JESSICA PREDDIE (NPI# 1912465808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912465808 |
| Entity Type | Individual |
| Full Name | JESSICA PREDDIE |
| Practice Address |
3711 E Southport Rd Indianapolis IN 46227-7874 |
| Practice Telephone | 2482990030 |
| Enumeration Date | 2019-03-09 |
| Last Update Date | 2019-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
3711 E SOUTHPORT RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-7874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1568920452 | Lauren Symons | Behavior Technician | 3711 E Southport Rd, Indianapolis, IN 46227-7874 | 2019-03-09 |
| 1548728439 | Katherine Rich | Behavior Technician | 3711 E Southport Rd, Indianapolis, IN 46227-7874 | 2019-03-09 |
| 1093273989 | Sara Schaler | Behavior Technician | 3711 E Southport Rd, Indianapolis, IN 46227-7874 | 2019-03-09 |
| 1396203287 | Alyssa Gale | Behavioral Analyst | 3711 E Southport Rd, Indianapolis, IN 46227-7874 | 2019-03-09 |
| 1447718333 | Brittany Elliot | Behavior Technician | 3711 E Southport Rd, Indianapolis, IN 46227-7874 | 2019-03-09 |
| 1750899472 | Kellie Marie Pittman | Assistant Behavior Analyst | 3711 E Southport Rd, Indianapolis, IN 46227-7874 | 2018-01-16 |
| 1649729591 | Autumn Gibson | Behavioral Analyst | 3711 E Southport Rd, Indianapolis, IN 46227-7874 | 2016-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| 1629456017 | Elizabeth Claire Mazzone | Obstetrics & Gynecology | 1550 E County Line Rd Ste 300, Indianapolis, IN 46227 | 2015-05-18 |
| Find all providers in zip 46227 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383289 | True Legacy Family Services LLC | Behavior Technician | 9165 Otis Ave Ste 202, Indianapolis, IN 46216-2312 | 2020-10-15 |
| 1205442894 | Victoria Whittaker | Behavior Technician | 1543 Spann Ave, Indianapolis, IN 46203-1248 | 2020-09-18 |
| 1376160259 | Brenda Van Schaick-bianchi | Behavior Technician | 2425 Boyer Ln, Indianapolis, IN 46217-8793 | 2020-06-26 |
| 1861015471 | Samaria Hamilton | Behavior Technician | 4245 Blue Note Dr, Indianapolis, IN 46239-9815 | 2020-05-19 |
| 1518592138 | Tiara Nicole Schafer | Behavior Technician | 9850 Westpoint Dr, Indianapolis, IN 46256-3364 | 2020-03-04 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1972142347 | Karina Kay Smith | Behavior Technician | 9769 Crosspoint Blvd, Indianapolis, IN 46256-3346 | 2020-01-02 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1487203139 | Elizabeth Ann Wilson | Behavior Technician | 120 N East St Ste 1233, Indianapolis, IN 46204 | 2019-09-05 |
| 1679039473 | Synetra Benson | Behavior Technician | 8527 Franklin Cove Way, Indianapolis, IN 46239-2261 | 2019-02-16 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
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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.