JOURNEYS BEHAVIOR LEARNING CENTER LLC (NPI# 1467924324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467924324 |
Entity Type | Organization |
Organization Name | JOURNEYS BEHAVIOR LEARNING CENTER LLC |
Practice Address |
1316 W Dragoon Trl Mishawaka IN 46544-4713 |
Mailing Address |
3226 Brunswick Square Dr Mishawaka IN 46544-3741 |
Practice Telephone | 5743140843 |
Mailing Telephone | 8436095885 |
Enumeration Date | 2018-12-17 |
Last Update Date | 2018-12-17 |
Authorized Official Name | MR. JOSHUA SMITH (OWNER) |
Authorized Official Telephone | 8436095885 |
Authorized Official Credential | MBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Journeys Behavior Learning Center | Doing Business As Name - Organization |
Street Address |
1316 W DRAGOON TRL |
City | MISHAWAKA |
State | IN |
Zip Code | 46544-4713 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225544430 | Emily Burden | Behavioral Analyst | 1316 W Dragoon Trl, Mishawaka, IN 46544-4713 | 2017-12-26 |
1689141046 | Ashley Sobecki | Assistant Behavior Analyst | 1316 W Dragoon Trl, Mishawaka, IN 46544-4713 | 2018-10-24 |
1710487020 | Lindsey Marie Johnson | Behavioral Analyst | 1316 W Dragoon Trl, Mishawaka, IN 46544-4713 | 2018-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
1598153355 | Hearing Aid Service | Hearing Instrument Specialist | 3718 Lincolnway E, Mishawaka, IN 46544 | 2015-01-02 |
1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
1023251337 | Josephine Schimizzi | Family Medicine | 1505 South Spring Street, Mishawaka, IN 46544 | 2009-04-16 |
1881831147 | Walgreen Co | Pharmacy | 4620 Lincolnway E, Mishawaka, IN 46544 | 2009-01-08 |
Find all providers in zip 46544 |
Taxonomy Code | 261QD1600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Developmental Disabilities |
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528674579 | Karen Ashley | Clinic/Center | 2616 French Creek Dr, New Albany, IN 47150-9111 | 2020-09-16 |
1811428501 | Anchored Care Residential Services LLC | Clinic/Center | 1800 N Meridian St Ste 401, Indianapolis, IN 46202-1433 | 2017-03-23 |
1467812370 | Reach Services, Inc. | Clinic/Center | 1400 Hulman St, Terre Haute, IN 47802-2536 | 2016-03-04 |
1114285855 | Bierman Aba Inc. | Clinic/Center | 1025 E 54th St, Indianapolis, IN 46220-3219 | 2012-05-01 |
1295030666 | Lise D Delong | Clinic/Center | 1678 Fry Rd Ste C, Greenwood, IN 46142-1176 | 2011-01-17 |
1306141957 | Helping Hands Center for Special Needs | Clinic/Center | 405 W Wayne St, Fort Wayne, IN 46802-2121 | 2011-01-12 |
1881826584 | Z and Z Inc. LLC | Clinic/Center | 13295 Illinois St Ste 106, Carmel, IN 46032-3020 | 2009-08-13 |
1215105663 | Children's Autism Center, Inc | Clinic/Center | 6208 Constitution Dr Ste A, Fort Wayne, IN 46804-1585 | 2008-02-19 |
1659842490 | South Bend Behavioral Health LLC | Clinic/Center | 701 N Niles Ave, South Bend, IN 46617-1923 | 2018-12-05 |
1669967428 | Embracing Abilities Inc | Clinic/Center | 1182 Scarlet Quarry Cir, Avon, IN 46123-9372 | 2018-06-25 |
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.