KENNETH WEADICK (NPI# 1588198428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588198428 |
| Entity Type | Individual |
| Full Name | KENNETH WEADICK |
| Credential | BCBA |
| Practice Address |
360 Polk St Greenwood IN 46143-1623 |
| Practice Telephone | 3178881557 |
| Practice Fax Number | 3178881571 |
| Mailing Telephone | 3178881557 |
| Mailing Fax Number | 3178881571 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1073710 | IN | Behavioral Health & Social Service Providers |
| Street Address |
360 POLK ST |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588960256 | Jennifer Anne Johnston | Behavioral Analyst | 360 Polk St, Greenwood, IN 46143-1623 | 2011-01-28 |
| 1700493095 | Kate Ellen Trachtman | Behavioral Analyst | 360 Polk St, Greenwood, IN 46143-1623 | 2020-09-30 |
| 1467087908 | Molly Katherine Wert | Behavioral Analyst | 360 Polk St, Greenwood, IN 46143-1623 | 2020-03-05 |
| 1396385597 | Mary Dant | Behavioral Analyst | 360 Polk St, Greenwood, IN 46143-1623 | 2020-01-15 |
| 1609410026 | Charlotte Marie Williamson | Behavioral Analyst | 360 Polk St, Greenwood, IN 46143-1623 | 2019-10-29 |
| 1457995870 | Victoria Anne Oliver | Behavioral Analyst | 360 Polk St, Greenwood, IN 46143-1623 | 2019-10-29 |
| 1205315041 | Kayla Unkrich | Speech-Language Pathologist | 360 Polk St, Greenwood, IN 46143-1623 | 2018-08-13 |
| 1780176560 | Erica Ann Bushnell | Behavioral Analyst | 360 Polk St, Greenwood, IN 46143-1623 | 2018-06-06 |
| 1891147252 | Mallory Danielle Kingrey | Behavioral Analyst | 360 Polk St, Greenwood, IN 46143-1623 | 2016-07-11 |
| 1376994400 | Jennifer Davy | Behavioral Analyst | 360 Polk St, Greenwood, IN 46143-1623 | 2016-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
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| 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 |
|---|---|---|---|---|
| 1427516269 | Jocelin Kampman | Behavioral Analyst | 965 Emerson Pkwy # H-1, Greenwood, IN 46143-6273 | 2019-03-12 |
| 1003383183 | Together Behavior Solutions, Inc. | Behavioral Analyst | 3150 Greenwood Rd, Greenwood, CA 95635-9213 | 2018-10-26 |
| 1184107815 | Elle E Scanlan | Behavioral Analyst | 2 N Madison Ave, Greenwood, IN 46142-3565 | 2018-09-10 |
| 1790279537 | Megan Marie Prickel | Behavioral Analyst | 380 Polk St, Greenwood, IN 46143-1623 | 2018-06-15 |
| 1265958953 | Jennifer Derocher | Behavioral Analyst | 374 Meridian Parke Ln, Greenwood, IN 46142-9406 | 2017-08-15 |
| 1245782200 | Andi Mills | Behavioral Analyst | 210a Birchtree Dr, Greenwood, SC 29649-1502 | 2016-10-25 |
| 1285099473 | Derrick Johnson | Behavioral Analyst | 5725 Palma Ln, Greenwood, FL 32443-2421 | 2015-12-15 |
| 1831517069 | Whitney Strange | Behavioral Analyst | 432 S Emerson Ave, Suite 320, Greenwood, IN 46143 | 2014-04-04 |
| 1215360045 | Matthew Loren Temple | Behavioral Analyst | 21 South Park Boulevard, Suite 21, Greenwood, IN 46143-8838 | 2013-08-15 |
| 1396085692 | Ian D Mcgarvey | Behavioral Analyst | 965 Emerson Pkwy # H1, Greenwood, IN 46143-6273 | 2013-02-22 |
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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.