ELLEN MARIE BROOKS (NPI# 1689218836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689218836 |
| Entity Type | Individual |
| Full Name | ELLEN MARIE BROOKS |
| Credential | BCBA |
| Practice Address |
3482 Mcclure Ave West Lafayette IN 47906-4164 |
| Practice Telephone | 7658383547 |
| Mailing Telephone | 7658383547 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821263955 | Ellen Susan Brooks | Physical Therapist | 3703 W Lake Ave, Suite 200, Glenview, IL 60026-5823 | 2008-04-29 |
| 1427195205 | Ellen Freedman Brooks | Psychiatry & Neurology | 1000 White Horse Rd, Suite 704, Voorhees, NJ 08043-4406 | 2007-01-31 |
| 1619998796 | Ellen Hickson Brooks | Pediatrics | 1905 Blake Ave, Suite 201, Glenwood Springs, CO 81601-4288 | 2006-07-22 |
| Street Address |
3482 MCCLURE AVE |
| City | WEST LAFAYETTE |
| State | IN |
| Zip Code | 47906-4164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255529335 | Greater Lafayette Health Services | Clinic/Center | 3482 Mcclure Ave, West Lafayette, IN 47906 | 2007-10-15 |
| 1790309177 | Zayra J Castillo | Behavioral Analyst | 3482 Mcclure Ave, West Lafayette, IN 47906-4164 | 2020-06-02 |
| 1326672056 | Sophia Hufnagel | Behavioral Analyst | 3482 Mcclure Ave, West Lafayette, IN 47906-4164 | 2020-03-03 |
| 1578196838 | Ellen Thang | Behavioral Analyst | 3482 Mcclure Ave, West Lafayette, IN 47906-4164 | 2020-02-14 |
| 1376174029 | Yves Phillipe Sallade | Behavioral Analyst | 3482 Mcclure Ave, West Lafayette, IN 47906-4164 | 2020-01-31 |
| 1245874031 | Sarah Glenn | Behavioral Analyst | 3482 Mcclure Ave, West Lafayette, IN 47906-4164 | 2019-11-05 |
| 1568006708 | Kelcie Lewis | Behavioral Analyst | 3482 Mcclure Ave, West Lafayette, IN 47906-4164 | 2019-10-31 |
| 1174025092 | Kathryn Kintner | Behavioral Analyst | 3482 Mcclure Ave, West Lafayette, IN 47906-4164 | 2018-03-07 |
| 1710436944 | Madison Logan | Speech-Language Pathologist | 3482 Mcclure Ave, Suite 150, West Lafayette, IN 47906-4164 | 2016-09-29 |
| 1265981492 | Emily Gerth | Speech-Language Pathologist | 3482 Mcclure Ave, Suite 150, West Lafayette, IN 47906-4164 | 2016-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457990848 | Wickshire West Lafayette Opco LLC | Assisted Living Facility | 3575 Senior Place, West Lafayette, IN 47906 | 2020-01-02 |
| 1992290530 | Cameron Eldred | Specialist/Technologist | 3367 Edison Dr, West Lafayette, IN 47906 | 2018-06-26 |
| 1720593403 | Devin Kay Hall | Specialist/Technologist | 900 John R. Wooden Drive, West Lafayette, IN 47906 | 2017-12-04 |
| 1609398270 | Christian Floirendo | Specialist/Technologist | 2225 Willowbrook Dr, #207, West Lafayette, IN 47906 | 2017-07-14 |
| 1699176800 | Leslie Michell Pell | Registered Nurse | 1873 Kingeider Drive, West Lafayette, IN 47906 | 2014-09-07 |
| 1881007581 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2636 Us52 Sagamore Pkwy, West Lafayette, IN 47906 | 2014-06-10 |
| 1588089536 | Sarah Pierce | Pharmacist | 2636 Us 52, West Lafayette, IN 47906 | 2014-02-27 |
| 1811228240 | Angelica D. Kokkalis | Acupuncturist | 124 Westwood Dr., W. Lafayette, IN 47906 | 2010-01-25 |
| 1871784330 | Sally A Timmons LLC | Social Worker | 120 Sagamore Parkway West, West Lafayette, IN 47906 | 2007-08-08 |
| 1770793150 | Volker Karl Thomas | Marriage & Family Therapist | 2512 Covington Street, West Lafayette, IN 47906 | 2007-05-23 |
| Find all providers in zip 47906 | ||||
| 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 |
|---|---|---|---|---|
| 1871086595 | Tari J Markowski | Behavioral Analyst | 2555 Yeager Rd, West Lafayette, IN 47906-1335 | 2018-06-07 |
| 1255782314 | Alicia Pearson | Behavioral Analyst | 3482 Mcclure Ave Ste 150, West Lafayette, IN 47906-4165 | 2016-06-29 |
| 1982073342 | Jenna M Maxwell | Behavioral Analyst | 1639 E 800 N, West Lafayette, IN 47906-9007 | 2015-09-16 |
| 1790309177 | Zayra J Castillo | Behavioral Analyst | 3482 Mcclure Ave, West Lafayette, IN 47906-4164 | 2020-06-02 |
| 1326672056 | Sophia Hufnagel | Behavioral Analyst | 3482 Mcclure Ave, West Lafayette, IN 47906-4164 | 2020-03-03 |
| 1578196838 | Ellen Thang | Behavioral Analyst | 3482 Mcclure Ave, West Lafayette, IN 47906-4164 | 2020-02-14 |
| 1376174029 | Yves Phillipe Sallade | Behavioral Analyst | 3482 Mcclure Ave, West Lafayette, IN 47906-4164 | 2020-01-31 |
| 1245874031 | Sarah Glenn | Behavioral Analyst | 3482 Mcclure Ave, West Lafayette, IN 47906-4164 | 2019-11-05 |
| 1568006708 | Kelcie Lewis | Behavioral Analyst | 3482 Mcclure Ave, West Lafayette, IN 47906-4164 | 2019-10-31 |
| 1174025092 | Kathryn Kintner | Behavioral Analyst | 3482 Mcclure Ave, West Lafayette, IN 47906-4164 | 2018-03-07 |
| Find all providers in WEST LAFAYETTE | ||||
| City | WEST LAFAYETTE |
| Zip Code | 47906 |
Please comment or provide details below to improve the information on ELLEN MARIE BROOKS.
| 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.