JONATHAN BRENNAN (NPI# 1720546021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720546021 |
| Entity Type | Individual |
| Full Name | JONATHAN BRENNAN |
| Credential | BCBA |
| Practice Address |
1613 Prospect Park Way Ste 110 Fort Collins CO 80525-9707 |
| Mailing Address |
7360 N Lincoln Ave Ste 110 Lincolnwood IL 60712-1705 |
| Practice Telephone | 9703779401 |
| Mailing Telephone | 8558552712 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 11832301 | CO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 36 S 18th Ave Ste D, Brighton, CO 806012452 | 8558552712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891057030 | Jonathan Jay Brennan | Dentist | 1929 E. Ray Rd., Ste 2, Chandler, AZ 85225 | 2012-06-13 |
| Street Address |
1613 PROSPECT PARK WAY STE 110 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-9707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407249352 | Olivia Sanders | Behavioral Analyst | 1613 Prospect Park Way Ste 110, Fort Collins, CO 80525 | 2015-03-16 |
| 1457903411 | Christopher James Burke | Behavior Technician | 1613 Prospect Park Way Ste 110, Fort Collins, CO 80525-9707 | 2019-07-10 |
| 1871145920 | Sierra Diane Gartner | Technician | 1613 Prospect Park Way Ste 110, Fort Collins, CO 80525-9707 | 2019-07-09 |
| 1356807317 | Olivia K Aranda | Behavioral Analyst | 1613 Prospect Park Way Ste 110, Fort Collins, CO 80525-9707 | 2019-02-14 |
| 1285105973 | Brooke E Hanson | Behavior Technician | 1613 Prospect Park Way Ste 110, Fort Collins, CO 80525-9707 | 2018-12-06 |
| 1518435155 | Devyn Leigh Henderson | Behavior Technician | 1613 Prospect Park Way Ste 110, Fort Collins, CO 80525-9707 | 2018-11-12 |
| 1235607235 | Anna Danielle Benzel | Behavior Technician | 1613 Prospect Park Way Ste 110, Fort Collins, CO 80525-9707 | 2018-11-07 |
| 1487122685 | Austin Mcanarney | Behavior Technician | 1613 Prospect Park Way Ste 110, Fort Collins, CO 80525-9707 | 2018-11-06 |
| 1871061960 | Marissa Sanchez | Behavior Technician | 1613 Prospect Park Way Ste 110, Fort Collins, CO 80525-9707 | 2018-11-06 |
| 1427525690 | Darian Pflugrath | Behavior Technician | 1613 Prospect Park Way Ste 110, Fort Collins, CO 80525-9707 | 2018-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| 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 |
|---|---|---|---|---|
| 1114549482 | Megan Christine Kramer | Behavioral Analyst | 2208 Harvest St, Fort Collins, CO 80528-7114 | 2020-05-10 |
| 1083241335 | Hopebridge LLC | Behavioral Analyst | 3351 Eastbrook Dr Ste 101, Fort Collins, CO 80525-5744 | 2020-03-26 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1740789783 | Amanda Christine Archibeque | Behavioral Analyst | 1100 Haxton Dr, Fort Collins, CO 80525-6213 | 2018-02-05 |
| 1700391307 | Jennifer Snow | Behavioral Analyst | 3203 Grand Teton Pl, Fort Collins, CO 80525-9083 | 2017-12-05 |
| 1861865891 | John W Floyd | Behavioral Analyst | 836 W Prospect Rd, Fort Collins, CO 80526-1922 | 2015-11-13 |
| 1407249352 | Olivia Sanders | Behavioral Analyst | 1613 Prospect Park Way Ste 110, Fort Collins, CO 80525 | 2015-03-16 |
| 1396148474 | Charles Hardy Ball | Behavioral Analyst | 705 Mathews St, Fort Collins, CO 80524-3376 | 2014-10-02 |
| 1205266319 | David Eugene Hughes | Behavioral Analyst | 912 Driftwood Dr, Fort Collins, CO 80525 | 2013-11-26 |
| 1083952881 | Stephen Bernier | Behavioral Analyst | 116 E Drake Rd, Fort Collins, CO 80525-1728 | 2013-01-29 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
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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.