JULIE PETTIBONE (NPI# 1790339737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790339737 |
Entity Type | Individual |
Full Name | JULIE PETTIBONE |
Practice Address |
4719 S Calhoun St Fort Wayne IN 46807-2811 |
Practice Telephone | 2605796248 |
Mailing Telephone | 2605796248 |
Enumeration Date | 2019-07-29 |
Last Update Date | 2019-07-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
Street Address |
4719 S CALHOUN ST |
City | FORT WAYNE |
State | IN |
Zip Code | 46807-2811 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982234191 | Erin Hall | Case Manager/Care Coordinator | 5800 Faifield, Fort Wayne, IN 46807 | 2020-01-16 |
1912208745 | Lezly A Scott | Counselor | 2417 Fairfield Ave., Attn: Lezly Scott, Fort Wayne, IN 46807 | 2010-11-10 |
1851749147 | Eric Shoemaker | Family Medicine | 1007 W Rudisill Blvd, Fort Wayne, IN 46807 | 2016-05-27 |
1821464603 | Emily Nicole Ackerman | Physical Therapist | 5800 Fairfield Ave, Ste 150, Fort Wayne, IN 46807 | 2015-08-17 |
1477639698 | John P Crowley | Social Worker | 2805 Fairfield Ave, Fort Wayne, IN 46807 | 2006-10-31 |
1770131948 | Donzhae Lee | Student in an Organized Health Care Education/Training Program | 2510 Thompson Ave, Fort Wayne, IN 46807-1051 | 2019-08-30 |
1407919236 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 2522 Thompson Ave, Fort Wayne, IN 46807-1051 | 2006-12-19 |
1770725244 | Clinical Services, LLC | Clinic/Center | 2315 Broadway, Fort Wayne, IN 46807-1103 | 2009-03-30 |
1831252592 | Rosie T Milner | Nurse Practitioner | 2315 Broadway, Fort Wayne, IN 46807-1103 | 2006-12-17 |
1558379453 | James Curtis Potts | Dentist | 2703 Broadway, James C Potts Dds, Fort Wayne, IN 46807-1111 | 2006-08-04 |
Find all providers in zip 46807 |
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 |
---|---|---|---|---|
1689204042 | Casey Corullo Boersma | Behavioral Analyst | 12219 Golden Harvest Dr, Fort Wayne, IN 46845-9030 | 2020-01-24 |
1063077535 | Pathway Aba LLC | Behavioral Analyst | 5651 Coventry Ln Ste 226, Fort Wayne, IN 46804-7145 | 2019-05-09 |
1114495835 | Amy Sheefel | Behavioral Analyst | 201 E Rudisill Blvd Ste B100, Fort Wayne, IN 46806-1738 | 2018-11-12 |
1336651736 | Great Heights Aba Inc. | Behavioral Analyst | 343 W Suttenfield St, Fort Wayne, IN 46807-1339 | 2017-10-26 |
1851819759 | Chelsea Wahl-bridge | Behavioral Analyst | 2270 Lake Ave Ste 101, Fort Wayne, IN 46805-5360 | 2017-08-31 |
1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
1831542380 | Small Steps - Giant Leaps, Inc. | Behavioral Analyst | 7429 Nature Trail Dr, Fort Wayne, IN 46835-1425 | 2016-07-20 |
1497116578 | Brenton Cox | Behavioral Analyst | 3948 New Vision Dr, Suite D, Fort Wayne, IN 46845-1720 | 2016-03-16 |
1700241866 | Wendy Renee Boehm | Behavioral Analyst | 7631 Lakeridge Dr, Fort Wayne, IN 46819-1969 | 2015-12-16 |
1316302565 | Dewayna Watts | Behavioral Analyst | 10313 Aboite Center Road, Fort Wayne, IN 46804 | 2015-12-15 |
Find all providers in FORT WAYNE |
City | FORT WAYNE |
Zip Code | 46807 |
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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.