DAMILOLA JEGEDE (NPI# 1619584083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619584083 |
| Entity Type | Individual |
| Full Name | DAMILOLA JEGEDE |
| Practice Address |
6200 Bury Dr Eden Prairie MN 55346-1718 |
| Mailing Address |
3417 65th Ave N Brooklyn Center MN 55429-2276 |
| Practice Telephone | 8668227464 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
6200 BURY DR |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55346-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528608874 | Maria Phelps | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346 | 2020-01-14 |
| 1538769450 | Harriet Hillemann | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346-1718 | 2020-10-29 |
| 1396350294 | Stephanie Galvin | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346-1718 | 2020-09-09 |
| 1437762150 | Munira Osman | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346-1718 | 2020-08-24 |
| 1790309599 | Gretchen Forster | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346-1718 | 2020-06-08 |
| 1184248635 | Hawa Omar | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346-1718 | 2020-06-01 |
| 1396368577 | Tessa Quintavalle | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346-1718 | 2020-05-22 |
| 1003439183 | Holly Johnson | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346-1718 | 2020-05-22 |
| 1225651557 | Stephanie Mcdonald | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346-1718 | 2020-05-20 |
| 1003437765 | Tracie Heacox | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346-1718 | 2020-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225447113 | Abby Johnson | Specialist/Technologist | 16550 W 78th Street, Suite B, Eden Prairie, MN 55346 | 2014-08-05 |
| 1891891438 | Celleration Inc | Durable Medical Equipment & Medical Supplies | 6321 Bury Drive Suite 15, Celleration, Inc, Eden Prairie, MN 55346 | 2006-09-14 |
| 1407863012 | Matthew Reece Meyer | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
| 1902859887 | Minnesota Medical Scanning Corporation | Radiology | 16570 West 78th Street, Ste 1, Eden Prairie, MN 55346 | 2006-05-19 |
| 1821098369 | Linda Eld | Nurse Practitioner | 16490 W 78th St, Eden Prairie, MN 55346 | 2005-07-27 |
| 1649761735 | Kevin Rodda | Optometrist | 16550 W 78th St Ste A, Eden Prairie, MN 55346 | 2018-05-23 |
| 1285641803 | Anthony August Pesola | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
| 1508873118 | Osberg Pesola Scamp Kaivo Dds Pa | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
| 1831106442 | James Charles Osberg | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
| 1225289796 | Julie Ann Wettstein | Counselor | 18971 Barrington Dr, Eden Prairie, MN 55346-1032 | 2008-10-02 |
| Find all providers in zip 55346 | ||||
| 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 |
|---|---|---|---|---|
| 1528608874 | Maria Phelps | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346 | 2020-01-14 |
| 1215343272 | Jeff Pionkowski | Behavioral Analyst | 8782 Hawthorne Dr, Eden Prairie, MN 55347-1714 | 2014-07-10 |
| 1538769450 | Harriet Hillemann | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346-1718 | 2020-10-29 |
| 1396350294 | Stephanie Galvin | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346-1718 | 2020-09-09 |
| 1437762150 | Munira Osman | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346-1718 | 2020-08-24 |
| 1790309599 | Gretchen Forster | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346-1718 | 2020-06-08 |
| 1184248635 | Hawa Omar | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346-1718 | 2020-06-01 |
| 1396368577 | Tessa Quintavalle | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346-1718 | 2020-05-22 |
| 1003439183 | Holly Johnson | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346-1718 | 2020-05-22 |
| 1225651557 | Stephanie Mcdonald | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346-1718 | 2020-05-20 |
| Find all providers in EDEN PRAIRIE | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55346 |
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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.