JENNA RYCZEK (NPI# 1578194148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578194148 |
| Entity Type | Individual |
| Full Name | JENNA RYCZEK |
| Credential | BCABA |
| Practice Address |
2073 Lawrence Dr De Pere WI 54115-9106 |
| Practice Telephone | 9203513027 |
| Mailing Telephone | 9203513027 |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
2073 LAWRENCE DR |
| City | DE PERE |
| State | WI |
| Zip Code | 54115-9106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518473966 | Kirsten Lynne Masrelian | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115 | 2017-12-21 |
| 1225641301 | Karly Woldt | Behavior Technician | 2073 Lawrence Dr, De Pere, WI 54115-9106 | 2020-08-28 |
| 1699310862 | Christy Jahns | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115-9106 | 2019-11-12 |
| 1831745280 | Brooke R Evers | Behavior Technician | 2073 Lawrence Dr, De Pere, WI 54115-9106 | 2019-08-12 |
| 1154975951 | David Joslin-pleshek | Behavior Technician | 2073 Lawrence Dr, De Pere, WI 54115-9106 | 2019-07-30 |
| 1588217244 | Courtney Langer | Behavior Technician | 2073 Lawrence Dr, De Pere, WI 54115-9106 | 2019-07-22 |
| 1598225518 | Carissa Vanasten | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115-9106 | 2019-03-25 |
| 1649759705 | Milestones Behavioral Pediatrics Inc | Community/Behavioral Health | 2073 Lawrence Dr, De Pere, WI 54115-9106 | 2018-08-09 |
| 1649774399 | Emily Bow | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115-9106 | 2018-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871138073 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 723 Main Ave, Depere, WI 54115 | 2019-11-12 |
| 1568928083 | Stephanie J Towle | Speech-Language Pathologist | 200 S. 9th St, De Pere, WI 54115 | 2019-02-20 |
| 1164988499 | Maribel L Zoeller | Physical Therapy Assistant | 200 S. 9th Street, Depere, WI 54115 | 2019-02-12 |
| 1255897641 | Elizabeth Eberius | Acupuncturist | 3311 S. Packerland Drive, Suite A #20, De Pere, WI 54115 | 2019-02-11 |
| 1548750458 | Jordyn E Arndt | Physical Therapist | 1601 Lawrence Dr Ste 100, De Pere, WI 54115 | 2018-05-16 |
| 1588153514 | David Nowakowski | Registered Nurse | 158 Cavil Way, De Pere, WI 54115 | 2018-05-04 |
| 1457858557 | Rennes Assisted Living Corp. | Assisted Living Facility | 1150 Lois Street, Depere, WI 54115 | 2018-04-06 |
| 1285146050 | Sydney Marie Schultz | Physical Medicine & Rehabilitation | 200 S. Ninth Street, De Pere, WI 54115 | 2017-11-01 |
| 1134666514 | Nicole L Bickham | Psychologist | 416 George St Ste 108, De Pere, WI 54115 | 2017-01-24 |
| 1356708481 | Ginger Dempsky | Massage Therapist | 1000 North Broadway Street, Depere, WI 54115 | 2016-01-20 |
| Find all providers in zip 54115 | ||||
| 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 |
|---|---|---|---|---|
| 1124506001 | Ariannah Taylor | Assistant Behavior Analyst | 2116 N 12th St, Milwaukee, WI 53205-1318 | 2018-08-01 |
| 1730796046 | Angela Fellenz | Assistant Behavior Analyst | 371 E 1st St, Fond Du Lac, WI 54935-4563 | 2020-09-30 |
| 1942833942 | Moua Autism Services, LLC | Assistant Behavior Analyst | 530 Plaza Dr Apt 104, Madison, WI 53719-3853 | 2020-02-18 |
| 1114582731 | Davina Chanda Scott | Assistant Behavior Analyst | 8330 N Teutonia Ave Ste 102, Brown Deer, WI 53209-1550 | 2019-05-08 |
| 1871088179 | Beth Montick | Assistant Behavior Analyst | 3113 W Beltline Hwy Ste 300, Madison, WI 53713-2934 | 2018-06-28 |
| 1629563143 | Dylan Bramel | Assistant Behavior Analyst | 3113 W Beltline Hwy Ste 300, Madison, WI 53713-2934 | 2018-06-27 |
| 1205370640 | William A. Purcell | Assistant Behavior Analyst | 10909 W Greenfield Ave, Suite 207, West Allis, WI 53214-2379 | 2016-12-04 |
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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.