JESSICA LARSEN (NPI# 1316579774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316579774 |
| Entity Type | Individual |
| Full Name | JESSICA LARSEN |
| Practice Address |
453 Grand Ave Schofield WI 54476-1088 |
| Mailing Address |
1575 Allouez Ave Green Bay WI 54311-5639 |
| Practice Telephone | 9208579014 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 335-140 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083068480 | Jessica Larsen | Psychologist | 501 9th St Apt 511, Hoboken, NJ 07030-2187 | 2016-04-21 |
| 1265801096 | Jessica Larsen | Social Worker | 3542 W Beach Ave, Chicago, IL 60651-2201 | 2015-09-22 |
| 1609477850 | Jessica Elena Larsen | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-04 |
| 1013247733 | Jessica Ann Larsen | Physician Assistant | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2009-12-31 |
| Street Address |
453 GRAND AVE |
| City | SCHOFIELD |
| State | WI |
| Zip Code | 54476-1088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
| 1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
| 1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
| 1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
| 1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
| 1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
| 1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
| 1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
| 1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
| 1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
| Find all providers in zip 54476 | ||||
| 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 |
|---|---|---|---|---|
| 1649803149 | Ashley Schultz | Behavioral Analyst | 453 Grand Ave Ste B, Schofield, WI 54476-1088 | 2020-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424332 | David Alberts | Behavioral Analyst | 502 Atlas Ave, Madison, WI 53714-3108 | 2020-10-09 |
| 1518574516 | Chelsey Logan | Behavioral Analyst | 519 Midland Ct Ste 2and5, Janesville, WI 53546-2348 | 2020-09-24 |
| 1982218327 | Brooke Boss | Behavioral Analyst | N4103 Dam Rd, Delavan, WI 53115-2979 | 2020-09-02 |
| 1972115426 | Amber L Allen | Behavioral Analyst | 10930 W Potter Rd Ste A, Wauwatosa, WI 53226-3450 | 2020-08-17 |
| 1033728753 | Kristin Nichol Floss | Behavioral Analyst | N4175 County Road K, Shawano, WI 54166-7036 | 2020-07-28 |
| 1316556111 | Melissa Ann Bowman | Behavioral Analyst | 3333 N Mayfair Rd Ste 110, Wauwatosa, WI 53222-3219 | 2020-07-28 |
| 1194343707 | Bridges Consultation and Treatment | Behavioral Analyst | W4874 Edelweiss Road, New Glarus, WI 53574 | 2020-07-09 |
| 1811512296 | Amy Cliff Graham | Behavioral Analyst | 410 N Shore Dr, Scandinavia, WI 54977-9215 | 2020-06-11 |
| 1174147078 | Emma Castrogiovanni | Behavioral Analyst | 575 Donofrio Dr Ste 200, Madison, WI 53719-2832 | 2020-06-05 |
| 1407470685 | Emily Wendt | Behavioral Analyst | 4500 Industrial Park Rd, Stevens Point, WI 54481-5014 | 2020-06-03 |
| 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.