DR. ROBERT JOHN WALLANDER JR. (NPI# 1053595264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053595264 |
| Entity Type | Individual |
| Full Name | DR. ROBERT JOHN WALLANDER JR. |
| Credential | BCBA-D |
| Practice Address |
8706 Blossom Ln Louisville KY 40242-3104 |
| Practice Telephone | 5025658189 |
| Mailing Telephone | 5025658189 |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2015-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | KY-0041 | KY | Behavioral Health & Social Service Providers |
| Y | 103K00000X | Behavioral Analyst | 1-01-0535 | Behavioral Health & Social Service Providers |
| Street Address |
8706 BLOSSOM LN |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40242-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689729121 | Robert E Bohn | Dentist | 9325 New Lagrange Road, Louisville, KY 40242 | 2007-01-24 |
| 1447303714 | Margaret C Campisano | Dentist | 9325 New Lagrange Rd, Louisville, KY 40242 | 2007-01-19 |
| 1386743037 | Kentuckiana Psychotherapy Associates | Social Worker | 9017 Taylorsville Rd, Louisville, KY 40242 | 2006-09-21 |
| 1245332279 | Paul Ezekiel Buck Sr. | Dentist | 8700 Bayberry Place, Paul E Buck Dmd, Louisville, KY 40242 | 2006-09-01 |
| 1326150947 | Terri White | Social Worker | 2603 Ballantrae Cir, Louisville, KY 40242 | 2006-08-31 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1841795317 | Ogedi Omenyinma | Non-emergency Medical Transport (VAN) | 2807 Valhalla Ct, Louisville, KY 40242-2402 | 2018-03-27 |
| 1275183451 | Emily Katherine Sturgeon | Nurse Practitioner | 8312 Easton Ln, Louisville, KY 40242-2518 | 2019-09-18 |
| 1538562376 | Sheila Mays | Social Worker | 2905 Brownsboro Vista Dr, Louisville, KY 40242-2965 | 2014-10-08 |
| 1558770032 | Judy Poiry Gradl | Occupational Therapist | 8407 Bayou Way, Louisville, KY 40242-3003 | 2014-08-08 |
| Find all providers in zip 40242 | ||||
| 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 |
|---|---|---|---|---|
| 1093315897 | Ashley Wagner | Behavioral Analyst | 9905 Timberview Way, Louisville, KY 40223-3559 | 2020-10-29 |
| 1962009910 | Peta Lorraine St Clair Kimber | Behavioral Analyst | 1230 Liberty Bank Ln Ste 230, Louisville, KY 40222-5756 | 2020-10-02 |
| 1386254571 | Kari Marie Woods | Behavioral Analyst | 1230 Liberty Bank Ln, Louisville, KY 40222-5756 | 2020-08-03 |
| 1861970527 | Courtney Taylor Mcintyre | Behavioral Analyst | 9900 Shelbyville Rd Ste 11b, Louisville, KY 40223-2965 | 2018-08-03 |
| 1043702905 | Stacey Renee Shinn | Behavioral Analyst | 3322 Noe Way Apt 1, Louisville, KY 40220-1861 | 2018-06-05 |
| 1740792746 | Paola Romero | Behavioral Analyst | 912 Lily Creek Rd Ste 103, Louisville, KY 40243-2815 | 2017-10-30 |
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1750802161 | Enrich Educational & Behavioral Services | Behavioral Analyst | 1709 Bonnycastle Ave, Louisville, KY 40205-1014 | 2017-07-06 |
| 1508316860 | Ashley Shaw | Behavioral Analyst | 1448 Gardiner Ln Ste 202, Louisville, KY 40213-1982 | 2016-10-11 |
| 1821543141 | Clinical Behavior Analysis | Behavioral Analyst | 1601 Rosewood Ave, Louisville, KY 40204-1327 | 2016-08-16 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40242 |
Please comment or provide details below to improve the information on DR. ROBERT JOHN WALLANDER JR..
| 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.