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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106S00000X | Behavior Technician | RBT-20-129094 | IL | Behavioral Health & Social Service Providers |
Street Address |
927 BROADWAY ST |
City | QUINCY |
State | IL |
Zip Code | 62301-2719 |
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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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 |
Find all providers in zip 62301 |
Taxonomy Code | 106S00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Behavior Technician |
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] |
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 |
Find all providers in QUINCY |
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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.