INNOVATIVE AUTISM SERVICES (NPI# 1760700033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760700033 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE AUTISM SERVICES |
| Practice Address |
56 W Main St Plainville CT 06062-1904 |
| Practice Telephone | 8603515407 |
| Practice Fax Number | 8603515774 |
| Mailing Telephone | 8603515407 |
| Mailing Fax Number | 8603515774 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2016-05-12 |
| Authorized Official Name | MRS. MARCELA O NUNEZ (DIRECTOR OF SERVICES) |
| Authorized Official Telephone | 8603515407 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-03-1386 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124541529 | Innovative Autism Services | Behavioral Analyst | 56 W Main St, Plainville, CT 06062-1904 | 2017-07-18 |
| Street Address |
56 W MAIN ST |
| City | PLAINVILLE |
| State | CT |
| Zip Code | 06062-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942714357 | Jacqueline L Howard | Behavioral Analyst | 56 W Main St, Plainville, CT 06062-1904 | 2017-11-21 |
| 1124541529 | Innovative Autism Services | Behavioral Analyst | 56 W Main St, Plainville, CT 06062-1904 | 2017-07-18 |
| 1457880502 | Kalilah Dyer | Behavioral Analyst | 56 W Main St, Plainville, CT 06062-1904 | 2017-06-11 |
| 1720510613 | Elizabeth Anne Ellsworth | Behavioral Analyst | 56 W Main St, Plainville, CT 06062-1904 | 2017-03-30 |
| 1689027260 | Miranda Pratt | Counselor | 56 W Main St, Plainville, CT 06062 | 2016-07-19 |
| 1558687921 | Marcela Nunez | Behavioral Analyst | 56 W Main St, Plainville, CT 06062-1904 | 2010-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154967263 | Zachary Mcpherson | Pharmacist | 5 Farmington Avenue, Plainville, CT 06062 | 2019-11-24 |
| 1851891634 | Nora Ainsworth | Dietitian, Registered | 28 North St Apt 4, Plainville, CT 06062 | 2018-02-18 |
| 1104348192 | The Center for Emotional Healing, LLC | Community/Behavioral Health | 307 East Street, Unit 1, Plainville, CT 06062 | 2017-07-11 |
| 1013441385 | Plainville Community Pharmacy LLC | Pharmacy | 170 East Street, Plainville, CT 06062 | 2017-04-13 |
| 1730551821 | Christelle Locke-johnson | Counselor | 91 Wheeler Clinic, 91 Northwest Drive, Plainville, CT 06062 | 2015-10-28 |
| 1982080560 | Jamie Erickson | Student in an Organized Health Care Education/Training Program | 91 Northwood Drive, Plainville, CT 06062 | 2015-08-05 |
| 1487049243 | Kelly E Lamb | Counselor | 78 East Street, Plainville, CT 06062 | 2015-03-30 |
| 1538550546 | Mandell & Blau Md's PC | Radiology | 201 North Mountain Road, Plainville, CT 06062 | 2015-02-12 |
| 1285067603 | Bethany Anne Carr | Nurse Practitioner | 201 North Mountain Rd, Plainville, CT 06062 | 2013-08-21 |
| 1306288618 | Halima L Butler | Social Worker | 58 West Main St, Plainville, CT 06062 | 2013-07-28 |
| Find all providers in zip 06062 | ||||
| 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 |
|---|---|---|---|---|
| 1528553021 | Tara Wood | Behavioral Analyst | 8 Pineland Dr, Plainville, MA 02762-1111 | 2018-06-27 |
| 1538600291 | Dylan Edward Hall | Behavioral Analyst | 71 Messenger St Apt 1066, Plainville, MA 02762-2244 | 2017-03-14 |
| 1851752216 | Amy Roldan | Behavioral Analyst | 7 Taunton St, Ste 211, Plainville, MA 02762-2168 | 2016-03-14 |
| 1942714357 | Jacqueline L Howard | Behavioral Analyst | 56 W Main St, Plainville, CT 06062-1904 | 2017-11-21 |
| 1124541529 | Innovative Autism Services | Behavioral Analyst | 56 W Main St, Plainville, CT 06062-1904 | 2017-07-18 |
| 1457880502 | Kalilah Dyer | Behavioral Analyst | 56 W Main St, Plainville, CT 06062-1904 | 2017-06-11 |
| 1720510613 | Elizabeth Anne Ellsworth | Behavioral Analyst | 56 W Main St, Plainville, CT 06062-1904 | 2017-03-30 |
| 1194103473 | Melissa Ann Gerhard | Behavioral Analyst | 17 Farmington Ave, Plainville, CT 06062-1700 | 2015-05-07 |
| 1558687921 | Marcela Nunez | Behavioral Analyst | 56 W Main St, Plainville, CT 06062-1904 | 2010-04-10 |
| 1124341581 | Kirsten Delia Weiss | Behavioral Analyst | 91 Northwest Drive, Plainville, CT 06062 | 2010-03-12 |
| Find all providers in PLAINVILLE | ||||
| City | PLAINVILLE |
| Zip Code | 06062 |
Please comment or provide details below to improve the information on INNOVATIVE AUTISM SERVICES.
| 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.