MR. KIMBERLY THERESA HENDRICKSEN (NPI# 1144503608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144503608 |
| Entity Type | Individual |
| Full Name | MR. KIMBERLY THERESA HENDRICKSEN |
| Practice Address |
1112a University Terrace Linden NJ 07036 |
| Practice Telephone | 9084945059 |
| Mailing Telephone | 9084945059 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
1112A UNIVERSITY TERRACE |
| City | LINDEN |
| State | NJ |
| Zip Code | 07036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556572 | Dinesh T Patel | Pharmacist | 1050 West Edgar Road, Linden, NJ 07036 | 2020-10-20 |
| 1235779877 | Premier Vein Care of N.j., L.L.C. | Clinic/Center | 822 North Wood Ave, 3rd Floor, Suite 2, Linden, NJ 07036 | 2020-01-12 |
| 1447743778 | Dream | Counselor | 811 Ainsworth St, Linden, NJ 07036 | 2018-06-12 |
| 1619483997 | Erin Marie Sisk | Occupational Therapist | 210 St Georges Avenue, Linden, NJ 07036 | 2017-12-21 |
| 1225580251 | Erin Guidera | Physical Therapist | 548 Elmwood Terrace, Linden, NJ 07036 | 2016-10-25 |
| 1386066496 | Gyrlfriendz Beauty Salon | Specialist | 115 N. Wood Avenue, Linden, NJ 07036 | 2014-01-08 |
| 1750644829 | Ana F Ramos | Health Educator | 638 Lindegar, Linden, NJ 07036 | 2012-06-22 |
| 1639448616 | Advanced Family Medical Associates, PC | Clinic/Center | 901 North Wood Avenue, Linden, NJ 07036 | 2011-12-21 |
| 1710262217 | Gabriela Kostikova | Pharmacist | 22 St George Ave, Linden, NJ 07036 | 2011-10-15 |
| 1255569695 | Winsor Temps Inc | In Home Supportive Care | 3062 South Wood Ave, Linden, NJ 07036 | 2009-06-24 |
| Find all providers in zip 07036 | ||||
| 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 |
|---|---|---|---|---|
| 1619436987 | Darline A Altidor | Behavioral Analyst | 810 Bower St Apt 2, Linden, NJ 07036-2539 | 2019-03-17 |
| 1033677653 | Dennis R Norwood | Behavioral Analyst | 10 N Wood Ave Apt 400, Linden, NJ 07036-5227 | 2019-03-04 |
| 1578918371 | Georgia Efthimiou | Behavioral Analyst | 529 Beechwood Rd, Linden, NJ 07036-5313 | 2016-04-28 |
| 1124421268 | Jorge D Quintana Md | Behavioral Analyst | 1203 W Saint Georges Ave, 1floor Left Side Unit, Linden, NJ 07036-6167 | 2014-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851209 | Stephanie Munoz | Behavioral Analyst | 61 Addison Pl Apt A, Clifton, NJ 07012-3397 | 2020-11-06 |
| 1346841228 | Caroline Grace Reilly | Behavioral Analyst | 68 Wentworth Rd, Bedminster, NJ 07921-2007 | 2020-11-05 |
| 1215537873 | Alyssa Dennis | Behavioral Analyst | 500 Adams Ln Apt 20c, North Brunswick, NJ 08902-2568 | 2020-10-31 |
| 1497355101 | Angelica Filippone | Behavioral Analyst | 1446 Hiawatha Ave, Hillside, NJ 07205-1311 | 2020-10-30 |
| 1053911040 | Sara Kahan | Behavioral Analyst | 7 Burgundy Way, Lakewood, NJ 08701-4670 | 2020-10-28 |
| 1609475268 | Melissa Monestime | Behavioral Analyst | 1063 Brighton St, Union, NJ 07083-6701 | 2020-10-23 |
| 1447859194 | Jacqueline Sousa | Behavioral Analyst | 127 Old Changebridge Rd, Montville, NJ 07045-9400 | 2020-10-23 |
| 1124627047 | David Rubinfeld | Behavioral Analyst | 207 1st St Apt 409, Lakewood, NJ 08701-3368 | 2020-10-21 |
| 1902405129 | Ivelisse Lopez | Behavioral Analyst | 254 Euclid Ave, Hackensack, NJ 07601-2845 | 2020-10-19 |
| 1003414731 | Alyssa Ariemma | Behavioral Analyst | 318 Hoover Ave Apt 61, Bloomfield, NJ 07003-3957 | 2020-10-14 |
| 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.