TIA JAENICKE (NPI# 1750928305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750928305 |
| Entity Type | Individual |
| Full Name | TIA JAENICKE |
| Credential | BCBA |
| Practice Address |
1429 E Wabash St Frankfort IN 46041-2742 |
| Mailing Address |
6561 Rushing Riv Noblesville IN 46062-7388 |
| Practice Telephone | 7654308285 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |
| 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 |
| Street Address |
1429 E WABASH ST |
| City | FRANKFORT |
| State | IN |
| Zip Code | 46041-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033761770 | Workplace Health Services | Nurse Practitioner | 1632 W. In-28, Frankfort, IN 46041 | 2019-07-12 |
| 1639667868 | Missy Luann Mobley | Pharmacist | 1300 S Jackson Street, Frankfort, IN 46041 | 2018-04-24 |
| 1437679958 | Unity Healthcare, LLC | Family Medicine | 2002 West County Road 0 N/s, Frankfort, IN 46041 | 2017-06-26 |
| 1487048765 | Adriana Lizbeth Olivas | Specialist/Technologist | 750 W Norris Way, Frankfort, IN 46041 | 2015-03-24 |
| 1356785778 | Larry Gene Bond | Dermatology | 9637 W. County Rd 200 N., Frankfort, IN 46041 | 2013-04-29 |
| 1619221439 | Clinton County Government | Counselor | 55 W Washington St, Frankfort, IN 46041 | 2012-10-31 |
| 1114137825 | Sands Group, Inc. | Occupational Therapy Assistant | 1555 North Main Street, Frankfort, IN 46041 | 2007-05-23 |
| 1861606865 | Clinton County Wic Program | Public Health or Welfare | Clinton County Wic Program, 2120 Washington Avenue, Frankfort, IN 46041 | 2007-05-09 |
| 1962624114 | Clinton Prairie School Corporation | Local Education Agency (LEA) | 4431 W State Road, Frankfort, IN 46041 | 2007-05-03 |
| 1063527620 | Dean D Craft | Dentist | 900 E Walnut St, Frankfort, IN 46041 | 2006-08-21 |
| Find all providers in zip 46041 | ||||
| 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 |
|---|---|---|---|---|
| 1740815208 | Karissa Stewart | Behavioral Analyst | 20550 S Lagrange Rd Ste Lla, Frankfort, IL 60423-1397 | 2020-03-05 |
| 1922558345 | Madison Gaffney | Behavioral Analyst | 2100 S Frankfort Sq Road, Suite D, Frankfort, IL 60423 | 2016-10-10 |
| 1801267729 | Nicole Martis | Behavioral Analyst | 301 Oregon St, Frankfort, IL 60423-1432 | 2015-10-19 |
| 1174904056 | Kevin Michael Taylor | Behavioral Analyst | 22127 Clary Sage Dr, Frankfort, IL 60423-7999 | 2015-06-16 |
| 1326369760 | Shannon Michelle Hamning | Behavioral Analyst | 20926 S 80th Ave, Frankfort, IL 60423-9185 | 2010-06-21 |
| 1477171981 | Andrea Lopez | Behavioral Analyst | 21000 S Frankfort Square Rd, Frankfort, IL 60423-9385 | 2020-07-10 |
| 1124503107 | Marissa Patricia Amoroso | Behavioral Analyst | 21000 S Frankfort Square Rd, Frankfort, IL 60423-9385 | 2018-09-26 |
| 1861976128 | Corinne Jung | Behavioral Analyst | 21000 S Frankfort Square Rd, Frankfort, IL 60423-9385 | 2018-09-21 |
| 1073031811 | Emily Brown | Behavioral Analyst | 21000 S Frankfort Square Rd Ste D, Frankfort, IL 60423-9386 | 2017-08-31 |
| 1740726041 | Jessica Zwolfer | Behavioral Analyst | 21000 S Frankfort Square Rd, Frankfort, IL 60423-9385 | 2017-01-10 |
| Find all providers in FRANKFORT | ||||
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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.