JENNIFER CHRISTINE DIEDERICH


Address: 5868 Baker Rd, Minnetonka, MN 55345-5903
Phone: 6122455933

JENNIFER CHRISTINE DIEDERICH (NPI# 1649897034) 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) 1649897034
Entity Type Individual
Full Name JENNIFER CHRISTINE DIEDERICH
Credential BCABA
Practice Address 5868 Baker Rd
Minnetonka
MN 55345-5903
Practice Telephone 6122455933
Mailing Telephone 6122455933
Enumeration Date 2020-07-01
Last Update Date 2020-07-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 01-16-7528 Behavioral Health & Social Service Providers

Other Providers JENNIFER DIEDERICH

NPI Name Taxonomy Address Enumeration
1356330344 Jennifer A Diederich Dentist 222 Main St, Pmb 251, Farmington, CT 06032-3623 2005-10-21

Office Location

Street Address 5868 BAKER RD
City MINNETONKA
State MN
Zip Code 55345-5903

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447348172 Autism Opportunities Foundation Psychologist 5868 Baker Rd, Minnetonka, MN 55345-5903 2006-10-10
1215560719 Anna Larson Speech-Language Pathologist 5868 Baker Rd, Minnetonka, MN 55345-5903 2020-02-13
1245862564 Andrea Katija Stinogel Occupational Therapist 5868 Baker Rd, Minnetonka, MN 55345-5903 2020-02-05
1396381281 Olivia Kay Marcussen Occupational Therapist 5868 Baker Rd, Minnetonka, MN 55345-5903 2019-11-26
1649814088 Brittney Teresa Mccoy Speech-Language Pathologist 5868 Baker Rd, Minnetonka, MN 55345-5903 2019-10-29
1437792520 Amal Wasuge Occupational Therapist 5868 Baker Rd, Minnetonka, MN 55345-5903 2019-10-22
1093365769 Madelin Buscho Occupational Therapist 5868 Baker Rd, Minnetonka, MN 55345-5903 2019-09-16
1265082937 Krystal Lauren Klement Occupational Therapist 5868 Baker Rd, Minnetonka, MN 55345-5903 2019-09-16
1326697756 Michelle Arlynn Deremer Speech-Language Pathologist 5868 Baker Rd, Minnetonka, MN 55345-5903 2019-09-09
1235781923 Jillian Marie Blount Occupational Therapist 5868 Baker Rd, Minnetonka, MN 55345-5903 2019-07-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417587205 Pain Partners LLC Pharmacist 15225 Wild Wings Court, Minnetonka, MN 55345 2020-01-21
1356811608 Caitlin Marie Peterson Specialist/Technologist 15708 Wood Knoll Lane, Minnetonka, MN 55345 2018-11-29
1649747007 West Side Counseling LLC Community/Behavioral Health 10520 Wayzata Blvd., Suite 100, Minnetonka, MN 55345 2018-10-24
1689173247 Theresa Tsuchiya Psychologist Relate, Inc., 5125 County Road 101, Suite 300, Minnetonka, MN 55345 2018-02-08
1497264147 Minnetonka Assisted Living and Hospice Community Health Worker 14667 Lake Street Extension, Minnetonka, MN 55345 2017-09-26
1619494671 Shree Revenue Management Durable Medical Equipment & Medical Supplies 6117, Creek Ridge Ct, Minnetonka, MN 55345 2017-08-29
1538606876 Stefani Yanizeski Speech-Language Pathologist Minnesota Autism Center, 5710 Baker Road, Minnetonka, MN 55345 2017-01-25
1790157469 Greg Anderson Psychologist 5125 County Road 101, #300, Relate, Inc., Minnetonka, MN 55345 2015-10-21
1861896375 Kristine L Smith Marriage & Family Therapist 5125 County Road 101 Suite 300, Minnetonka, MN 55345 2014-10-13
1982014460 Miranda Jean Johnson Speech-Language Pathologist 15265 Minnetonka Blvd., Minnetonka, MN 55345 2014-05-06
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033637426 Academy of Whole Learning Behavioral Analyst 3500 Williston Rd, Minnetonka, MN 55345-1516 2017-09-06
1326656737 Lukas Urbach Behavioral Analyst 13911 Ridgedale Dr Ste 335, Minnetonka, MN 55305-1775 2020-07-21
1689292641 Bryn Elizabeth Carr Behavioral Analyst 5501 Feltl Rd, Minnetonka, MN 55343-3944 2020-07-07
1356965073 Elizabeth A Klees Behavioral Analyst 5501 Feltl Rd, Minnetonka, MN 55343-3944 2020-05-29
1427671395 Kristine Nicole Falness Behavioral Analyst 5501 Feltl Rd, Minnetonka, MN 55343-3944 2020-05-26
1710514559 Melanie Vankuiken Behavioral Analyst 10273 Yellow Circle Dr, Minnetonka, MN 55343-9144 2020-03-23
1922635754 Alexis Christensen Waldin Behavioral Analyst 10273 Yellow Circle Dr, Minnetonka, MN 55343-9144 2020-03-23
1427684307 Jessica Thorn Behavioral Analyst 10273 Yellow Circle Dr, Minnetonka, MN 55343-9144 2020-03-23
1629604616 Joseph Carlson Behavioral Analyst 10273 Yellow Circle Dr, Minnetonka, MN 55343-9144 2020-03-21
1033745187 Stephanie Taft Behavioral Analyst 10273 Yellow Circle Dr, Minnetonka, MN 55343-9144 2020-03-20
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Competitor

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City MINNETONKA
Zip Code 55345

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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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