MS. MADISON COLLINS (NPI# 1083138929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083138929 |
Entity Type | Individual |
Full Name | MS. MADISON COLLINS |
Credential | BCABA |
Practice Address |
12912 Coldwater Rd Ste E Fort Wayne IN 46845-8871 |
Mailing Address |
6060 N College Ave Indianapolis IN 46220-1907 |
Practice Telephone | 2602451455 |
Practice Fax Number | 3172883396 |
Mailing Telephone | 3175845166 |
Mailing Fax Number | 3172883396 |
Enumeration Date | 2017-08-02 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3948 New Vision Dr Ste D, Fort Wayne, IN 468451721 | 2602451455 | 3172883396 |
5750 Falls Dr Ste 102, Fort Wayne, IN 468047147 | 2602451455 | 3172883396 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609414127 | Madison Collins | Behavioral Analyst | 431 E Broad St, Columbus, OH 43215-4004 | 2019-12-16 |
1629611744 | Madison Collins | Registered Nurse | 1802 6th Ave S, Birmingham, AL 35233-1932 | 2019-10-21 |
1760045694 | Madison Leigh Collins | Student in an Organized Health Care Education/Training Program | 281 1st Ave, New York, NY 10003-2925 | 2019-04-16 |
1639656143 | Madison Hope Collins | Speech-Language Pathologist | 9041 Executive Park Dr Ste 126, Knoxville, TN 37923-4603 | 2018-07-26 |
1730600529 | Madison Collins | Counselor | 359 Fenn St, Pittsfield, MA 01201-5261 | 2017-06-30 |
1366878787 | Madison Collins | Physician Assistant | 2315 Myrtle St, Ste 290, Erie, PA 16502-4602 | 2013-09-17 |
1801188248 | Madison Leigh Collins | Internal Medicine | 1705 E 19th St, Ste 302, Tulsa, OK 74104-5405 | 2011-05-04 |
Street Address |
12912 COLDWATER RD STE E |
City | FORT WAYNE |
State | IN |
Zip Code | 46845-8871 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518458256 | Jacob Gerondale | Behavior Technician | 12912 Coldwater Rd Ste E, Fort Wayne, IN 46845-8871 | 2018-05-29 |
1467943118 | Brooke Morin | Behavior Technician | 12912 Coldwater Rd Ste E, Fort Wayne, IN 46845-8871 | 2018-05-29 |
1164913810 | Holly Meyers | Behavior Technician | 12912 Coldwater Rd Ste E, Fort Wayne, IN 46845-8871 | 2018-05-29 |
1316438062 | Kaitlyn Turner | Behavior Technician | 12912 Coldwater Rd Ste E, Fort Wayne, IN 46845-8871 | 2018-05-29 |
1033600788 | Abbi Hoover | Behavior Technician | 12912 Coldwater Rd Ste E, Fort Wayne, IN 46845-8871 | 2018-05-29 |
1659862308 | Sarah Maneval | Behavior Technician | 12912 Coldwater Rd Ste E, Fort Wayne, IN 46845-8871 | 2018-05-29 |
1043701782 | Heather Hill | Behavioral Analyst | 12912 Coldwater Rd Ste E, Fort Wayne, IN 46845-8871 | 2018-05-29 |
1942700166 | Amber Decker | Behavioral Analyst | 12912 Coldwater Rd Ste E, Fort Wayne, IN 46845-8871 | 2018-02-14 |
1568962777 | Samuel Barrett | Behavior Technician | 12912 Coldwater Rd Ste E, Fort Wayne, IN 46845-8871 | 2018-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
Find all providers in zip 46845 |
Taxonomy Code | 106E00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Assistant Behavior Analyst |
An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
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 |
---|---|---|---|---|
1770134918 | Kristin Elizabeth Barnes | Assistant Behavior Analyst | 3030 Lake Ave Ste 20, Fort Wayne, IN 46805-5428 | 2019-09-27 |
1710459391 | Alexis A Taylor | Assistant Behavior Analyst | 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 | 2018-12-20 |
1033619341 | Sara Callaghan | Assistant Behavior Analyst | 3948 New Vision Dr Ste D, Fort Wayne, IN 46845-1721 | 2018-02-14 |
1326402678 | Sylvia Morones | Assistant Behavior Analyst | 12912 Coldwater Rd, Fort Wayne, IN 46845-8870 | 2016-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376140848 | Allison Marie Coulston | Assistant Behavior Analyst | 8650 Commerce Park Pl Ste A, Indianapolis, IN 46268-3174 | 2020-10-07 |
1073114468 | Carissa Culver | Assistant Behavior Analyst | 8762 Louisiana St Ste J, Merrillville, IN 46410-7190 | 2020-11-03 |
1033727342 | Shaniya Mcmiller | Assistant Behavior Analyst | 2906 Highway Ave, Highland, IN 46322-1631 | 2020-07-22 |
1558999201 | Stephanie Terborg | Assistant Behavior Analyst | 7405 Westfield Blvd, Indianapolis, IN 46240-3056 | 2020-03-30 |
1972136844 | Sarah Elizabeth Moore | Assistant Behavior Analyst | 3601 W Bethel Ave, Muncie, IN 47304-5408 | 2020-02-19 |
1073156402 | Joelle Antonia Opyt | Assistant Behavior Analyst | 8398 Mississippi St, Merrillville, IN 46410-6316 | 2019-10-17 |
1487201711 | Susan D Som | Assistant Behavior Analyst | 1558 E Boulevard Ste A, Kokomo, IN 46902-2479 | 2019-08-21 |
1548822034 | Nikia O'hearn | Assistant Behavior Analyst | 70 E 91st St Ste 109, Indianapolis, IN 46240-1550 | 2019-07-03 |
1881255131 | Krista Jade Kranz | Assistant Behavior Analyst | 3601 W Bethel Ave, Muncie, IN 47304-5408 | 2019-06-27 |
1871059543 | Lindsay Jo Walker | Assistant Behavior Analyst | 3464 S 4th St, Terre Haute, IN 47802-4168 | 2019-02-18 |
Find all providers with the same taxonomy |
City | FORT WAYNE |
Zip Code | 46845 |
Please comment or provide details below to improve the information on MS. MADISON COLLINS.
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.