JENNIFER MADRID (NPI# 1619489200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619489200 |
| Entity Type | Individual |
| Full Name | JENNIFER MADRID |
| Practice Address |
1112 Bennington St East Boston MA 02128-1236 |
| Practice Telephone | 7815214728 |
| Mailing Telephone | 7815214728 |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912481 | Jennifer Lisa Madrid | Licensed Psychiatric Technician | 574 Formschlag Ln, Penngrove, CA 94951-8715 | 2016-06-10 |
| 1790398485 | Jennifer Madrid | Behavior Technician | 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 | 2020-08-24 |
| 1386984870 | Jennifer Ranae Madrid | Case Manager/Care Coordinator | 711 Barnes Ave, La Junta, CO 81050 | 2013-02-21 |
| Street Address |
1112 BENNINGTON ST |
| City | EAST BOSTON |
| State | MA |
| Zip Code | 02128-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417562976 | Kristen Pompey | Speech-Language Pathologist | 244 Paris St Apt 3e, East Boston, MA 02128 | 2020-09-11 |
| 1073122271 | Candice Elene Newmyer | Nurse Practitioner | East Boston Neighborhood Health Center, 10 Gove St, East Boston, MA 02128 | 2020-07-24 |
| 1881155414 | Lucas Felipe Bastos Horta | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Shapiro Primary Care, Precepting Room, Boston, MA 02128 | 2019-03-27 |
| 1245729763 | Josie A Kramer | Registered Nurse | 213 Webster Street, Unit 1, Boston, MA 02128 | 2018-05-10 |
| 1457875775 | Bremen Physical Therapy | Clinic/Center | 464 Bremen St. Suite 4b, East Boston, MA 02128 | 2017-07-28 |
| 1174907588 | Vivian Karina Ibanez | Specialist | 130 Condor Street, East Boston, MA 02128 | 2015-07-15 |
| 1326459546 | Excel Physical Therapy, Inc. | Clinic/Center | 2 Neptune Rd Suite 171, East Boston, MA 02128 | 2014-05-09 |
| 1427394824 | D.a.w., L.L.C. | Durable Medical Equipment & Medical Supplies | 20 Maverick Sq, East Boston, MA 02128 | 2012-12-13 |
| 1356600019 | Rebekah Bronwyn Sheppard | Doula | 253 Webster Street, Boston, MA 02128 | 2012-05-15 |
| 1629340484 | Shahi Lavail Smart Sr. | Counselor | 512 Border Street, #d, East Boston, MA 02128 | 2012-02-08 |
| Find all providers in zip 02128 | ||||
| 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 |
|---|---|---|---|---|
| 1083231542 | Paula Diez | Behavior Technician | 14 Falcon St, East Boston, MA 02128-1333 | 2020-07-01 |
| 1982162814 | Megan Lemongello | Behavior Technician | 41 Chelsea St Apt 4, East Boston, MA 02128-2068 | 2019-03-11 |
| 1710404470 | Jada Coy-jackson | Behavior Technician | 638 Bennington St, East Boston, MA 02128-1576 | 2017-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457252 | Jason Chang | Behavior Technician | 3 Boothby Cir, Randolph, MA 02368-5312 | 2020-11-06 |
| 1720689870 | Shelby Normand | Behavior Technician | 2 Longfellow Ln Apt 201, Tyngsboro, MA 01879-2782 | 2020-11-05 |
| 1750982716 | Natasha Charest-ciampa | Behavior Technician | 500 W Cummings Park Ste 1800, Woburn, MA 01801-6506 | 2020-11-05 |
| 1780285064 | Farrah Jean | Behavior Technician | 25 Kovey Rd, Hyde Park, MA 02136-1210 | 2020-11-04 |
| 1619577400 | Noreen-yvaica Joseph | Behavior Technician | 57 Vida St, Methuen, MA 01844-6126 | 2020-10-29 |
| 1194325134 | Laura Copeland-clarke | Behavior Technician | 19 Endicott St, Quincy, MA 02169-7821 | 2020-10-29 |
| 1811597883 | Tiffany Marie Stewart | Behavior Technician | 255 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-10-29 |
| 1225638398 | Nicholas Makogonov | Behavior Technician | 4 Kinsman St, Beverly, MA 01915-1819 | 2020-10-28 |
| 1720688732 | Zizo Valliere | Behavior Technician | 17 Douglas St, Quincy, MA 02169-6106 | 2020-10-28 |
| 1922608918 | Paulina Elizabeth Chumakov | Behavior Technician | 10 Goodnow Ave, Ashland, MA 01721-1662 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
| City | EAST BOSTON |
| Zip Code | 02128 |
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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.