| 1497057442 | Latoya Nichole Jackson | Behavioral Analyst | 1717 W 33rd St, Edmond, OK 73013-3819 | 2010-11-24 |
| 1427364017 | Ronise Tamara Thompson | Counselor | 1717 W 33rd St, Suite B, Edmond, OK 73013-3863 | 2010-08-20 |
| 1891010823 | Kevin R Mckenzie | Behavioral Analyst | 1717 W 33rd St, Edmond, OK 73013-3819 | 2010-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| 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 |
|---|---|---|---|---|
| 1821697129 | Aisha Sohail Hasanjee | Behavioral Analyst | 29 Nw 147th St, Edmond, OK 73013-2453 | 2020-10-19 |
| 1720563158 | Hope Christy | Behavioral Analyst | 501 Nw 197th St, Edmond, OK 73012-0029 | 2018-10-02 |
| 1740770676 | Sydney Lafleur | Behavioral Analyst | 16538 N May Ave, Edmond, OK 73012-9007 | 2018-05-16 |
| 1861936767 | Momentum Behavioral Solutions | Behavioral Analyst | 2449 Nw 198th St, Edmond, OK 73012-5236 | 2016-12-12 |
| 1184175473 | David Hernandez | Behavioral Analyst | 122 1/2 E 3rd St, Edmond, OK 73034-3819 | 2016-10-20 |
| 1912451840 | Jeremy Malwick | Behavioral Analyst | 1301 Pine Oak Dr, Edmond, OK 73034-5446 | 2016-08-09 |
| 1861844755 | Crystal Perez | Behavioral Analyst | 17613 Hampton Park Dr Unit A, Edmond, OK 73012-0688 | 2016-07-05 |
| 1225492275 | Christina Thornton | Behavioral Analyst | 600 W 18th St, Edmond, OK 73013-3631 | 2016-04-06 |
| 1245691336 | Jessica Collins | Behavioral Analyst | 18217 Sandhurst Ct, Edmond, OK 73012 | 2016-03-16 |
| 1578938668 | Betsy Chen | Behavioral Analyst | 3517 Nw 164th Ter, Edmond, OK 73013-9471 | 2015-12-01 |
| Find all providers in EDMOND | ||||
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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.