JESSICA SKIDMORE (NPI# 1174021802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174021802 |
| Entity Type | Individual |
| Full Name | JESSICA SKIDMORE |
| Practice Address |
14455 Kimberley Rd Nelsonville OH 45764-9430 |
| Mailing Address |
1049 Western Ave Chillicothe OH 45601-1104 |
| Practice Telephone | 7407539656 |
| Practice Fax Number | 7407539659 |
| Mailing Telephone | 7407734366 |
| Mailing Fax Number | 7407757855 |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-01-29 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558743161 | Jessica R Skidmore | Psychologist | 10140 Campus Point Dr, San Diego, CA 92121-1520 | 2015-06-19 |
| 1518225143 | Jessica Skidmore | Marriage & Family Therapist | 4930 S Sheridan Rd, Tulsa, OK 74145-5712 | 2012-05-02 |
| Street Address |
14455 KIMBERLEY RD |
| City | NELSONVILLE |
| State | OH |
| Zip Code | 45764-9430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508378316 | Hopewell Health Centers Inc | Clinic/Center | 14455 Kimberley Rd, Nelsonville, OH 45764-9430 | 2017-11-02 |
| 1881227619 | Jay Taylor | Behavioral Analyst | 14455 Kimberley Rd, Nelsonville, OH 45764-9430 | 2020-02-20 |
| 1902438005 | Troy Smith | Behavioral Analyst | 14455 Kimberley Rd, Nelsonville, OH 45764-9430 | 2020-02-06 |
| 1063068450 | Myra E. Lewis | Social Worker | 14455 Kimberley Rd, Nelsonville, OH 45764-9430 | 2019-08-13 |
| 1356909253 | Matthew Freville | Behavioral Analyst | 14455 Kimberley Rd, Nelsonville, OH 45764-9430 | 2019-06-05 |
| 1679131551 | Tristan Medley | Behavioral Analyst | 14455 Kimberley Rd, Nelsonville, OH 45764-9430 | 2019-06-05 |
| 1063974251 | Kayla Garcia | Behavioral Analyst | 14455 Kimberley Rd, Nelsonville, OH 45764-9430 | 2019-04-05 |
| 1255899183 | Tesha Leach | Behavioral Analyst | 14455 Kimberley Rd, Nelsonville, OH 45764-9430 | 2019-03-11 |
| 1982102612 | Zackary Mullikin | Assistant Behavior Analyst | 14455 Kimberley Rd, Nelsonville, OH 45764-9430 | 2018-01-29 |
| 1780196592 | Hopewell Health Centers Inc | Clinic/Center | 14455 Kimberley Rd, Nelsonville, OH 45764-9430 | 2017-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457659997 | First Settlement Physical Therapy, Inc | Clinic/Center | 99 Watkins Street, Nelsonville, OH 45764 | 2011-03-08 |
| 1992936967 | Barbara Ann Wilson | Registered Nurse | 12936 State Route 691, Nelsonville, OH 45764 | 2009-08-07 |
| 1780820621 | Nelsonville-york City Schools | Local Education Agency (LEA) | 2 Buckeye Drive, Nelsonville, OH 45764 | 2008-12-24 |
| 1528230349 | Devin Savage Dmd Inc | Dentist | 16069 U S Rt 33, Nelsonville, OH 45764 | 2008-04-01 |
| 1740315001 | Rebecca Louise Wardrip | Home Health Aide | 4610 Bessemer Rd, Nelsonville, OH 45764 | 2007-02-23 |
| 1154462018 | Betty Jayne Foster | Home Health Aide | 13495 Kimberly Rd, Nelsonville, OH 45764 | 2007-02-12 |
| 1790876985 | Coler Drug Nelsonville | Durable Medical Equipment & Medical Supplies | 40 Watkins St, Nelsonville, OH 45764 | 2006-09-27 |
| 1073520243 | Mary Louise Brooks | Licensed Practical Nurse | 96 Mill St, Nelsonville, OH 45764 | 2006-08-01 |
| 1689694879 | James Foglesong | Internal Medicine | 1950 Saint Marys Dr, Nelsonville, OH 45764 | 2006-07-20 |
| 1285954784 | Mark A Shaw | Pharmacist | 40 Watkins St, Nelsonville, OH 45764 | 2010-06-07 |
| Find all providers in zip 45764 | ||||
| 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 |
|---|---|---|---|---|
| 1982102612 | Zackary Mullikin | Assistant Behavior Analyst | 14455 Kimberley Rd, Nelsonville, OH 45764-9430 | 2018-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899038 | Diana Elaine Hafely | Assistant Behavior Analyst | 1704 North Rd Se Ste 2, Warren, OH 44484-2958 | 2020-07-23 |
| 1356964365 | Benjamin Arthur | Assistant Behavior Analyst | 2100 Stella Ct # 221, Columbus, OH 43215-1011 | 2020-05-26 |
| 1447882964 | Christopher Davis | Assistant Behavior Analyst | 4015 W Dublin Granville Rd, Dublin, OH 43017-1436 | 2020-02-12 |
| 1629569538 | Patterns Behavioral Services Ohio Inc | Assistant Behavior Analyst | 100 7th Ave Ste 224, Chardon, OH 44024-7804 | 2018-05-25 |
| 1891298428 | Warrie Ann Mckinney | Assistant Behavior Analyst | 2050 Commons Rd N, Reynoldsburg, OH 43068-5417 | 2018-03-09 |
| 1043710544 | Eileen Anderson | Assistant Behavior Analyst | 830 Cherry Ave Ne, Canton, OH 44702-1089 | 2018-02-20 |
| 1821508201 | Beth Ann Marie Hill | Assistant Behavior Analyst | 100 N Broad St Ste 305, Fairborn, OH 45324-4804 | 2017-10-11 |
| 1780125187 | Raegan Firestone | Assistant Behavior Analyst | 11910 Marcy Rd, Canal Winchester, OH 43110-9755 | 2017-03-17 |
| 1508479981 | Jessica Greer | Assistant Behavior Analyst | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2020-08-26 |
| 1518582600 | Rosemary Louise Anderson | Assistant Behavior Analyst | 2100 Stella Ct # 221, Columbus, OH 43215-1011 | 2020-06-15 |
| Find all providers with the same taxonomy | ||||
| City | NELSONVILLE |
| Zip Code | 45764 |
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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.