RITA MARIE DONOGHUE (NPI# 1760731475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760731475 |
| Entity Type | Individual |
| Full Name | RITA MARIE DONOGHUE |
| Credential | MS |
| Practice Address |
625 N Union St Kokomo IN 46901-2907 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 7652520530 |
| Practice Fax Number | 7654549759 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 7654549759 |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2018-05-02 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BCBA | 1-15-18803 | 01 |
| Street Address |
625 N UNION ST |
| City | KOKOMO |
| State | IN |
| Zip Code | 46901-2907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104849322 | Robert Maynard Kurtz | Speech-Language Pathologist | 625 N Union St, Kokomo, IN 46901-2907 | 2006-07-26 |
| 1073049185 | Meghan Abigail Rice | Behavioral Analyst | 625 N Union St, Kokomo, IN 46901-2907 | 2017-05-10 |
| 1609302736 | Sarah Lynnae Mcclary | Behavioral Analyst | 625 N Union St, Kokomo, IN 46901-2907 | 2017-05-10 |
| 1346648011 | Jessica Kelly | Speech-Language Pathologist | 625 N Union St, Kokomo, IN 46901-2907 | 2014-12-12 |
| 1396189163 | Jennifer Sauder | Occupational Therapist | 625 N Union St, Kokomo, IN 46901-2907 | 2013-04-24 |
| 1538443858 | Nicole Edmonds | Physical Therapist | 625 N Union St, Kokomo, IN 46901-2907 | 2011-10-05 |
| 1912160201 | Nancy R Smith | Speech-Language Pathologist | 625 N Union St, Kokomo, IN 46901-2907 | 2008-07-07 |
| 1053446898 | Elizabeth M Callane | Speech-Language Pathologist | 625 N Union St, Kokomo, IN 46901-2907 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607597 | Momentum Kokomo, LLC | Substance Abuse Rehabilitation Facility | 1236 N. Wabash Ave, Kokomo, IN 46901 | 2020-10-23 |
| 1457826869 | Jodi Gayle Lake | Developmental Therapist | 2523 Lorentson Ct, Kokomo, IN 46901 | 2018-10-11 |
| 1871088369 | Hope Behavioral Servies, LLC | Behavioral Analyst | 924 Clark St, Kokomo, IN 46901 | 2018-06-27 |
| 1255782306 | Forefront Dermatology, S.c. | Dermatology | 2130 W Sycamore St Ste 200, Kokomo, IN 46901 | 2016-06-29 |
| 1164860706 | Renee Michelle Brown | Registered Nurse | 2776 Amberwood Place, Kokomo, IN 46901 | 2013-06-05 |
| 1063642916 | Michelle K Rush | Speech-Language Pathologist | 2532 Lauren Ln, Kokomo, IN 46901 | 2009-07-24 |
| 1396957189 | Lifetime Dental Care of In, PC | Dentist | 927 S Washington St, Kokomo, IN 46901 | 2007-05-04 |
| 1245458355 | Wagoner Medical Center, LLC | Internal Medicine | 2016 W Sycamore, Kokomo, IN 46901 | 2007-04-23 |
| 1053442723 | Jesusa Salhieh | Contractor | Genesis Rehab Bloom, Kokomo, IN 46901 | 2007-03-07 |
| 1740382928 | Donald A Fantuzzo Dds PC | Dentist | 2196 W Sycamore St, Kokomo, IN 46901 | 2006-09-01 |
| Find all providers in zip 46901 | ||||
| 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 |
|---|---|---|---|---|
| 1871088369 | Hope Behavioral Servies, LLC | Behavioral Analyst | 924 Clark St, Kokomo, IN 46901 | 2018-06-27 |
| 1033669262 | Meghan Bramstedt | Behavioral Analyst | 6525 N. Union Street, Kokomo, IN 46901-2907 | 2016-10-12 |
| 1477836583 | Beverly Jean Forrey | Behavioral Analyst | 3821 Red Bud Ln, Kokomo, IN 46902-4382 | 2011-09-25 |
| 1477863520 | Autism Brain Alternatives, Inc | Behavioral Analyst | 614 E Boulevard, Kokomo, IN 46902-2271 | 2010-10-07 |
| 1134240260 | Jennifer L Korreckt | Behavioral Analyst | 625 N. Union St, Kokomo, IN 46901-2907 | 2007-04-03 |
| 1336740869 | Madison Nicole Weimer | Behavioral Analyst | 125 W Taylor St, Kokomo, IN 46901-4554 | 2020-11-02 |
| 1730705492 | Karlie Gabriel | Behavioral Analyst | 125 W Taylor St, Kokomo, IN 46901-4554 | 2020-06-18 |
| 1760007363 | Kari Michelle Fisher | Behavioral Analyst | 1558 E Boulevard Ste A, Kokomo, IN 46902-2479 | 2020-06-10 |
| 1487285862 | Kristen Kaye Johnson | Behavioral Analyst | 125 W Taylor St, Kokomo, IN 46901-4554 | 2020-02-04 |
| 1700416732 | Brent Nelson Justice | Behavioral Analyst | 1558 E Boulevard Ste A, Kokomo, IN 46902-2479 | 2020-01-17 |
| Find all providers in KOKOMO | ||||
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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.