ELLEN BALKOVEC (NPI# 1154781193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154781193 |
| Entity Type | Individual |
| Full Name | ELLEN BALKOVEC |
| Practice Address |
1803 S Bancroft St Philadelphia PA 19145-2206 |
| Practice Telephone | 2158969650 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 11519937 | PA | Behavioral Health & Social Service Providers |
| Street Address |
1803 S BANCROFT ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19145-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376069559 | Kyle James Hughes | Physical Therapist | 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 | 2017-08-18 |
| 1821519752 | John A Takacs Dmd | Clinic/Center | 1707w Passyunk Ave, Philadelphia, PA 19145 | 2017-06-30 |
| 1033573209 | Kenneth Donahue | Dentist | 1517 Packer Avenue, Philadelphia, PA 19145 | 2016-04-13 |
| 1437516895 | Kimberly Wyand | Physical Therapist | 2129 Oregon St, Philadelphia, PA 19145 | 2016-01-15 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| 1528333846 | Gina Marie Doyle | Registered Nurse | 1930 S. Broad Street, Philadelphia, PA 19145 | 2012-03-20 |
| 1639446214 | Thao T Tran | Pharmacist | 2014-24 South Broad St, Philadelphia, PA 19145 | 2011-11-25 |
| 1649573171 | Phyllis Yang | Internal Medicine | 1700 S Broad St, Unit 201, Philadelphia, PA 19145 | 2010-12-05 |
| 1326364613 | South Philadelphia Open Mri, LLC | Clinic/Center | 1834 West Oregon Avenue, Philadelphia, PA 19145 | 2010-04-13 |
| Find all providers in zip 19145 | ||||
| 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 |
|---|---|---|---|---|
| 1700486321 | Jasmin Jetie Tyree | Behavioral Analyst | 109 S 63rd St, Philadelphia, PA 19139-2929 | 2020-11-01 |
| 1659970192 | Songbird Health Pa LLC | Behavioral Analyst | 325 Chestnut St Ste 876, Philadelphia, PA 19106-2614 | 2020-10-24 |
| 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 |
| 1871102715 | Hassan Ayobami Adeyemo | Behavioral Analyst | 5041 F St Fl 2, Philadelphia, PA 19124-3501 | 2020-07-27 |
| 1477171882 | Kimberly Palmer | Behavioral Analyst | 6359 Gillespie St, Philadelphia, PA 19135-3222 | 2020-07-13 |
| 1396360459 | Shariffah Chuma Azzaam | Behavioral Analyst | 5862 N 6th St, Philadelphia, PA 19120-1303 | 2020-06-14 |
| 1760006795 | Bianca S Montalmont | Behavioral Analyst | 128 Widener St, Philadelphia, PA 19120-1935 | 2020-06-05 |
| 1528687092 | Pa Sprout Mc 1 LLC | Behavioral Analyst | 701 E Cathedral Rd Ste 45, Philadelphia, PA 19128-2128 | 2020-04-14 |
| 1518590587 | Natalie Sherese Simmons | Behavioral Analyst | 944 E Johnson St Apt 207b, Philadelphia, PA 19138-3207 | 2020-02-19 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19145 |
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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.