JENNY HARTGE (NPI# 1316487804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316487804 |
| Entity Type | Individual |
| Full Name | JENNY HARTGE |
| Practice Address |
12400 Olive Blvd Suite 340 St. Louis MO 63141 |
| Mailing Address |
P.o. Box 1092 Columbia IL 62236 |
| Practice Telephone | 3143030849 |
| Practice Fax Number | 6182189219 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 2017003939 | MO | Behavioral Health & Social Service Providers |
| Street Address |
12400 OLIVE BLVD SUITE 340 |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| 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 |
|---|---|---|---|---|
| 1477182236 | Victoria Moore | Assistant Behavior Analyst | 495 Shade Tree Ln, Farmington, MO 63640-7708 | 2020-04-03 |
| 1598327595 | Southeast Behavior Intervention & Consultation | Assistant Behavior Analyst | 373 Rylane, Jackson, MO 63755-8730 | 2019-07-01 |
| 1780144022 | Michelle Auer | Assistant Behavior Analyst | 11140 S Towne Sq Ste 100, Saint Louis, MO 63123-7830 | 2019-03-22 |
| 1841756509 | Perspectives Preparatory Academy | Assistant Behavior Analyst | 1601 E Republic Rd, Springfield, MO 65804-6526 | 2019-02-18 |
| 1376084178 | Cassandra Lichtenberg | Assistant Behavior Analyst | 7049 Pershing Ave, Saint Louis, MO 63130-4319 | 2017-03-13 |
| 1558809889 | Johnna Burton | Assistant Behavior Analyst | 180 Cemetery Rd., Neosho, MO 64850 | 2017-02-07 |
| 1598378358 | Emily Joyce | Assistant Behavior Analyst | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-08-30 |
| 1235775248 | National Mentor Services, LLC | Assistant Behavior Analyst | 11872 Westline Industrial Dr Ste 180, Saint Louis, MO 63146-3331 | 2019-11-25 |
| 1902463029 | Wellhealth | Assistant Behavior Analyst | 6113 Ridge Ave, Saint Louis, MO 63133-2616 | 2019-05-23 |
| 1558821447 | Christina Bourbon | Assistant Behavior Analyst | 11140 S Towne Sq Ste 100, Saint Louis, MO 63123-7830 | 2019-03-25 |
| 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.