MRS. JENNY C MARTIN (NPI# 1164656393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164656393 |
| Entity Type | Individual |
| Full Name | MRS. JENNY C MARTIN |
| Credential | M.S., BCBA |
| Practice Address |
625 Wham Dr Wham 124, Center for Autism Spectrum Disorders Carbondale IL 62901-4313 |
| Practice Telephone | 6184537158 |
| Practice Fax Number | 6184537178 |
| Mailing Telephone | 6184537158 |
| Mailing Fax Number | 6184537178 |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2009-05-01 |
| 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 |
|---|---|---|---|---|
| 1427524800 | Jenny Spinks Martin | Registered Nurse | 1681 Justin Rd Ste 100, Flower Mound, TX 75028-4325 | 2018-10-23 |
| 1366057374 | Jenny Martin | Counselor | 4444 E 31st St, Tulsa, OK 74135-2131 | 2020-09-15 |
| 1639648025 | Jenny Martin | Speech-Language Pathologist | 13895 W Wainwright Dr, Boise, ID 83713-5011 | 2018-11-15 |
| 1841785870 | Jenny Martin | Massage Therapist | 512 E Washington St, Sequim, WA 98382-3598 | 2018-06-22 |
| 1326588716 | Jenny Martin | Occupational Therapist | 3044 Due West Rd, Dallas, GA 30157-2125 | 2017-03-03 |
| 1427309509 | Jenny Darlene Martin | Social Worker | 104 S Front Ave, Prestonsburg, KY 41653 | 2012-09-28 |
| 1871825323 | Jenny L. Martin | Nurse Practitioner | 14555 W National Ave, New Berlin, WI 53151 | 2010-02-09 |
| Street Address |
625 WHAM DR WHAM 124, CENTER FOR AUTISM SPECTRUM DISORDERS |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-4313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538303771 | Sherell Marie Sparks | Counselor | 625 Wham Dr, Southern Illinois University Carbondale, Carbondale, IL 62901-4313 | 2009-04-30 |
| 1376917021 | Sarah Kertz | Psychologist | 625 Wham Dr, Room 141, Carbondale, IL 62901-4313 | 2015-11-18 |
| 1891169629 | Chad Drake | Psychologist | 625 Wham Dr, Room 141, Carbondale, IL 62901-4313 | 2015-11-17 |
| 1871965707 | Aseedaw Dea; | Speech-Language Pathologist | 625 Wham Dr, Room 141, Carbondale, IL 62901-4313 | 2015-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| 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 |
|---|---|---|---|---|
| 1003431677 | Janelle Mchale | Behavioral Analyst | 136 Lower Powderly St, Carbondale, PA 18407-3040 | 2020-06-10 |
| 1447804174 | Ayla Schmick | Behavioral Analyst | 2200 S Illinois Ave Apt 15, Carbondale, IL 62903-5964 | 2019-07-31 |
| 1619449733 | Jeffrey Steinberg | Behavioral Analyst | 38 N Scott St, Carbondale, PA 18407-1888 | 2018-12-31 |
| 1457822207 | Desma Elizabeth Manigault-mcelveen | Behavioral Analyst | 145 Apple Orchard Rd, Carbondale, IL 62903-7673 | 2018-12-05 |
| 1619447042 | Alexis Drane | Behavioral Analyst | 818 Industry Pl, Carbondale, CO 81623 | 2018-11-28 |
| 1235627654 | Brandy S Smith | Behavioral Analyst | 136 Premier Ln, Carbondale, IL 62902-4101 | 2018-05-01 |
| 1336667435 | Brenda Rivera | Behavioral Analyst | 278 Garfield Ave, Carbondale, CO 81623-2133 | 2017-09-08 |
| 1649797895 | Jordan Belisle | Behavioral Analyst | 747 E Park St Apt K, Carbondale, IL 62901-3874 | 2017-08-28 |
| 1821519463 | Michael Pittinaro | Behavioral Analyst | 818 Industry Place, Carbondale, CO 81623-2508 | 2017-07-05 |
| 1487188546 | Shawna Mcpherson | Behavioral Analyst | 521 N Allyn St, Carbondale, IL 62901-1301 | 2017-04-16 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
Please comment or provide details below to improve the information on MRS. JENNY C MARTIN.
| 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.