JACQUELYN MAHONEY (NPI# 1831687532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831687532 |
| Entity Type | Individual |
| Full Name | JACQUELYN MAHONEY |
| Practice Address |
604 North Ave Bismarck ND 58501 |
| Mailing Address |
604 North Ave Bismarck ND 58501-1727 |
| Practice Telephone | 7012262061 |
| Mailing Telephone | 7012262061 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | L37 | ND | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2520 Chestnut St, Grand Forks, ND 58201 | 7012262061 |
| Street Address |
604 NORTH AVE |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952961906 | Aspire Aba, LLC | Community/Behavioral Health | 604 North Ave, Bismarck, ND 58501-1727 | 2019-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| 1891149472 | Jill Marie Place | Massage Therapist | 425 South 7th St, Southridge Chiropractic, Bismarck, ND 58501 | 2016-04-20 |
| Find all providers in zip 58501 | ||||
| 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 |
|---|---|---|---|---|
| 1851814636 | Erinn Larkin | Behavioral Analyst | 1929 N Washington St Ste X, Bismarck, ND 58501-1616 | 2017-07-24 |
| 1619293164 | Barbara J. Peterson | Behavioral Analyst | 1035 W Avenue B, Bismarck, ND 58501-2407 | 2010-04-08 |
| 1598379091 | Alyssa Johnson | Behavioral Analyst | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2020-09-02 |
| 1730793480 | Kayla Stastny | Behavioral Analyst | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2020-09-01 |
| 1841661998 | Taylor Hill | Behavioral Analyst | 1929 N Washington St, Bismarck, ND 58501-1616 | 2015-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902415995 | Laura J Akin | Behavioral Analyst | 1819 5th St Se Apt 11, Minot, ND 58701-6629 | 2020-07-27 |
| 1922514397 | Brittney Denae Hansen | Behavioral Analyst | 5420 Mac Dr, Grand Forks, ND 58201-3004 | 2017-12-21 |
| 1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
| 1619417235 | Bethany Johnson | Behavioral Analyst | 647 13th Ave E Ste A, West Fargo, ND 58078-3328 | 2017-03-01 |
| 1407399652 | Patrick Kellam | Behavioral Analyst | 701 3rd Ave Nw, Jamestown, ND 58401-3020 | 2016-11-21 |
| 1558818781 | Allison Smith | Behavioral Analyst | 2405 W Country Club Dr S, Fargo, ND 58103-5738 | 2016-09-06 |
| 1306299011 | Toby Trontvet | Behavioral Analyst | 2520 Chestnut St, Grand Forks, ND 58201-7520 | 2016-07-18 |
| 1780924076 | Heart of Behavior, LLC | Behavioral Analyst | 1306 Westport Beach Way, West Fargo, ND 58078-8860 | 2013-02-22 |
| 1104081116 | North Dakota Autism Center, Inc | Behavioral Analyst | 647 13th Ave E, Ste A, West Fargo, ND 58078-3328 | 2008-07-20 |
| 1396304853 | Britney Bachmeier | Behavioral Analyst | 4725 Amber Valley Pkwy S Ste B, Fargo, ND 58104 | 2019-06-10 |
| Find all providers with the same taxonomy | ||||
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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.