JEREMY MACKENZIE (NPI# 1871034660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871034660 |
| Entity Type | Individual |
| Full Name | JEREMY MACKENZIE |
| Practice Address |
12 Chelmsford St Boston MA 02122-2104 |
| Practice Telephone | 7812483802 |
| Mailing Telephone | 7812483802 |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 000001531 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BACB CERTIFICATION NUMBER | 1-16-23544 | 01 |
| MA | LABA | 000001531 | 01 |
| Street Address |
12 CHELMSFORD ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02122-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720875 | Joey Mark Nguyen | Pharmacist | 747 Gallivan Blvd, Dorchester, MA 02122 | 2020-08-14 |
| 1518575240 | Hamilton Pharmacy LLC | Pharmacy | 246 Bowdoin St, Dorchester, MA 02122 | 2020-07-20 |
| 1336789528 | Katheline Leconte | Social Worker | 230 Bowdoin Street, Dorchester, MA 02122 | 2020-01-15 |
| 1700374725 | Renee Ahern | Registered Nurse | 398 Neponset Ave., Dorchester, MA 02122 | 2018-04-25 |
| 1861902371 | Bridget Mary Walsh | Specialist/Technologist | 519 Ashmont St, Dorchester, MA 02122 | 2017-10-10 |
| 1649798133 | Roosevelt Lewis IIi | Registered Nurse | 1486 Dorchester Ave Ste 206, Boston, MA 02122 | 2017-09-05 |
| 1811427404 | Hanh Nguyen | Counselor | 50 Redfield St, Suite 300, Dorchester, MA 02122 | 2017-06-15 |
| 1669902474 | Thuy T Nguyen | Counselor | 415 Neponset Avenue, Dorchester, MA 02122 | 2017-06-14 |
| 1093262651 | David Scot Rapaport | Counselor | 1452 Dorchester Avenue, Fcbl-4, Boston, MA 02122 | 2016-09-01 |
| 1104372960 | Kevin Lyn Sisson | Student in an Organized Health Care Education/Training Program | 417 Neponset Ave, Boston, MA 02122 | 2016-08-31 |
| Find all providers in zip 02122 | ||||
| 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 |
|---|---|---|---|---|
| 1407455264 | Jennifer Anne Espinal | Behavioral Analyst | 418 Centre St, Boston, MA 02130-5197 | 2020-10-22 |
| 1427661123 | Family Behavioral Solutions | Behavioral Analyst | 15 E Springfield St Apt 1, Boston, MA 02118-3364 | 2020-08-24 |
| 1235740572 | Ma Mc Sprout 1 LLC | Behavioral Analyst | 1 Beacon St, Boston, MA 02108-3107 | 2020-08-11 |
| 1124670047 | Etianna A Etienne | Behavioral Analyst | 9 Ruggles St Apt 5, Boston, MA 02119-2037 | 2019-07-11 |
| 1720630890 | Rashard Alexander Taylor | Behavioral Analyst | 15 Delle Ave Apt 3, Boston, MA 02120-2921 | 2019-07-09 |
| 1720646425 | Nisha Dormevil | Behavioral Analyst | 89 Easton Street Allston Boston, 1, Boston, MA 02134-1408 | 2019-05-29 |
| 1184192379 | Kayla Marie Kennedy | Behavioral Analyst | 139 Charles St, Boston, MA 02114-3282 | 2018-11-06 |
| 1831682566 | Cameron Michael Shalkowski | Behavioral Analyst | 139 Charles St Ste 388, Boston, MA 02114-3282 | 2018-06-07 |
| 1811405814 | Emily Ann Starvaski | Behavioral Analyst | 58 Mansfield St Apt 3, Boston, MA 02134-1400 | 2018-01-12 |
| 1619482668 | Boston Behavior Services Education and Treatment | Behavioral Analyst | 62 Saint Rose St # 3, Boston, MA 02130-3956 | 2017-12-12 |
| Find all providers in BOSTON | ||||
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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.