JEREMY WILSON


Address: 1673 Donlon St Ste 204, Ventura, CA 93003-5668
Phone: 8053390210

JEREMY WILSON (NPI# 1821357716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821357716
Entity Type Individual
Full Name JEREMY WILSON
Practice Address 1673 Donlon St Ste 204
Ventura
CA 93003-5668
Practice Telephone 8053390210
Practice Fax Number 8056423757
Mailing Telephone 8053390210
Mailing Fax Number 8056423757
Enumeration Date 2012-05-11
Last Update Date 2012-05-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 1-11-7960 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA BCBA CERTIFICATE 1-11-7960 01

Other Providers JEREMY WILSON

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1962929216 Jeremy Wilson Physical Therapist 10 Silver View Ct, Morgantown, WV 26505-3932 2017-08-28
1154933364 Jeremy Gordon Wilson Behavior Technician 900 Branchview Dr Ne, Concord, NC 28025-2213 2020-08-19
1609347699 Jeremy Wilson Behavior Technician 41521 W 11 Mile Rd, Novi, MI 48375-1803 2018-12-17
1245747757 Jeremy Shane Wilson Social Worker 5400 Edalbert Dr, Cincinnati, OH 45239-7604 2018-01-05
1053863027 Jeremy Wilson Massage Therapist 2701 Northwest Ave, Bellingham, WA 98225-2300 2016-10-26
1295289593 Jeremy Daniel Wilson Case Manager/Care Coordinator 1815 Pleasant Grove Rd, Jonesboro, AR 72401-7870 2016-08-04
1447703277 Jeremy Wilson Chiropractor 3710 I 55 N, Jackson, MS 39211-6323 2016-07-28
1902275142 Jeremy L Wilson Registered Nurse 888 Swift Blvd, Richland, WA 99352-3514 2015-09-17
1801106158 Jeremy R Wilson Chiropractor 3223a N Pleasantburg Dr, Greenville, SC 29609-2900 2010-10-19
1619124096 Jeremy Oren Wilson Case Manager/Care Coordinator 700 S. Main, Mountain Home, AR 72653-4445 2008-08-27

Office Location

Street Address 1673 DONLON ST STE 204
City VENTURA
State CA
Zip Code 93003-5668

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952661241 Passport To Adaptive Living Behavioral Analyst 1673 Donlon St Ste 204, Ventura, CA 93003-5668 2012-05-21
1215297502 Tiffany Mandelbaum Behavioral Analyst 1673 Donlon St Ste 204, Ventura, CA 93003-5668 2012-05-21
1275892127 Family Centered Practices Behavioral Analyst 1673 Donlon St Ste 204, Ventura, CA 93003-5668 2012-05-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124645924 Community Memorial Health System Pharmacy 2790 Loma Vista Road, Ventura, CA 93003 2020-06-29
1730702952 Sarah Manon Begert Student in an Organized Health Care Education/Training Program 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 2020-05-21
1033763677 Ashley Danielle Aguilar Counselor 5740 Ralston Suite 100, Ventura, CA 93003 2019-08-01
1730747239 Azadeh Ellsworth Nurse Practitioner 1752 S Victoria Ave Ste 250, Ventura, CA 93003 2019-05-31
1992275556 Melissa Marie Cole Social Worker 4949 Market St, Ventura, CA 93003 2018-11-27
1851868400 Weldon Acupuncture Professional Corporation Acupuncturist 3737 Telegraph Road, Suite F, Ventura, CA 93003 2018-10-31
1952876468 Isabella Florencia Gallegos Specialist/Technologist 1857 Knoll Dr., Ventura, CA 93003 2018-10-11
1437645421 Jill Huang Wong Psychologist 3585 Maple St Ste 248, Ventura, CA 93003 2018-07-02
1346735156 Lisa Ngoc Thi Nguyen Student in an Organized Health Care Education/Training Program 147 N. Brent Street, Ventura, CA 93003 2018-06-25
1457845331 Khloe Frank Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 2018-06-14
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992328298 Itzel Garcia Behavioral Analyst 1515 S Saticoy Ave Apt 87, Ventura, CA 93004-1859 2020-05-20
1487204335 Jamee Shayne Farala Behavioral Analyst 5450 Ralston St Ste 205, Ventura, CA 93003-6042 2019-09-12
1497236285 Madeline Joy Hermann Behavioral Analyst 8360 Eureka St, Ventura, CA 93004-2147 2018-08-28
1184118721 Michelle Oberle Behavioral Analyst 2192 Grand Ave, Ventura, CA 93003-6731 2018-06-18
1740771468 Jeremiah Ryan Smith Behavioral Analyst 274 S Ash St, Ventura, CA 93001-2923 2018-05-29
1396253662 Hayley Burdick Behavioral Analyst 1304 E Main St Ste A, Ventura, CA 93001-3202 2018-01-19
1497204564 Sarah Warburg Behavioral Analyst 5500 Telegraph Rd Ste 261, Ventura, CA 93003 2016-09-29
1265885487 Peter Aguirre Behavioral Analyst 2291 Portola Rd, A, Ventura, CA 93003-7724 2016-07-22
1922452192 Passport To Adaptive Living Behavioral Analyst 2291 Portola Road, Unit A, Ventura, CA 93003 2016-04-14
1255676490 Kimberly M Benjamin Behavioral Analyst 10575 San Leandro St, Ventura, CA 93004-2948 2012-11-28
Find all providers in VENTURA

Competitor

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City VENTURA
Zip Code 93003

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Dataset Information

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.

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