MRS. JESICA PETERSON (NPI# 1841783925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841783925 |
| Entity Type | Individual |
| Full Name | MRS. JESICA PETERSON |
| Credential | BCBA, LBA |
| Practice Address |
500 Marquette Ave Nw Ste 1200 Albuquerque NM 87102-5312 |
| Mailing Address |
201 Clifrose St Holloman Afb NM 88330-8810 |
| Practice Telephone | 8558326727 |
| Mailing Telephone | 2296302086 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-20-44103 | NM | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | 18-57850 | UT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 221 N Kansas St Ste 700, El Paso, TX 799011443 | 8558326727 | |
| 2985 N 935 E Ste 7, Layton, UT 840407318 | 8017710273 |
| Street Address |
500 MARQUETTE AVE NW STE 1200 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366737066 | Jennifer Marie Reilly | Behavioral Analyst | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2011-06-10 |
| 1811510183 | Pdi Health Nm LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2020-05-21 |
| 1447873716 | Pdi Health Nm LLC | Clinic/Center | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2020-05-21 |
| 1871129205 | Steven Munoz | Licensed Practical Nurse | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2020-03-17 |
| 1205499027 | Briana Borjas | Behavior Technician | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2019-04-17 |
| 1679038913 | Laura Fadraga | Behavior Technician | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2019-01-31 |
| 1285108803 | Morgan Messina | Behavior Technician | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2019-01-16 |
| 1740750447 | Angela Fioravantes Corelis | Behavior Technician | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2018-11-26 |
| 1659840437 | Maria A Prieto | Behavior Technician | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2018-11-21 |
| 1467928333 | Josephlee Winn | Behavior Technician | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2018-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| 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 |
|---|---|---|---|---|
| 1114548948 | Camino Behavioral Health Services | Behavioral Analyst | 308 Arno St Ne Apt A, Albuquerque, NM 87102-3509 | 2020-05-04 |
| 1083240733 | Behaviors R Us LLC. | Behavioral Analyst | 2105 Vista Oeste Nw Ste E2025, Albuquerque, NM 87120-3693 | 2020-03-13 |
| 1679116305 | Kaitlynn Kaiser | Behavioral Analyst | 2659 Pan American Fwy Ne, Albuquerque, NM 87107-1632 | 2019-10-25 |
| 1255987061 | Dontae Anthony Watson | Behavioral Analyst | 4125 Lead Ave Se Apt 104, Albuquerque, NM 87108-2655 | 2019-08-16 |
| 1679128565 | Rogue Autism Rebels | Behavioral Analyst | 1710 Central Ave Se, Albuquerque, NM 87106-4412 | 2019-08-07 |
| 1154983070 | Kristin Marie Brown | Behavioral Analyst | 2901 Rhode Island St Ne, Albuquerque, NM 87110-3705 | 2019-07-01 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1538724356 | Anna E Ball | Behavioral Analyst | 6100 Seagull St Ne Ste B200, Albuquerque, NM 87109-2500 | 2019-05-07 |
| 1932661832 | Evelyn Cashara | Behavioral Analyst | 312 Laguna Seca Ln Nw, Albuquerque, NM 87104-1772 | 2019-04-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
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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.