MRS. JENNIFER LYNN FAGIN (NPI# 1760552244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760552244 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER LYNN FAGIN |
| Practice Address |
10541 Drummond Rd Philadelphia PA 19154-3807 |
| Mailing Address |
8637 Deer Ln Philadelphia PA 19136-2015 |
| Practice Telephone | 2152074647 |
| Mailing Telephone | 2156807886 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2016-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | BH000216 | PA | Behavioral Health & Social Service Providers |
| Street Address |
10541 DRUMMOND RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19154-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669090692 | Lauren Elise Wills | Behavioral Analyst | 10541 Drummond Rd, Philadelphia, PA 19154-3807 | 2020-07-07 |
| 1407310428 | Nelson Valentin Montanez | Behavioral Analyst | 10541 Drummond Rd, Philadelphia, PA 19154-3807 | 2019-01-23 |
| 1437622560 | Danielle Marie Doney | Assistant Behavior Analyst | 10541 Drummond Rd, Philadelphia, PA 19154-3807 | 2019-01-11 |
| 1861966939 | Brenna Strine | Assistant Behavior Analyst | 10541 Drummond Rd, Philadelphia, PA 19154-3807 | 2019-01-11 |
| 1992277099 | Aubrey Mcgovern | Assistant Behavior Analyst | 10541 Drummond Rd, Philadelphia, PA 19154-3807 | 2018-12-30 |
| 1508334806 | Emneris Domenech | Behavioral Analyst | 10541 Drummond Rd, Philadelphia, PA 19154-3807 | 2018-11-05 |
| 1275000200 | Salimata Konate | Behavioral Analyst | 10541 Drummond Rd, Philadelphia, PA 19154-3807 | 2018-10-29 |
| 1407323645 | Kaitlyn Ramsey | Social Worker | 10541 Drummond Rd, Philadelphia, PA 19154-3807 | 2018-10-25 |
| 1811471519 | Chelsea Erdmanis Greenspon | Psychologist | 10541 Drummond Rd, Philadelphia, PA 19154-3807 | 2018-09-18 |
| 1205317096 | Rebecca Lynn Fitzgerald | Social Worker | 10541 Drummond Rd, Philadelphia, PA 19154-3807 | 2018-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624547 | Philadelphia Mills Dental Center | Dentist | 1318 Franklin Mills Cir #807, Philadelphia, PA 19154 | 2019-11-27 |
| 1952944472 | Lilian Trinh | Occupational Therapist | 2701 Southhampton Rd, Philadelphia, PA 19154 | 2019-10-28 |
| 1861964009 | Margaret Folkes | Occupational Therapist | 2900 Southhampton Road, Philadelphia, PA 19154 | 2018-12-28 |
| 1093231227 | Jeffrey Coulter | Counselor | 11732 Denman Road, Philadelphia, PA 19154 | 2017-08-18 |
| 1518358860 | Davida Godett | Community Health Worker | 12575 Chilton Rd, Phila, PA 19154 | 2015-02-09 |
| 1780962647 | Advanced Urgent Care of Franklin Market LLC | Family Medicine | 189 Franklin Mills Blvd, Philadelphia, PA 19154 | 2011-07-26 |
| 1639329675 | Hashaam Shahid | Technician/Technologist | 1706 Franklin Mills Circle, Eye Wise, Philadelphia, PA 19154 | 2008-09-26 |
| 1902077902 | Kathleen O'toole Rayca | Speech-Language Pathologist | 10913 Kipling Lane, Philadelphia, PA 19154 | 2008-03-18 |
| 1144303603 | Patricia Lillian Green | Counselor | 10360 Drummond Road, Philadelphia Center Human Development, Philadelphia, PA 19154 | 2006-10-20 |
| 1760589113 | Sam's Club Optical | Technician/Technologist | 1000 Franklin Mills Circle, Philadelphia, PA 19154 | 2006-09-20 |
| Find all providers in zip 19154 | ||||
| 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 | 19154 |
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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.