JEREMY MALWICK (NPI# 1912451840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912451840 |
| Entity Type | Individual |
| Full Name | JEREMY MALWICK |
| Credential | BCBA |
| Practice Address |
1301 Pine Oak Dr Edmond OK 73034-5446 |
| Mailing Address |
Po Box 2164 Edmond OK 73083-2164 |
| Practice Telephone | 4052026510 |
| Mailing Telephone | 4052026510 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-15-21173 | OK | Behavioral Health & Social Service Providers |
| Street Address |
1301 PINE OAK DR |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-5446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| 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 |
|---|---|---|---|---|
| 1821697129 | Aisha Sohail Hasanjee | Behavioral Analyst | 29 Nw 147th St, Edmond, OK 73013-2453 | 2020-10-19 |
| 1720563158 | Hope Christy | Behavioral Analyst | 501 Nw 197th St, Edmond, OK 73012-0029 | 2018-10-02 |
| 1740770676 | Sydney Lafleur | Behavioral Analyst | 16538 N May Ave, Edmond, OK 73012-9007 | 2018-05-16 |
| 1861936767 | Momentum Behavioral Solutions | Behavioral Analyst | 2449 Nw 198th St, Edmond, OK 73012-5236 | 2016-12-12 |
| 1184175473 | David Hernandez | Behavioral Analyst | 122 1/2 E 3rd St, Edmond, OK 73034-3819 | 2016-10-20 |
| 1861844755 | Crystal Perez | Behavioral Analyst | 17613 Hampton Park Dr Unit A, Edmond, OK 73012-0688 | 2016-07-05 |
| 1225492275 | Christina Thornton | Behavioral Analyst | 600 W 18th St, Edmond, OK 73013-3631 | 2016-04-06 |
| 1245691336 | Jessica Collins | Behavioral Analyst | 18217 Sandhurst Ct, Edmond, OK 73012 | 2016-03-16 |
| 1578938668 | Betsy Chen | Behavioral Analyst | 3517 Nw 164th Ter, Edmond, OK 73013-9471 | 2015-12-01 |
| 1336511526 | Marisa Singletary | Behavioral Analyst | 2308 Brixton Rd, Edmond, OK 73034-3307 | 2015-10-27 |
| Find all providers in EDMOND | ||||
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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.