MRS. MARISSA JO LUMPKIN


Address: 927 Broadway St, Quincy, IL 62301-2719
Phone: 2172244453

MRS. MARISSA JO LUMPKIN (NPI# 1598375727) 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) 1598375727
Entity Type Individual
Full Name MRS. MARISSA JO LUMPKIN
Practice Address 927 Broadway St
Quincy
IL 62301-2719
Practice Telephone 2172244453
Practice Fax Number 2172249383
Mailing Telephone 2172244453
Mailing Fax Number 2172249383
Enumeration Date 2020-08-03
Last Update Date 2020-08-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician RBT-20-129094 IL Behavioral Health & Social Service Providers

Office Location

Street Address 927 BROADWAY ST
City QUINCY
State IL
Zip Code 62301-2719

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164429957 Venu Reddy Internal Medicine 927 Broadway St, Suite 204, Quincy, IL 62301-2719 2005-07-07
1932716925 Olivia Louise Patterson Registered Nurse 927 Broadway St, Quincy, IL 62301-2719 2020-09-24
1093347429 Mandi Nicole Law Nurse Practitioner 927 Broadway St, Quincy, IL 62301-2719 2020-02-04
1720618457 Laura Starman Nurse Practitioner 927 Broadway St, Quincy, IL 62301-2719 2020-01-22
1033761234 Ashley Monita Smith Social Worker 927 Broadway St, Quincy, IL 62301-2719 2019-07-09
1659834273 Debra Anna Derhake Health Educator 927 Broadway St, Quincy, IL 62301-2719 2019-04-10
1881157493 Erin Katharine Vonderhaar Health Educator 927 Broadway St, Quincy, IL 62301-2719 2019-04-10
1598228116 Aleshia Dawn Gerding Health Educator 927 Broadway St, Quincy, IL 62301-2719 2019-04-10
1992268510 Dawn Crabtree Health Educator 927 Broadway St, Quincy, IL 62301-2719 2019-04-10
1093274524 Stacy Lowary Nurse Practitioner 927 Broadway St, Quincy, IL 62301-2719 2019-03-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356969471 Lutheran Child and Family Service of Illinois Foster Care Agency 1400 N. 30th St, Quincy, IL 62301 2020-07-07
1134749716 Bethany Nicole Jumps Pharmacist Broadway St & N 11th St, Quincy, IL 62301 2020-04-23
1043844293 S.crider Construction An Supply Corp. Contractor 529 Woodbridge Dr., Quincy, IL 62301 2020-02-26
1245862002 Quincy Physicians & Surgeons Clinic, Sc Clinic/Center 3301 Broadway St., Quincy, IL 62301 2020-02-10
1043851488 West Central Illinois Nutrition In Home Supportive Care 639 York St. Room 333, Quincy, IL 62301 2019-10-07
1861986549 Quincy Physicians & Surgeons Clinic, Sc Internal Medicine 3347 Broadway St, Quincy, IL 62301 2018-06-18
1194255083 Michael Andrew Behrens Nurse Practitioner Broadway and 11th Street, Quincy, IL 62301 2017-06-14
1770987323 Kirsty Yvonne Reed Counselor 205 S. 24th Street, Chaddock, Quincy, IL 62301 2014-10-10
1114234499 Dale D. Shahan Dds Ltd Dentist 636 Hampshire Suite 102, Quincy, IL 62301 2010-09-08
1730314071 James D Kaufmann Pharmacist 14th & Broadway, Quincy, IL 62301 2009-05-15
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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
1194325134 Laura Copeland-clarke Behavior Technician 19 Endicott St, Quincy, MA 02169-7821 2020-10-29
1720688732 Zizo Valliere Behavior Technician 17 Douglas St, Quincy, MA 02169-6106 2020-10-28
1841838380 Michael T Mollins Behavior Technician 21 Farrell St, Quincy, MA 02169-1807 2019-12-16
1164072138 Evelyn Carol Powell Behavior Technician 182 Vassall St, Quincy, MA 02170-2218 2019-09-12
1578031126 Lauren Kelleher Behavior Technician 44 Hall Pl, Quincy, MA 02169-4029 2018-11-12
1154826857 Kevin John Oreilly Behavior Technician 18 Hamden Cir, Quincy, MA 02170-2014 2018-03-26
1164930350 Mayeline Fernandez Behavior Technician 85 Thornton St, Quincy, MA 02170-3911 2018-01-22
1699280651 Cindy Chen Behavior Technician 108 Farrington St, Quincy, MA 02170-1002 2017-12-12
1588177430 Joanna Konomi Behavior Technician 110 Lancaster St, Quincy, MA 02169-6943 2017-11-14
1548861925 Logan Henderson Behavior Technician 15 N Stewart St, Quincy, FL 32351-2335 2020-11-03
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Competitor

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City QUINCY
Zip Code 62301

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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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