JENNIFER JOLLY (NPI# 1609388107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609388107 |
| Entity Type | Individual |
| Full Name | JENNIFER JOLLY |
| Credential | BCBA |
| Practice Address |
2016 Oak Park Blvd Lake Charles LA 70601-7828 |
| Practice Telephone | 3375409737 |
| Mailing Telephone | 3374295248 |
| Mailing Fax Number | 3376562377 |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | L-243 | LA | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 1-17-27755 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922269869 | Jennifer L Jolly | Social Worker | 371s Main St 202a, Fall River, MA 02721-5348 | 2008-06-23 |
| 1760820096 | Jennifer C Jolly | Registered Nurse | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2013-06-09 |
| 1699852897 | Jennifer Jolly | Recreation Therapist | 1224 Vine St, Los Angeles, CA 90038-1612 | 2006-11-01 |
| Street Address |
2016 OAK PARK BLVD |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-7828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417934373 | Reed A Fontenot Jr. | Urology | 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 | 2005-12-30 |
| 1275142168 | Nicole Ardoin | Behavioral Analyst | 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 | 2020-07-27 |
| 1386106995 | Linda Rae-leigh Johnson | Behavioral Analyst | 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 | 2019-04-02 |
| 1447711577 | Shelby Sonnier | Behavioral Analyst | 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 | 2019-03-29 |
| 1093209322 | Sarah Coco Egnatuk | Behavioral Analyst | 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 | 2018-06-20 |
| 1518479013 | Michelle Angelica Stokes | Behavioral Analyst | 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 | 2017-10-25 |
| 1376052456 | Channing Ann Langlinais | Behavioral Analyst | 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 | 2017-09-21 |
| 1205285129 | Kayla Wilburn | Behavioral Analyst | 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 | 2016-06-10 |
| 1437424991 | Southwest Louisiana Independence Center, Inc | Community/Behavioral Health | 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 | 2012-03-16 |
| 1598770869 | John H Upshaw Jr. | Urology | 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 | 2006-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| 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 |
|---|---|---|---|---|
| 1043858343 | Michael J Thomas Enterprise LLC | Behavioral Analyst | 2529 19th St, Lake Charles, LA 70601-8143 | 2019-12-17 |
| 1780249656 | Brite Aba Therapy | Behavioral Analyst | 1005 13th St, Lake Charles, LA 70601-7565 | 2019-05-07 |
| 1629633987 | Little Engines Aba Center LLC | Behavioral Analyst | 2001 Southwood Dr Ste A, Lake Charles, LA 70605-4139 | 2019-05-02 |
| 1801459557 | Bright Start Behavioral Services | Behavioral Analyst | 3026 Ryan St, Lake Charles, LA 70601-8513 | 2019-04-18 |
| 1669982518 | Maggie Marie Kurtzuba | Behavioral Analyst | 4019 Common St, Lake Charles, LA 70607-2942 | 2017-10-05 |
| 1407380686 | Bianca Lilly | Behavioral Analyst | 1005 13th St., Lake Charles, LA 70601 | 2017-04-14 |
| 1801242649 | Monoca Griffin | Behavioral Analyst | 3000 6th St, Lake Charles, LA 70615-4919 | 2016-05-11 |
| 1093179384 | Amberlee Kron | Behavioral Analyst | 4205 Ryan St Box 91895, Lake Charles, LA 70609-1895 | 2016-04-12 |
| 1235598277 | Sarah Schultz | Behavioral Analyst | 2519 Ryan Street, Lake Charles, LA 70601 | 2016-02-18 |
| 1730568304 | Nelson Ray Dronet Jr. | Behavioral Analyst | 4205 Ryan St # 91895, Lake Charles, LA 70605-4511 | 2015-05-28 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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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.