JEREMY ROBERTS (NPI# 1912440389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912440389 |
| Entity Type | Individual |
| Full Name | JEREMY ROBERTS |
| Credential | BCBA |
| Practice Address |
14301 Ewing Ave S Burnsville MN 55306-4885 |
| Practice Telephone | 9527465350 |
| Practice Fax Number | 9527466131 |
| Mailing Telephone | 9527465350 |
| Mailing Fax Number | 9527466131 |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2016-12-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-16-22437 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588974299 | Jeremy Roberts | Community Health Worker | 3503 Poplar Level Road, Louisville, KY 40213-1009 | 2010-10-15 |
| 1598958969 | Jeremy D Roberts | Psychiatry & Neurology | 40 Aulike St Ste 312, Kailua, HI 96734-2753 | 2007-08-20 |
| 1801417951 | Jeremy Roberts | Behavior Technician | 2810 Premiere Pkwy Ste 500, Duluth, GA 30097-8912 | 2020-04-29 |
| 1689150575 | Jeremy David Roberts | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2018-07-14 |
| 1134623408 | Jeremy Roberts | Student in an Organized Health Care Education/Training Program | 100 E 77th St, New York, NY 10075-1850 | 2018-03-21 |
| 1417334210 | Jeremy Andrew Roberts | Chiropractor | 3720 E Anaheim St Ste 180, Long Beach, CA 90804-4085 | 2015-04-30 |
| 1487849816 | Jeremy Roberts | Counselor | 515 28 Rd, Grand Junction, CO 81501 | 2007-09-10 |
| 1821112301 | Jeremy Michael Roberts | Anesthesiology | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2007-03-19 |
| Street Address |
14301 EWING AVE S |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55306-4885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467598730 | Partners In Excellence Inc | Speech-Language Pathologist | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2007-01-30 |
| 1417557455 | Abby L Hatcher | Behavioral Analyst | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-10-29 |
| 1952913063 | Alyssa Chang | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-08-19 |
| 1568071249 | Taylor Fosse | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-07-28 |
| 1639797608 | Ryan Jacob Bailey | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-07-07 |
| 1336766120 | Jami Marie Kadolph | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-06-29 |
| 1285259705 | Madeline Lavictoire | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-06-10 |
| 1205459112 | Erin Lunz | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-05-26 |
| 1568084119 | Tyler Jordan Smith | Counselor | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-05-16 |
| 1326671496 | Monica Johnson | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095438 | Roers Senior Living Burnsville LLC | Assisted Living Facility | 14401 Grand Avenue, Burnsville, MN 55306 | 2020-02-19 |
| 1639717986 | Kaylee Nadine Frederickson | Speech-Language Pathologist | 14451 Grand Ave S, Burnsville, MN 55306 | 2019-12-17 |
| 1780236893 | Nichole Arn | Occupational Therapist | 14301 Ewing Avenue, Burnsville, MN 55306 | 2019-07-10 |
| 1942708516 | Nicholas John Solverson | Chiropractor | 14671 Chicago Ave Apt 6, Burnsville, MN 55306 | 2018-01-29 |
| 1164978672 | Benjamin Halpern | Dentist | 14344 Burnhaven Drive, Burnsville, MN 55306 | 2016-08-26 |
| 1528478336 | Michael Patrick Hennes | Chiropractor | 14587 Grand Ave Ste 112, Burnsville, MN 55306 | 2014-05-01 |
| 1467799924 | Dentalign, Pa | Dentist | 2999 County Road 42 W Suite 138, Burnsville, MN 55306 | 2013-01-03 |
| 1417205436 | Heather Heide | Student in an Organized Health Care Education/Training Program | 14750 Lac Lavon Dr, Burnsville, MN 55306 | 2012-08-23 |
| 1427243898 | Rehana Leila Ahmed-saucedo | Dermatology | 14305 Southcross Dr, Suite 110, Burnsville, MN 55306 | 2007-09-10 |
| 1881815397 | Kyle James Colbert | Chiropractor | 745 Crystal Lake Rd East, Burnsville, MN 55306 | 2007-05-01 |
| Find all providers in zip 55306 | ||||
| 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 |
|---|---|---|---|---|
| 1902392053 | Cierra Ann Freeman Huth | Behavioral Analyst | 1100 E 156th St, Burnsville, MN 55306-5112 | 2018-07-02 |
| 1932486057 | Alliant Behavioral Pediatrics | Behavioral Analyst | 201 W Travelers Trl, Suite 212, Burnsville, MN 55337-2550 | 2011-11-03 |
| 1417557455 | Abby L Hatcher | Behavioral Analyst | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-10-29 |
| 1982263935 | Josh Callum Smith | Behavioral Analyst | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2019-06-12 |
| 1730647751 | Kelsey Nicole Orr | Behavioral Analyst | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2019-03-08 |
| 1891213799 | Hannah Elyse Nurnberger | Behavioral Analyst | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2017-08-31 |
| 1104369636 | Jonathan Gerald Wiger | Behavioral Analyst | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2016-12-01 |
| 1689072555 | Daniel Joseph Larrabee | Behavioral Analyst | 151 W Burnsville Pkwy, Suite 101, Burnsville, MN 55337-2524 | 2014-12-09 |
| 1750797429 | Karin Morris | Behavioral Analyst | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2014-07-02 |
| 1043545189 | The Community Circle, Pllc | Behavioral Analyst | 14300 Nicollet Ct, Suite 207, Burnsville, MN 55306-4501 | 2009-10-07 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55306 |
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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.