ANTIGONI JAYNE DORA (NPI# 1285231357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285231357 |
| Entity Type | Individual |
| Full Name | ANTIGONI JAYNE DORA |
| Other Name | ANTIGONI JAYNE TONGRET BOWERS |
| Credential | BA, RBT |
| Practice Address |
450 S Landmark Ave Bloomington IN 47403-5000 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 8122693214 |
| Practice Fax Number | 3175208200 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 3175208200 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-83678 | IN | Behavioral Health & Social Service Providers |
| Street Address |
450 S LANDMARK AVE |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174092076 | Molly Diane Ellis | Behavioral Analyst | 450 S Landmark Ave, Bloomington, IN 47403-5000 | 2018-11-20 |
| 1366049298 | Brandon Allen Rutherford | Behavior Technician | 450 S Landmark Ave, Bloomington, IN 47403-5000 | 2020-10-05 |
| 1972100048 | Alexis Leigh Greer | Behavior Technician | 450 S Landmark Ave, Bloomington, IN 47403-5000 | 2020-10-02 |
| 1184221251 | Madison Elizabeth Guinn | Behavior Technician | 450 S Landmark Ave, Bloomington, IN 47403-5000 | 2020-10-02 |
| 1760089866 | Brian Andrew Mccord | Behavior Technician | 450 S Landmark Ave, Bloomington, IN 47403-5000 | 2020-10-02 |
| 1881291805 | Nicolas Arun Cochran | Behavior Technician | 450 S Landmark Ave, Bloomington, IN 47403-5000 | 2020-10-02 |
| 1326645425 | Shelby Revils | Behavior Technician | 450 S Landmark Ave, Bloomington, IN 47403-5000 | 2020-10-02 |
| 1730786807 | Blair Amber Grant | Behavior Technician | 450 S Landmark Ave, Bloomington, IN 47403-5000 | 2020-10-02 |
| 1629675814 | Sierra Brooke Vanlandingham | Behavior Technician | 450 S Landmark Ave, Bloomington, IN 47403-5000 | 2020-10-01 |
| 1932716214 | Miranda Nichole Lewellen | Behavior Technician | 450 S Landmark Ave, Bloomington, IN 47403-5000 | 2020-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| 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 |
|---|---|---|---|---|
| 1679171516 | Muna Shire | Behavior Technician | 9133 Knox Ave S, Bloomington, MN 55431-2213 | 2020-10-13 |
| 1366051757 | Hussein Mohamed | Behavior Technician | 8735 Portland Ave S Apt 208, Bloomington, MN 55420-2959 | 2020-07-30 |
| 1942819339 | Farhan Ahmed Mohamoud | Behavior Technician | 9201 Nicollet Ave S Apt 221, Bloomington, MN 55420-3767 | 2020-07-30 |
| 1891328050 | Rebecca Rothwell | Behavior Technician | 1801 American Blvd E Ste 10, Bloomington, MN 55425-1217 | 2020-02-17 |
| 1881232650 | Sarah E Brown | Behavior Technician | 772 S Lancewood Ave, Bloomington, CA 92316-1343 | 2019-12-12 |
| 1518500727 | Kerri R Reese | Behavior Technician | 500 S Morton St Ste 10, Bloomington, IN 47403-2460 | 2019-10-21 |
| 1568920056 | Jessica M Guzman | Behavior Technician | 17796 Marygold Ave, Bloomington, CA 92316-1918 | 2019-03-04 |
| 1558840314 | Alexia Cisneros | Behavior Technician | 526 S Ironwood Ave, Bloomington, CA 92316-1218 | 2018-08-11 |
| 1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
| 1053629246 | Reach High Consulting and Therapy, LLC | Behavior Technician | 1501 W Tapp Rd, Bloomington, IN 47403-3459 | 2010-09-22 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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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.