KIMBERLY MENDOZA (NPI# 1093238719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093238719 |
| Entity Type | Individual |
| Full Name | KIMBERLY MENDOZA |
| Practice Address |
103 4th Street Jonesboro LA 71251 |
| Mailing Address |
103 4th St Jonesboro LA 71251-3346 |
| Practice Telephone | (318) 259-1500 |
| Practice Fax Number | 3182591580 |
| Mailing Telephone | 3182591500 |
| Mailing Fax Number | 3182591580 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598215261 | Kimberly Anne Mendoza | Counselor | 200 S 14th St. Suite 140, Midlothian, TX 46065 | 2016-10-06 |
| 1972964286 | Kimberly Mendoza | Counselor | 4261 City Terrace Dr, Los Angeles, CA 90063-1108 | 2016-03-14 |
| 1619473014 | Kimberly Mendoza | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-04-04 |
| 1932632874 | Kimberly Mendoza | Marriage & Family Therapist | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2017-04-07 |
| 1174649933 | Kimberly Lynn Mendoza | Physician Assistant | 19465 Deerfield Ave Ste 405, Leesburg, VA 20176-1707 | 2007-03-22 |
| Street Address |
103 4TH STREET |
| City | JONESBORO |
| State | LA |
| Zip Code | 71251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851752661 | Monique Burks | Behavioral Analyst | 103 4th Street, Stepping Stones, Jonesboro, LA 71251 | 2016-03-08 |
| 1376052712 | Boris Braggs | Behavioral Analyst | 103 4th Street, Jonesboro, LA 71251 | 2017-09-28 |
| 1346763588 | Ulanda Watson | Behavioral Analyst | 103 4th Street, Jonesboro, LA 71251 | 2017-07-19 |
| 1467986646 | Tommy Hull | Counselor | 103 4th Street, Jonesboro, LA 71251 | 2017-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962985432 | Jonathan Rogers | Non-emergency Medical Transport (VAN) | 131 Eden Circle, Jonesboro, LA 71251 | 2018-09-11 |
| 1891273546 | Charlotte Amos | Case Manager/Care Coordinator | 248 Collin Rd, Jonesboro, LA 71251 | 2018-08-04 |
| 1528429578 | Lisa Hammock | Counselor | 124 Hudson Ave, Jonesboro, LA 71251 | 2016-03-17 |
| 1184080046 | Deon Jones | Counselor | 206 Hudson Ave, Jonesboro, LA 71251 | 2016-01-07 |
| 1942672894 | Timothy Stewart | Behavioral Analyst | 201 Forest Dr, Jonesboro, LA 71251 | 2015-10-29 |
| 1871964148 | Stacey Harrell | Social Worker | 305 Cobb Dr, Jonesboro, LA 71251 | 2015-10-13 |
| 1528398799 | Alesia Fortune | Behavioral Analyst | 103 4th St, Jonesboro, LA 71251 | 2010-01-11 |
| 1184848756 | Mayfield Chiropractic Jonesboro, LLC | Chiropractor | 520 S. Polk St., Jonesboro, LA 71251 | 2007-04-12 |
| 1093793408 | Jackson Parish Hospital | General Acute Care Hospital | 165 Beech Springs Rd, Jonesboro, LA 71251 | 2006-01-05 |
| 1134697097 | Tyler Anderson | Case Manager/Care Coordinator | 525 Alexander St, Jonesboro, LA 71251 | 2018-11-08 |
| Find all providers in zip 71251 | ||||
| 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 |
|---|---|---|---|---|
| 1770051955 | Cyti V Williams | Behavioral Analyst | 386 Brittan Trl, Jonesboro, GA 30236-2096 | 2018-11-06 |
| 1922506179 | Bradsher Consultants | Behavioral Analyst | 1020 S Madison St, Jonesboro, AR 72401-3565 | 2018-01-23 |
| 1891243614 | Sierra Calahan | Behavioral Analyst | 130 Talbot St, Jonesboro, LA 71251-2826 | 2016-09-21 |
| 1851752661 | Monique Burks | Behavioral Analyst | 103 4th Street, Stepping Stones, Jonesboro, LA 71251 | 2016-03-08 |
| 1942672894 | Timothy Stewart | Behavioral Analyst | 201 Forest Dr, Jonesboro, LA 71251 | 2015-10-29 |
| 1922425537 | Behavior Essentials of North Georgia, LLC | Behavioral Analyst | 2192 Waverly Ct, Jonesboro, GA 30236-3900 | 2014-03-20 |
| 1255685814 | Joan Gail Henley | Behavioral Analyst | 2116 Greenwood St, Jonesboro, AR 72401-4843 | 2012-11-05 |
| 1407124258 | Susanne Derossitte Belk | Behavioral Analyst | 3114 Fox Rd Ste A, Jonesboro, AR 72404-9577 | 2011-12-08 |
| 1528398799 | Alesia Fortune | Behavioral Analyst | 103 4th St, Jonesboro, LA 71251 | 2010-01-11 |
| 1780218552 | Andrewniquis Perkins | Behavioral Analyst | 2808 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2020-03-02 |
| Find all providers in JONESBORO | ||||
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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.