JENNIFER-ROSE BACH (NPI# 1699316109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699316109 |
| Entity Type | Individual |
| Full Name | JENNIFER-ROSE BACH |
| Practice Address |
225 Broadhollow Rd Melville NY 11747-4822 |
| Mailing Address |
12 Gleaner Ln Levittown NY 11756-5108 |
| Practice Telephone | 5167613105 |
| Enumeration Date | 2019-10-05 |
| Last Update Date | 2019-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
225 BROADHOLLOW RD |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747-4822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154683928 | Katharina Satin | Early Intervention Provider Agency | 225 Broadhollow Rd, Melville, NY 11747-4822 | 2012-06-07 |
| 1588263719 | Laraine L Gorman | Behavior Technician | 225 Broadhollow Rd, Melville, NY 11747-4822 | 2020-10-19 |
| 1346854502 | Hannah Leigh Russell | Behavior Technician | 225 Broadhollow Rd, Melville, NY 11747-4822 | 2020-09-04 |
| 1306458617 | Tori Ditroia | Behavior Technician | 225 Broadhollow Rd, Melville, NY 11747-4822 | 2020-08-18 |
| 1932718012 | Waleed Elder | Behavioral Analyst | 225 Broadhollow Rd, Melville, NY 11747-4822 | 2020-07-24 |
| 1720613086 | Pablo David Castellon Rojas | Behavior Technician | 225 Broadhollow Rd, Melville, NY 11747-4822 | 2020-03-06 |
| 1033743950 | Maria Antonella Pellegrino | Behavior Technician | 225 Broadhollow Rd, Melville, NY 11747-4822 | 2020-02-29 |
| 1215575998 | Samantha C Oconnell | Behavior Technician | 225 Broadhollow Rd, Melville, NY 11747-4822 | 2019-12-13 |
| 1497399810 | Laurianne Lerandy | Behavioral Analyst | 225 Broadhollow Rd, Melville, NY 11747-4822 | 2019-10-29 |
| 1518513274 | Natasha Raghunauth-zaman | Behavior Technician | 225 Broadhollow Rd, Melville, NY 11747-4822 | 2019-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| Find all providers in zip 11747 | ||||
| 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 |
|---|---|---|---|---|
| 1255966438 | Christina Marie Valenti | Behavior Technician | 225 Broadhollow Rd Ste 40211747, Melville, NY 11747-4822 | 2020-03-07 |
| 1760025126 | Christina Middleton | Behavior Technician | 225 Broadhollow Rd Ste 2, Melville, NY 11747-4822 | 2019-10-17 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1497211668 | Samantha Sellick | Behavior Technician | 225 Broadhollow Rd Ste 102, Melville, NY 11747-4807 | 2019-02-13 |
| 1679041370 | Cassandra Leighann Mendoza | Behavior Technician | 225 Broadhollow Rd Ste 42, Melville, NY 11747-4822 | 2018-11-12 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1043793078 | Goucem Abrik | Behavior Technician | 225 Broadhollow Rd Ste 40, Melville, NY 11747-4822 | 2018-09-14 |
| 1306329172 | Sabrina Green | Behavior Technician | 225 Broadhollow Rd Ste Melville, Melville, NY 11747-4822 | 2018-09-07 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1952895435 | Komul Wadwa | Behavior Technician | 225 Broadhollow Rd Ste 204, Melville, NY 11747-4822 | 2018-06-19 |
| Find all providers in MELVILLE | ||||
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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.