JAMEE RUDDY (NPI# 1942722327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942722327 |
| Entity Type | Individual |
| Full Name | JAMEE RUDDY |
| Practice Address |
77 Jefferson Street Simpson PA 18407 |
| Mailing Address |
77 Jefferson St Simpson PA 18407-1207 |
| Practice Telephone | 5706875242 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-07-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 252Y00000X | Early Intervention Provider Agency | 1031020430001 | PA | Agencies |
| Y | 103K00000X | Behavioral Analyst | BH001866 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1031020430001 | 05 | |
| PA | MEDICAL ASSISTANCE | 1031020430001 | 01 |
| Street Address |
77 JEFFERSON STREET |
| City | SIMPSON |
| State | PA |
| Zip Code | 18407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761784 | Ashley Ettinger | Counselor | 38 North Scott Road, Carbondale, PA 18407 | 2020-02-12 |
| 1639723109 | Dana Marie Marmo | Counselor | 141 Salem Ave Suite 104, Carbondale, PA 18407 | 2019-08-01 |
| 1831694991 | William Vitzakovitch | Physical Therapist | 504 1/2 Scranton Carbondale Hwy, Mayfield, PA 18407 | 2018-03-29 |
| 1205345014 | The Young Men's Christian Association of Carbondale | Health Educator | 82 N Main Street, Carbondale, PA 18407 | 2017-09-25 |
| 1417181082 | Paul Erik Larson | Specialist/Technologist | 101 Brooklyn Street/business Route 6, Carbondale, PA 18407 | 2009-05-11 |
| 1316061708 | Christine Marie Roberts | Occupational Therapist | Carbondale Nursing Home, 10 Hart Place, Carbondale, PA 18407 | 2007-03-19 |
| 1407944036 | Brian John Piatak | Chiropractor | 30 N Scott Street, Carbondale, PA 18407 | 2006-10-10 |
| 1427556133 | Brianna Marie Bennici | Occupational Therapy Assistant | 45 N Scott St, Carbondale, PA 18407 | 2018-01-28 |
| 1144632332 | Dannielle S Hafler | Social Worker | 32 N Main St, Carbondale, PA 18407 | 2014-05-22 |
| 1891973418 | Arun J Shingala Md PC | Internal Medicine | 141 Salem Ave, Rm 301, Carbondale, PA 18407 | 2008-02-06 |
| Find all providers in zip 18407 | ||||
| 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 |
|---|---|---|---|---|
| 1902407257 | Megan Blocker | Behavioral Analyst | 76 Glen Moore Cir, Lancaster, PA 17601-4024 | 2020-11-03 |
| 1871194498 | Janet Price | Behavioral Analyst | 109 Plaza Drive, Unit 5, Long Pond, PA 18334 | 2020-11-02 |
| 1700486321 | Jasmin Jetie Tyree | Behavioral Analyst | 109 S 63rd St, Philadelphia, PA 19139-2929 | 2020-11-01 |
| 1588264642 | Mackenzie Morcom | Behavioral Analyst | 807 Moosic Rd, Old Forge, PA 18518-2032 | 2020-10-28 |
| 1508465055 | Sally Martincic | Behavioral Analyst | 115 Jennifer Dr, Sciota, PA 18354-7601 | 2020-10-25 |
| 1659970192 | Songbird Health Pa LLC | Behavioral Analyst | 325 Chestnut St Ste 876, Philadelphia, PA 19106-2614 | 2020-10-24 |
| 1487253290 | Peter Heh | Behavioral Analyst | 1690 Kennedy Rd, Imperial, PA 15126-9130 | 2020-10-22 |
| 1184223422 | Lauren Killion | Behavioral Analyst | 7626 Burholme Ave, Philadelphia, PA 19111-2411 | 2020-10-19 |
| 1407454622 | Sakeena Myrick | Behavioral Analyst | 2405 S Edgewood St, Philadelphia, PA 19142-3201 | 2020-10-09 |
| 1639786965 | Children's Universal Behavior Services | Behavioral Analyst | 107 Shawnee Square Dr Se # E, Shawnee On Delaware, PA 18356-0700 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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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.