JENNIFER JEAN HOLMAN (NPI# 1639602022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639602022 |
| Entity Type | Individual |
| Full Name | JENNIFER JEAN HOLMAN |
| Credential | MED, BCBA |
| Practice Address |
971 N Gilbert Rd Ste 101 Gilbert AZ 85234-3472 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 4805598089 |
| Practice Fax Number | 3175208200 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 3175208200 |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | BEH-000282 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBA CERTIFICATE | 1-17-25475 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629594635 | Jennifer Rose Holman | Specialist/Technologist | 376 Hale St # 1077, Beverly, MA 01915-2096 | 2017-08-21 |
| 1982915179 | Jennifer Lee Nash Holman | Pediatrics | Wfsm Department of Pediatrics, Medical Center Boulevard, Winston Salem, NC 27157-1081 | 2010-06-23 |
| 1417069782 | Jennifer Rachelle Holman | Dietitian, Registered | 408 S Cherry St, Sallisaw, OK 74955-6602 | 2006-08-31 |
| 1710596358 | Jennifer Holman | Registered Nurse | 1938 Soule Rd, Clearwater, FL 33759-1507 | 2020-07-29 |
| 1053954560 | Jennifer Holman | Dietitian, Registered | 3100 Douglas Blvd Ste 204, Roseville, CA 95661-3868 | 2019-10-28 |
| 1255893319 | Jennifer Luellen Holman | Counselor | 9401 Southwest Fwy, Houston, TX 77074-1407 | 2019-04-05 |
| 1194241752 | Jennifer Holman | Psychologist | 2411 Pathways Xing, Belleville, IL 62221-5885 | 2017-08-16 |
| 1942676663 | Jennifer Chaquinga Holman | Physician Assistant | 795 E 2nd St Ste 5, Pomona, CA 91766-2007 | 2015-08-17 |
| 1326458126 | Jennifer Diane Holman | Pharmacist | 2990 N Wayne St, Angola, IN 46703-9121 | 2014-05-01 |
| 1447354626 | Jennifer Dykes Holman | Dermatology | 1367 Dominion Plz, Tyler, TX 75703-1013 | 2006-09-11 |
| Street Address |
971 N GILBERT RD STE 101 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-3472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918823 | Caleb Eugene Thrall | Behavior Technician | 971 N Gilbert Rd Ste 101, Gilbert, AZ 85234-3472 | 2020-09-25 |
| 1740805704 | Lashae Janelle Holmes | Behavioral Analyst | 971 N Gilbert Rd Ste 101, Gilbert, AZ 85234-3472 | 2020-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| 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 |
|---|---|---|---|---|
| 1215559810 | Elite Community Services, LLC | Behavioral Analyst | 3651 E Baseline Rd Ste E-222, Gilbert, AZ 85234-2689 | 2020-05-18 |
| 1821651639 | Castlehill Consulting, LLC | Behavioral Analyst | 1835 E Appaloosa Rd, Gilbert, AZ 85296-3203 | 2019-04-17 |
| 1417429598 | Doris Naana Asare | Behavioral Analyst | 3134 S Market St Apt 1077, Gilbert, AZ 85295-1334 | 2018-12-29 |
| 1083103923 | James Noga | Behavioral Analyst | 2730 S Val Vista Dr Bldg 4, Gilbert, AZ 85295-1675 | 2018-05-07 |
| 1104324201 | Allison Dillon | Behavioral Analyst | 1480 E Pecos Rd Apt 3088, Gilbert, AZ 85295-1849 | 2018-01-24 |
| 1093226318 | Cori Erin Law | Behavioral Analyst | 1769 S Pheasant Dr, Gilbert, AZ 85295-7714 | 2017-10-12 |
| 1124561121 | Brielle Elena Grotenhuis | Behavioral Analyst | 245 E Sheffield Ct, Gilbert, AZ 85296-4050 | 2016-11-22 |
| 1265980536 | Shauna L. Robertson | Behavioral Analyst | 82 W Ray Rd, # 104, Gilbert, AZ 85233-8537 | 2016-09-15 |
| 1992170047 | Jennifer Roxanne Vasquez | Behavioral Analyst | 971 N Gilbert Rd # 101, Gilbert, AZ 85234-3472 | 2015-12-01 |
| 1497130900 | Tajh Westbrook | Behavioral Analyst | 126 S La Arboleta St, Gilbert, AZ 85296-1129 | 2015-07-26 |
| Find all providers in GILBERT | ||||
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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.