BROOKLYN JO LINES (NPI# 1811596687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811596687 |
| Entity Type | Individual |
| Full Name | BROOKLYN JO LINES |
| Credential | RBT |
| Practice Address |
2513 W 2nd St Marion IN 46952-3241 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 7656620490 |
| Practice Fax Number | 3175208200 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 3175208200 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-140266 | IN | Behavioral Health & Social Service Providers |
| Street Address |
2513 W 2ND ST |
| City | MARION |
| State | IN |
| Zip Code | 46952-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922376565 | Shannon Lynn White | Specialist | 2513 W 2nd St, Marion, IN 46952-3241 | 2011-12-11 |
| 1962001735 | Allison Elaine Tignor | Behavior Technician | 2513 W 2nd St, Marion, IN 46952-3241 | 2020-10-22 |
| 1619576493 | Brittney Ann Jaynes | Behavior Technician | 2513 W 2nd St, Marion, IN 46952-3241 | 2020-10-22 |
| 1699374470 | Stephanie Renae Wilson | Behavior Technician | 2513 W 2nd St, Marion, IN 46952-3241 | 2020-10-22 |
| 1487261657 | Arianna Elizabeth Morrell | Behavior Technician | 2513 W 2nd St, Marion, IN 46952-3241 | 2020-09-30 |
| 1831706977 | Tristan Allan Rice | Behavior Technician | 2513 W 2nd St, Marion, IN 46952-3241 | 2020-09-23 |
| 1356956171 | Jade Elizabeth Sisler | Behavior Technician | 2513 W 2nd St, Marion, IN 46952-3241 | 2020-09-09 |
| 1477168375 | Christine Lynn Miller | Behavior Technician | 2513 W 2nd St, Marion, IN 46952-3241 | 2020-09-09 |
| 1871107763 | Amber Nicole Bailey | Behavior Technician | 2513 W 2nd St, Marion, IN 46952-3241 | 2020-09-08 |
| 1194339606 | Joseph Duncan | Behavioral Analyst | 2513 W 2nd St, Marion, IN 46952-3241 | 2020-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245874 | John Robert Searfoss Sr. | Counselor | 314 S Norton Ave., Marion, IN 46952 | 2019-10-02 |
| 1063069755 | Andrea Marie Brown | Behavior Technician | 2315 W 2nd St, Marion, IN 46952 | 2019-08-19 |
| 1548767767 | Johnnie Micheal Hiles | Counselor | 315 South Norton Ave., Marion, IN 46952 | 2018-04-13 |
| 1669979936 | Sheila Ann Johnson | Counselor | 315 S. Norton Ave, Marion, IN 46952 | 2018-04-12 |
| 1679070957 | Marissa Lynn Castillo | Counselor | 315 S Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1326545609 | Eumalla Lampkins | Case Manager/Care Coordinator | 315 South Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1285011650 | Forefront Dermatology, S.c. | Dermatology | 330 N Wabash Ave Ste 360, Marion, IN 46952 | 2015-05-05 |
| 1649510959 | Cancer Services of Grant County Inc. | Prosthetic/Orthotic Supplier | 305 S. Norton Ave., Marion, IN 46952 | 2013-02-22 |
| 1326350844 | Beth Ellen Krouse | Speech-Language Pathologist | 1800 Wabash Ave, Suite 200, Marion, IN 46952 | 2010-07-13 |
| 1093032138 | Thomas Alfred Beck | General Practice | 919 Euclid Avenue, Marion, IN 46952 | 2010-04-29 |
| Find all providers in zip 46952 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043851421 | Kayla Trudeau | Behavior Technician | 826 Mill St, Marion, MA 02738-2211 | 2019-10-07 |
| 1063069755 | Andrea Marie Brown | Behavior Technician | 2315 W 2nd St, Marion, IN 46952 | 2019-08-19 |
| 1811437551 | Matthew Schut | Behavior Technician | 205 S Blevins, Marion, MI 49665-7929 | 2017-02-28 |
| 1962001735 | Allison Elaine Tignor | Behavior Technician | 2513 W 2nd St, Marion, IN 46952-3241 | 2020-10-22 |
| 1619576493 | Brittney Ann Jaynes | Behavior Technician | 2513 W 2nd St, Marion, IN 46952-3241 | 2020-10-22 |
| 1699374470 | Stephanie Renae Wilson | Behavior Technician | 2513 W 2nd St, Marion, IN 46952-3241 | 2020-10-22 |
| 1487261657 | Arianna Elizabeth Morrell | Behavior Technician | 2513 W 2nd St, Marion, IN 46952-3241 | 2020-09-30 |
| 1831706977 | Tristan Allan Rice | Behavior Technician | 2513 W 2nd St, Marion, IN 46952-3241 | 2020-09-23 |
| 1356956171 | Jade Elizabeth Sisler | Behavior Technician | 2513 W 2nd St, Marion, IN 46952-3241 | 2020-09-09 |
| 1477168375 | Christine Lynn Miller | Behavior Technician | 2513 W 2nd St, Marion, IN 46952-3241 | 2020-09-09 |
| Find all providers in MARION | ||||
Please comment or provide details below to improve the information on BROOKLYN JO LINES.
| 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.