JILL CAMPBELL (NPI# 1477099810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477099810 |
| Entity Type | Individual |
| Full Name | JILL CAMPBELL |
| Practice Address |
1145 N Walnut Ave San Dimas CA 91773-1215 |
| Practice Telephone | 9095993407 |
| Mailing Telephone | 9095993407 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376159541 | Jill Caryn Campbell | Psychologist | 342 Ocho Rios Way, Oak Park, CA 91377-5541 | 2020-09-22 |
| 1386148237 | Jill Campbell | Psychologist | 301 N Ninth St Fl 13, Richmond, VA 23219-1933 | 2018-03-23 |
| 1437532611 | Jill Campbell | Occupational Therapist | 278 Ne 97th St, Miami Shores, FL 33138-2404 | 2015-07-07 |
| 1083003669 | Jill Lorene Campbell | Social Worker | 16362 Park Way, East Liverpool, OH 43920-8959 | 2015-01-20 |
| 1215194535 | Jill Lorryn Campbell | Speech-Language Pathologist | 412 Langmaid Ln, Bradford, PA 16701 | 2008-05-22 |
| 1164023461 | Jill G Campbell | Nurse Practitioner | 128 Vision Park Blvd Ste 150, Shenandoah, TX 77384-3018 | 2020-11-03 |
| 1255985172 | Jill Campbell | Pharmacist | 610 W Markland Ave, Kokomo, IN 46901-6110 | 2019-07-29 |
| 1447787718 | Jill Tiffany Campbell | Massage Therapist | 3100 N Academy Blvd Ste 115, Colorado Springs, CO 80917-5331 | 2017-05-17 |
| 1487029344 | Jill Campbell | Registered Nurse | 127 North St, Batavia, NY 14020-1631 | 2015-12-03 |
| 1710250410 | Jill Campbell | Dietitian, Registered | 350 N 11th St, Sunbury, PA 17801-1611 | 2012-02-12 |
| Street Address |
1145 N WALNUT AVE |
| City | SAN DIMAS |
| State | CA |
| Zip Code | 91773-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740726264 | Melinda Brianne Campbell | Behavior Technician | 1145 N Walnut Ave, San Dimas, CA 91773-1215 | 2017-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533114 | Bonita Counseling Center | Marriage & Family Therapist | 425 W. Bonita Ave., Ste 204, San Dimas, CA 91773 | 2020-09-16 |
| 1457824419 | Georgina Almaraz | Case Manager/Care Coordinator | 677 Cliffside Dr Ste 677, San Dimas, CA 91773 | 2019-01-02 |
| 1922581560 | Readirides, Inc. | Non-emergency Medical Transport (VAN) | 451 W Bonita Ave Ste 14, San Dimas, CA 91773 | 2018-09-10 |
| 1710468376 | Marianne Shehata | Dentist | 925 Avenida Loma Vista, San Dimas, CA 91773 | 2018-08-22 |
| 1750875738 | Compassionate Hearts Home Health, Inc. | Home Health | 237 W Bonita Ave Ste F, San Dimas, CA 91773 | 2018-06-21 |
| 1548786056 | Era Life Care | Home Health | 1109 W San Bernardino Rd Suite 110, Covina, CA 91773 | 2017-08-16 |
| 1700302569 | Melanie Sabrina Schmuck | Physical Therapist | 1301 West Arrow Highway, Suite 130, San Dimas, CA 91773 | 2017-08-14 |
| 1811410111 | Nicole Geraldine Skinner | Social Worker | 762 W Cypress St, San Dimas, CA 91773 | 2017-07-19 |
| 1245760842 | Caren Senn | Dietitian, Registered | 917 Laramie Drive, San Dimas, CA 91773 | 2017-06-15 |
| 1417485020 | Young Mi Kim | Acupuncturist | 1121 Via Verde, San Dimas, CA 91773 | 2017-05-25 |
| Find all providers in zip 91773 | ||||
| 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 |
|---|---|---|---|---|
| 1740845668 | Lisa Perez | Behavior Technician | 677 Cliffside Dr # 677, San Dimas, CA 91773-2957 | 2019-05-06 |
| 1740726264 | Melinda Brianne Campbell | Behavior Technician | 1145 N Walnut Ave, San Dimas, CA 91773-1215 | 2017-01-07 |
| 1457986309 | Dillon James Atkins | Behavior Technician | 677 Cliffside Dr Ste 677, San Dimas, CA 91773-2957 | 2020-03-10 |
| 1467087411 | Emma Leigh Zavala | Behavior Technician | 677 Cliffside Dr # 677, San Dimas, CA 91773-2957 | 2020-03-10 |
| 1063047405 | Katie K Lim | Behavior Technician | 677 Cliffside Dr, San Dimas, CA 91773-2957 | 2020-03-05 |
| 1558994244 | Jennice May Gibson Otto | Behavior Technician | 677 Cliffside Dr Ste 677, San Dimas, CA 91773-2957 | 2020-02-20 |
| 1861032443 | Alexandria Wehbe | Behavior Technician | 677 Cliffside Dr, San Dimas, CA 91773-2957 | 2020-01-10 |
| 1801436878 | Vincent The Phan | Behavior Technician | 677 Cliffside Dr, San Dimas, CA 91773-2957 | 2020-01-08 |
| 1902446883 | Summer Breese | Behavior Technician | 677 Cliffside Dr Ste 677, San Dimas, CA 91773-2957 | 2020-01-08 |
| 1902440332 | Jesse Perez | Behavior Technician | 677 Cliffside Dr # 677, San Dimas, CA 91773-2957 | 2019-10-29 |
| Find all providers in SAN DIMAS | ||||
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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.