MICHAEL JONATHAN PASSAGE (NPI# 1750762399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750762399 |
| Entity Type | Individual |
| Full Name | MICHAEL JONATHAN PASSAGE |
| Credential | BCBA |
| Practice Address |
246 W Upsal St A202 Philadelphia PA 19119-3264 |
| Practice Telephone | 8622021516 |
| Mailing Telephone | 8622021516 |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | BH002606 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBA | 1-14-16814 | 01 |
| Street Address |
246 W UPSAL ST A202 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19119-3264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710123641 | Robin Kanner | Physical Therapist | 246 W Upsal St, Apt A404, Philadelphia, PA 19119-3264 | 2008-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790342640 | A United Partnership | Case Management | 520 Glen Echo Road, Philadelphia, PA 19119 | 2019-05-28 |
| 1043787559 | Latasha Marie Forteau | Social Worker | 7047 Germantown Avenue, Suite 201, Philadelphia, PA 19119 | 2018-11-01 |
| 1730697608 | Lauren Archambault | Speech-Language Pathologist | 21 E Mt Pleasant Ave Apt 1 Front, Philadelphia, PA 19119 | 2018-01-13 |
| 1164940763 | Holly Sawyer | Counselor | 6703 Germantown Avenue Suite 200, Philadelphia, PA 19119 | 2017-09-03 |
| 1164958328 | Divine Light | Community/Behavioral Health | 25 Sharpnack Street, Philadelphia, PA 19119 | 2017-05-10 |
| 1043761281 | Carolyn Askin | Social Worker | 7500 Germantown Ave, New Covenant Campus, Elders Hall, Philadelphia, PA 19119 | 2016-10-24 |
| 1932582905 | Emeka Nwadiora | Social Worker | 7601 Germantown Ave Suite B, Philadelphia, PA 19119 | 2015-07-08 |
| 1114305760 | Marcelle Lynn Ancrum | Counselor | 7145 Germantown Avenue, Philadelphia, PA 19119 | 2015-05-15 |
| 1326431909 | Julie Greenberg | Marriage & Family Therapist | 6445 Greene St., B202, Phila, PA 19119 | 2015-03-06 |
| 1184053589 | Kaitlin Staples | Counselor | 7058 Germantown Avenue, Suite 204, Philadelphia, PA 19119 | 2013-11-06 |
| Find all providers in zip 19119 | ||||
| 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 |
|---|---|---|---|---|
| 1700486321 | Jasmin Jetie Tyree | Behavioral Analyst | 109 S 63rd St, Philadelphia, PA 19139-2929 | 2020-11-01 |
| 1659970192 | Songbird Health Pa LLC | Behavioral Analyst | 325 Chestnut St Ste 876, Philadelphia, PA 19106-2614 | 2020-10-24 |
| 1184223422 | Lauren Killion | Behavioral Analyst | 7626 Burholme Ave, Philadelphia, PA 19111-2411 | 2020-10-19 |
| 1407454622 | Sakeena Myrick | Behavioral Analyst | 2405 S Edgewood St, Philadelphia, PA 19142-3201 | 2020-10-09 |
| 1871102715 | Hassan Ayobami Adeyemo | Behavioral Analyst | 5041 F St Fl 2, Philadelphia, PA 19124-3501 | 2020-07-27 |
| 1477171882 | Kimberly Palmer | Behavioral Analyst | 6359 Gillespie St, Philadelphia, PA 19135-3222 | 2020-07-13 |
| 1396360459 | Shariffah Chuma Azzaam | Behavioral Analyst | 5862 N 6th St, Philadelphia, PA 19120-1303 | 2020-06-14 |
| 1760006795 | Bianca S Montalmont | Behavioral Analyst | 128 Widener St, Philadelphia, PA 19120-1935 | 2020-06-05 |
| 1528687092 | Pa Sprout Mc 1 LLC | Behavioral Analyst | 701 E Cathedral Rd Ste 45, Philadelphia, PA 19128-2128 | 2020-04-14 |
| 1518590587 | Natalie Sherese Simmons | Behavioral Analyst | 944 E Johnson St Apt 207b, Philadelphia, PA 19138-3207 | 2020-02-19 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19119 |
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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.