JENNIFER K MICK (NPI# 1700122868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700122868 |
| Entity Type | Individual |
| Full Name | JENNIFER K MICK |
| Credential | MA, BCBA |
| Practice Address |
2034 Lancashire Ave Louisville KY 40205-2954 |
| Mailing Address |
2304 Lancashire Ave Louisville KY 40205 |
| Practice Telephone | 5025006608 |
| Mailing Telephone | 5025006608 |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417267311 | Jennifer L Mick | Social Worker | 1100 Ridgefield Blvd, Suite 190, Asheville, NC 28806-6209 | 2010-10-14 |
| Street Address |
2034 LANCASHIRE AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40205-2954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558844027 | Arthur James Shulthise Jr. | Family Medicine | Bldg. 2801 - Bowman Field, 2801 Taylorsville Road, Louisville, KY 40205 | 2018-09-11 |
| 1609392133 | Leah Elizabeth Storch | Occupational Therapist | 2231 Wendell Ave, Louisville, KY 40205 | 2017-08-16 |
| 1437679842 | Michael Edward Lovelace | Family Medicine | 1800 Stevens Avenue, Louisville, KY 40205 | 2017-06-27 |
| 1699205328 | Nathaniel George Kennedy | Physician Assistant | 3101 Bardstown Road, Sullivan University Physician Assistant Program, Louisville, KY 40205 | 2017-06-14 |
| 1225584972 | Kalpana Bhaskar | Pharmacist | 3036 Bardstown Road, Louisville, KY 40205 | 2016-08-31 |
| 1013398627 | William Wood | Hearing Instrument Specialist | 2239 Bardstown Rd., Louisville, KY 40205 | 2015-06-10 |
| 1811306707 | Alaina Rotelli | Pharmacist | 2100 Gardiner Lane, Louisville, KY 40205 | 2014-08-05 |
| 1013325760 | Jaime Alexandra Seelmeyer | Counselor | 1718 Deerwood Ave, Apt 1, Louisville, KY 40205 | 2014-07-25 |
| 1992009336 | Priscilla Freeman | Case Manager/Care Coordinator | 3171 Taylorsville Rd, 1st Floor, Louisville, KY 40205 | 2010-12-28 |
| 1457501413 | Amanda Christine Voils-levenda | Psychologist | 1911 Bardstown Rd, Suite #bl, Louisville, KY 40205 | 2008-09-26 |
| Find all providers in zip 40205 | ||||
| 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 |
|---|---|---|---|---|
| 1093315897 | Ashley Wagner | Behavioral Analyst | 9905 Timberview Way, Louisville, KY 40223-3559 | 2020-10-29 |
| 1962009910 | Peta Lorraine St Clair Kimber | Behavioral Analyst | 1230 Liberty Bank Ln Ste 230, Louisville, KY 40222-5756 | 2020-10-02 |
| 1386254571 | Kari Marie Woods | Behavioral Analyst | 1230 Liberty Bank Ln, Louisville, KY 40222-5756 | 2020-08-03 |
| 1861970527 | Courtney Taylor Mcintyre | Behavioral Analyst | 9900 Shelbyville Rd Ste 11b, Louisville, KY 40223-2965 | 2018-08-03 |
| 1043702905 | Stacey Renee Shinn | Behavioral Analyst | 3322 Noe Way Apt 1, Louisville, KY 40220-1861 | 2018-06-05 |
| 1740792746 | Paola Romero | Behavioral Analyst | 912 Lily Creek Rd Ste 103, Louisville, KY 40243-2815 | 2017-10-30 |
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1750802161 | Enrich Educational & Behavioral Services | Behavioral Analyst | 1709 Bonnycastle Ave, Louisville, KY 40205-1014 | 2017-07-06 |
| 1508316860 | Ashley Shaw | Behavioral Analyst | 1448 Gardiner Ln Ste 202, Louisville, KY 40213-1982 | 2016-10-11 |
| 1821543141 | Clinical Behavior Analysis | Behavioral Analyst | 1601 Rosewood Ave, Louisville, KY 40204-1327 | 2016-08-16 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40205 |
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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.