MARIANNE JENSEN


Address: 3715 Main St, Suite 101, Bridgeport, CT 06606-3618
Phone: 2033731696

MARIANNE JENSEN (NPI# 1881910503) 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) 1881910503
Entity Type Individual
Full Name MARIANNE JENSEN
Credential BCBA
Practice Address 3715 Main St
Suite 101
Bridgeport
CT 06606-3618
Mailing Address 3715 Main St
Suite #101
Bridgeport
CT 06606-3618
Practice Telephone 2033731696
Practice Fax Number 2033739305
Mailing Telephone 2033731696
Mailing Fax Number 2033739305
Enumeration Date 2010-04-20
Last Update Date 2010-04-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 1-05-2282 CT Behavioral Health & Social Service Providers

Other Providers MARIANNE JENSEN

NPI Name Taxonomy Address Enumeration
1538485834 Marianne T. Jensen Social Worker 2310 N Main St, Racine, WI 53402-4450 2010-04-12
1780788315 Marianne Engrave Jensen Nurse Practitioner 3451 E 12th Street, Oakland, CA 94601 2006-09-12

Office Location

Street Address 3715 MAIN ST
SUITE 101
City BRIDGEPORT
State CT
Zip Code 06606-3618

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NPI Name Taxonomy Address Enumeration
1265435309 Anthony G Ciccaglione Internal Medicine 3715 Main St, Ste 408, Bridgeport, CT 06606-3611 2005-05-23
1821567744 Muriel Maxwell Lcsw LLC Counselor 3715 Main St, Bridgeport, CT 06606-3618 2018-11-20
1881048080 Bridgeport Braces, LLC Dentist 3715 Main St, Suite 100, Bridgeport, CT 06606-3618 2016-04-14
1750707808 Oluwatosin Marriott Counselor 3715 Main St, Suite 406, Bridgeport, CT 06606-3618 2014-03-13
1760724678 Robert D Markowitz Dentist 3715 Main St, Suite #303, Bridgeport, CT 06606-3618 2013-03-19
1033484043 Merritt Dental LLC Dentist 3715 Main St, 409, Bridgeport, CT 06606-3618 2012-03-09
1174844922 Houa Vang Chiropractor 3715 Main St, Suite 100, Bridgeport, CT 06606-3618 2010-06-16
1821223272 Tremane M Bartley Dentist 3715 Main St, Suite 100, Bridgeport, CT 06606-3618 2009-05-28
1598941379 Robert S. Smith Durable Medical Equipment & Medical Supplies 3715 Main St, #306, Bridgeport, CT 06606-3618 2008-01-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962023408 Madeline Acquilano Pharmacist 2800 East Main St, Bridgeport, CT 06606 2020-05-06
1578192001 Karin Alexandra Skalina Student in an Organized Health Care Education/Training Program 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 2020-04-06
1720641293 Valeriia Klymenko Student in an Organized Health Care Education/Training Program 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 2019-04-19
1821579996 Ashley Liese Nurse Practitioner Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 2018-08-27
1699261289 Gema Estefania Giler-sacoto Student in an Organized Health Care Education/Training Program St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 2018-07-06
1114418365 Jona Bumci Physician Assistant 3180 Main St Ste 304, Bridgeport, CT 06606 2018-05-23
1023471299 Qmg4, LLC Family Medicine 4200 Main Street, Bridgeport, CT 06606 2016-04-04
1861867442 Marie Dorothea Lisieski Social Worker 2400 Main Street, Bridgeport, CT 06606 2015-12-08
1548603384 Gerald E. Hedley Internal Medicine 390 Charles Street Unit #101, Bridgeport, CT 06606 2013-04-11
1487997581 Gerald Micalizzi, M.d., LLC Radiology 558 Fairview Avenue, Bridgeport, CT 06606 2013-03-27
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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]

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1093180929 Helping Hands Academy Behavioral Analyst 400 Robin St, Bridgeport, CT 06606-4442 2015-12-03
1841612157 Nicole Steiner Behavioral Analyst 200 Woodmont Ave, Apartment 100, Bridgeport, CT 06606-2753 2014-01-07
1730726845 Phaedra M Delvalle Behavioral Analyst 1000 Lafayette Blvd Ste 1100, Bridgeport, CT 06604-4710 2019-12-09
1629630264 Ameillia Inez Hills Behavioral Analyst 1000 Lafayette Blvd Ste 1100, Bridgeport, CT 06604-4710 2019-07-03
1972030724 Autism Systems LLC Behavioral Analyst 6296 Bridgeport Village Square Dr Ste 2, Bridgeport, MI 48722-9655 2017-05-11

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1356957617 Kristen E Walsh Behavioral Analyst 80 New St, Ridgefield, CT 06877-3822 2020-09-21
1023624855 Annika Simmons Behavioral Analyst 878 Silver Street, Coventry, Ct, Usa, Coventry, CT 06238 2020-09-17
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1093320582 Kristin Rhea Fortier Behavioral Analyst 9 Pollack Rd, Mansfield Center, CT 06250-1625 2020-09-10
1063027753 Amanda Imbriglio Behavioral Analyst 37 Mechanic St Fl 2, Pawcatuck, CT 06379-2133 2020-09-10
1356956221 Lindsay A Yanke Behavioral Analyst 34 Lilley Rd, West Hartford, CT 06119-1333 2020-09-09
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Competitor

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City BRIDGEPORT
Zip Code 06606

Improve Information

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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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