JENNESSA ROSE MILLER (NPI# 1629632039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629632039 |
| Entity Type | Individual |
| Full Name | JENNESSA ROSE MILLER |
| Credential | BA |
| Practice Address |
77 Antoski Drive Galena AK 99741 |
| Mailing Address |
Po Box 77 Galena AK 99741-0077 |
| Practice Telephone | 9076561366 |
| Mailing Telephone | 9076561366 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 4010 | 05 |
| Street Address |
77 ANTOSKI DRIVE |
| City | GALENA |
| State | AK |
| Zip Code | 99741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831497494 | Cecelia Ann Grant | Physician Assistant | 77 Antoski Drive, Galena, AK 99741 | 2011-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043647894 | Nicole Gregory | Community Health Worker | 1/2 Mile Antoski Rd, Galena, AK 99741 | 2013-10-10 |
| 1053758920 | Clarice Joann Essex | Counselor | 77 Antoski Rd, Galena, AK 99741 | 2013-05-31 |
| 1902193162 | Tanya Jean Korta | Counselor | 77 Antoski Road, Galena, AK 99741 | 2011-07-07 |
| 1356630917 | Yukon Koyukuk Elder Assisted Living Consortium | Assisted Living Facility | 2 1/4 Campion Road, Galena, AK 99741 | 2011-04-05 |
| 1134373640 | Edger Nollner Health Center | Clinic/Center | 77 Antoski Ave., Galena, AK 99741 | 2008-11-11 |
| 1588273338 | Conor Daniel Cahalan | Physician Assistant | 77 Antoski Rd, Galena, AK 99741 | 2020-07-28 |
| 1740825884 | Tanana Chiefs Conference | Community/Behavioral Health | 77 Antoski Ave, Galena, AK 99741 | 2019-11-13 |
| 1811352297 | Ashley Lynn Burgett | Registered Nurse | 77 Antoski Rd, Galena, AK 99741 | 2015-12-29 |
| 1497818181 | Cathy Anne Desanto | Nurse Practitioner | 77 Antoski Ave, Galena, AK 99741-0000 | 2006-12-18 |
| 1235795030 | Heidi R Mcclure | Community Health Worker | 17 Antoski Road, Galena, AK 99741-0017 | 2019-05-16 |
| Find all providers in zip 99741 | ||||
| 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 |
|---|---|---|---|---|
| 1760049498 | Margaret Huntington | Behavioral Analyst | Antoski Avenue, Edgar Nollner Health Center, Galena, AK 99741-0077 | 2019-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588298269 | Brandy Jones | Behavioral Analyst | 2018 Brandilyn St, Anchorage, AK 99516-1960 | 2020-03-02 |
| 1689215196 | Aspire Behavior Solutions, LLC | Behavioral Analyst | 2170 Chateau Ct, North Pole, AK 99705-6583 | 2019-10-06 |
| 1992357065 | John Christian Sturm | Behavioral Analyst | 7013 Saturn Cir, Anchorage, AK 99504-4564 | 2019-07-09 |
| 1023679032 | Jennifer White | Behavioral Analyst | 3526 Industrial Ave, Fairbanks, AK 99701-7376 | 2019-06-21 |
| 1225508815 | Madison Grove | Behavioral Analyst | 203 S. Santa Claus Lane, North Pole, AK 99705 | 2018-11-27 |
| 1104393123 | Jessica Marie Childress | Behavioral Analyst | 203 Santa Clause, North Pole, AK 99705 | 2018-10-29 |
| 1295201192 | Melinda Mcgrew | Behavioral Analyst | 8116 Sandy Cir, Anchorage, AK 99507-3284 | 2018-10-17 |
| 1588141634 | Kristin Ann Riall | Behavioral Analyst | 805 Basin Rd, Juneau, AK 99801-1069 | 2018-07-22 |
| 1528553252 | Aurora Behavior Services, LLC | Behavioral Analyst | 9529 Noak Cir, Eagle River, AK 99577-8515 | 2018-06-26 |
| 1649768177 | Amy Marie Lacher | Behavioral Analyst | 1975 W Church Ridge Dr, Wasilla, AK 99654-2102 | 2018-04-30 |
| Find all providers with the same taxonomy | ||||
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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.