KARYSSA MARIE PATRICK (NPI# 1720614811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720614811 |
| Entity Type | Individual |
| Full Name | KARYSSA MARIE PATRICK |
| Credential | BCBA |
| Practice Address |
1701 Library Blvd Ste A Greenwood IN 46142-1567 |
| Practice Telephone | 3178819923 |
| Practice Fax Number | 3178819966 |
| Mailing Telephone | 3178819923 |
| Mailing Fax Number | 3178819966 |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-03-20 |
| 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 |
|---|---|---|---|
| IN | LICENSE | 1-20-41191 | 01 |
| Street Address |
1701 LIBRARY BLVD STE A |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46142-1567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285856187 | Rhonda M. Collier | Physical Therapist | 1701 Library Blvd Ste A, Greenwood, IN 46142-1567 | 2007-05-02 |
| 1598372013 | Kristen M Finkiewicz | Occupational Therapy Assistant | 1701 Library Blvd Ste A, Greenwood, IN 46142-1567 | 2020-09-29 |
| 1053927145 | Rachel Lynne Niedzwiecki | Occupational Therapy Assistant | 1701 Library Blvd Ste A, Greenwood, IN 46142-1567 | 2020-09-23 |
| 1336757178 | Emma L Finlinson | Behavior Technician | 1701 Library Blvd Ste A, Greenwood, IN 46142-1567 | 2020-07-17 |
| 1700420478 | Erica Ratz | Behavioral Analyst | 1701 Library Blvd Ste A, Greenwood, IN 46142-1567 | 2019-11-05 |
| 1083256929 | Lindsey N Hartman | Behavioral Analyst | 1701 Library Blvd Ste A, Greenwood, IN 46142-1567 | 2019-10-11 |
| 1952951048 | Alison Mariutto | Speech-Language Pathologist | 1701 Library Blvd Ste A, Greenwood, IN 46142-1567 | 2019-09-19 |
| 1023664216 | Megan Sopoci | Speech-Language Pathologist | 1701 Library Blvd Ste A, Greenwood, IN 46142-1567 | 2019-08-13 |
| 1265093231 | Rachel Wood | Speech-Language Pathologist | 1701 Library Blvd Ste A, Greenwood, IN 46142-1567 | 2019-06-21 |
| 1720649791 | Susan Savio | Speech-Language Pathologist | 1701 Library Blvd Ste A, Greenwood, IN 46142-1567 | 2019-06-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093330979 | Renee Francine Jones | Nurse Practitioner | 698 Oldfield Commons Dr, Greenwood, IN 46142 | 2020-06-16 |
| 1164046876 | Top Dental Care LLC | Dentist | 41 N. Madison Ave, Greenwood, IN 46142 | 2020-05-29 |
| 1467956201 | Gerth Counseling | Social Worker | 386 Meridian Parke Lane, Suit B, Greenwood, IN 46142 | 2018-03-19 |
| 1588019988 | Jessica Lynn Osborne | Speech-Language Pathologist | 1701 Library Park Blvd, Greenwood, IN 46142 | 2016-05-04 |
| 1417301359 | John Thomas Ferguson Jr. | Marriage & Family Therapist | 3209 W Smith Valley Road, #225, Indianapolis, IN 46142 | 2016-04-18 |
| 1982065132 | Linda Barnes | Occupational Therapist | 124 Hawthorne Lane, Greenwood, IN 46142 | 2016-03-16 |
| 1346611688 | Elisha Cain | Optometrist | 1298 Us-31, Greenwood, IN 46142 | 2015-10-13 |
| 1801158456 | Frank William Fortuna | Family Medicine | 461 Camby Court, Greenwood, IN 46142 | 2012-06-11 |
| 1164708202 | Greenwood Family Chiropractic, LLC | Chiropractor | 520 N Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
| 1447536586 | Leanne Nicole Schlueter | Chiropractor | 520 North Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
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| 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 |
|---|---|---|---|---|
| 1427516269 | Jocelin Kampman | Behavioral Analyst | 965 Emerson Pkwy # H-1, Greenwood, IN 46143-6273 | 2019-03-12 |
| 1003383183 | Together Behavior Solutions, Inc. | Behavioral Analyst | 3150 Greenwood Rd, Greenwood, CA 95635-9213 | 2018-10-26 |
| 1184107815 | Elle E Scanlan | Behavioral Analyst | 2 N Madison Ave, Greenwood, IN 46142-3565 | 2018-09-10 |
| 1790279537 | Megan Marie Prickel | Behavioral Analyst | 380 Polk St, Greenwood, IN 46143-1623 | 2018-06-15 |
| 1265958953 | Jennifer Derocher | Behavioral Analyst | 374 Meridian Parke Ln, Greenwood, IN 46142-9406 | 2017-08-15 |
| 1245782200 | Andi Mills | Behavioral Analyst | 210a Birchtree Dr, Greenwood, SC 29649-1502 | 2016-10-25 |
| 1285099473 | Derrick Johnson | Behavioral Analyst | 5725 Palma Ln, Greenwood, FL 32443-2421 | 2015-12-15 |
| 1831517069 | Whitney Strange | Behavioral Analyst | 432 S Emerson Ave, Suite 320, Greenwood, IN 46143 | 2014-04-04 |
| 1215360045 | Matthew Loren Temple | Behavioral Analyst | 21 South Park Boulevard, Suite 21, Greenwood, IN 46143-8838 | 2013-08-15 |
| 1396085692 | Ian D Mcgarvey | Behavioral Analyst | 965 Emerson Pkwy # H1, Greenwood, IN 46143-6273 | 2013-02-22 |
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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.