DR. JENNIFER LYNNE MCCORMICK (NPI# 1700322377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700322377 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LYNNE MCCORMICK |
| Credential | BCBA |
| Practice Address |
1163 Old Colony Rd Unit 6 Wallingford CT 06492-1783 |
| Practice Telephone | 2032135953 |
| Mailing Telephone | 2032135953 |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-08-4107 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144467622 | Jennifer M Mccormick | Occupational Therapist | 24689 Kings Canyon Sq, Stone Ridge, VA 20105-2988 | 2009-01-20 |
| 1669423323 | Jennifer Jane Mccormick | Physician Assistant | 300 N Commercial St, Suite 200, Neenah, WI 54956-2619 | 2006-05-15 |
| 1497299887 | Jennifer Mccormick | Student in an Organized Health Care Education/Training Program | 1601 N Goldenrod Rd, Orlando, FL 32807-8308 | 2016-12-05 |
| 1801248901 | Jennifer Mccormick | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2016-07-13 |
| 1790139582 | Jennifer Mccormick | Speech-Language Pathologist | 3890 Woodridge Dr, The Villages, FL 32162-7186 | 2016-04-18 |
| 1386028298 | Jennifer Mccormick | Social Worker | 22 Harrison St, Suite 101, Johnson City, NY 13790-2142 | 2015-07-10 |
| 1710162672 | Jennifer A Mccormick | Marriage & Family Therapist | 15611 Pomerado Rd, Ste 535, Poway, CA 92064-2437 | 2008-01-09 |
| 1033235429 | Jennifer Mccormick | Occupational Therapist | 1361 Route 72 W, Manahawkin, NJ 08050-2417 | 2007-03-21 |
| 1821162819 | Jennifer Ruth Mccormick | Counselor | 1959 Ne Pacific St, Box 356125, Seattle, WA 98195-0001 | 2006-11-20 |
| 1548272685 | Jennifer Mccormick | Obstetrics & Gynecology | 165 E Plank Rd, Sycamore, IL 60178-8757 | 2006-08-13 |
| Street Address |
1163 OLD COLONY RD UNIT 6 |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-1783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| 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 |
|---|---|---|---|---|
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1801218177 | James Connell Jr. | Behavioral Analyst | 214 Moylan Ave, Wallingford, PA 19068 | 2014-01-06 |
| 1841841806 | Sharon Garcia Hodgdon | Behavioral Analyst | 5 Barnes Industrial Rd S, Wallingford, CT 06492-2431 | 2019-09-21 |
| 1942793914 | Children of The Sound, LLC | Behavioral Analyst | 101 N Plains Industrial Rd, Wallingford, CT 06492-2360 | 2018-06-13 |
| 1518450576 | Erica Washington | Behavioral Analyst | 101 N Plains Industrial Rd, Wallingford, CT 06492-2360 | 2018-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302160 | Heartlinks Aba LLC | Behavioral Analyst | 65 Cables Ave Apt 2, Waterbury, CT 06710-1644 | 2020-10-01 |
| 1609483411 | Michelle Ribas Alves | Behavioral Analyst | 620 Peet St, Bridgeport, CT 06606-2731 | 2020-09-25 |
| 1669088829 | Naiesha A Jean-claude | Behavioral Analyst | 67 Yale St, Stratford, CT 06615-6363 | 2020-09-22 |
| 1356957617 | Kristen E Walsh | Behavioral Analyst | 80 New St, Ridgefield, CT 06877-3822 | 2020-09-21 |
| 1023624855 | Annika Simmons | Behavioral Analyst | 878 Silver Street, Coventry, Ct, Usa, Coventry, CT 06238 | 2020-09-17 |
| 1487260337 | Chileshe Chisanga | Behavioral Analyst | 32c Wall St, Madison, CT 06443-3100 | 2020-09-16 |
| 1912512252 | Sarah Howard | Behavioral Analyst | 56 Horace St, Stratford, CT 06614-4225 | 2020-09-14 |
| 1093320582 | Kristin Rhea Fortier | Behavioral Analyst | 9 Pollack Rd, Mansfield Center, CT 06250-1625 | 2020-09-10 |
| 1063027753 | Amanda Imbriglio | Behavioral Analyst | 37 Mechanic St Fl 2, Pawcatuck, CT 06379-2133 | 2020-09-10 |
| 1356956221 | Lindsay A Yanke | Behavioral Analyst | 34 Lilley Rd, West Hartford, CT 06119-1333 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
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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.