MRS. SOKHORN JERDAN (NPI# 1760778690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760778690 |
| Entity Type | Individual |
| Full Name | MRS. SOKHORN JERDAN |
| Credential | BCBA |
| Practice Address |
64h Concord St Wilmington MA 01887-2179 |
| Practice Telephone | 7813335310 |
| Practice Fax Number | 3392276968 |
| Mailing Telephone | 7813335310 |
| Mailing Fax Number | 3392276968 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2019-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 2596 | MA | Behavioral Health & Social Service Providers |
| Street Address |
64H CONCORD ST |
| City | WILMINGTON |
| State | MA |
| Zip Code | 01887-2179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720584 | Deymarie Mora-rivera | Behavior Technician | 64h Concord St, Wilmington, MA 01887-2179 | 2020-11-03 |
| 1265033864 | Lessita Louis | Behavior Technician | 64h Concord St, Wilmington, MA 01887-2179 | 2020-11-02 |
| 1508467101 | Donal Ouellet | Behavior Technician | 64h Concord St, Wilmington, MA 01887-2179 | 2020-11-02 |
| 1730780347 | Gilliannie Infante | Behavior Technician | 64h Concord St, Wilmington, MA 01887-2179 | 2020-11-02 |
| 1467051037 | Shane Cooney | Behavior Technician | 64h Concord St, Wilmington, MA 01887-2179 | 2020-10-23 |
| 1427657097 | Rebekah Owsiak | Behavior Technician | 64h Concord St, Wilmington, MA 01887-2179 | 2020-10-23 |
| 1093312688 | Hayley Cooper | Behavior Technician | 64h Concord St, Wilmington, MA 01887-2179 | 2020-10-06 |
| 1427655018 | Shania Bigler | Behavior Technician | 64h Concord St, Wilmington, MA 01887-2179 | 2020-10-06 |
| 1952908550 | Liza Pacheco | Behavior Technician | 64h Concord St, Wilmington, MA 01887-2179 | 2020-10-06 |
| 1770180374 | Leah Poirier | Behavior Technician | 64h Concord St, Wilmington, MA 01887-2179 | 2020-10-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396208039 | Wilmington Rehab Center LLC | Skilled Nursing Facility | 90 West Street, Wilmington, MA 01887 | 2019-04-10 |
| 1912444159 | Myriam Mercedes Claudio Moser | Physical Therapist | 230 Lowell Street, Suite 2d, Wilmington, MA 01887 | 2017-01-26 |
| 1831430842 | Maribeth Crupi Physical Therpay LLC | Clinic/Center | 10 Elizabeth Drive, Wilmington, MA 01887 | 2013-03-15 |
| 1497027643 | Kristie Demirev | Social Worker | 113 West St, Wilmington, MA 01887 | 2012-02-03 |
| 1780828434 | Dental Care of Wilmington, LLC | Dentist | 66 Unit T Concord St, Wilmington, MA 01887 | 2009-04-25 |
| 1316191844 | Rem Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 187 Ballardvale Street, Suite 202, Wilmington, MA 01887 | 2008-11-11 |
| 1982894622 | Angie Faith Brenner | Social Worker | 5 Middlesex Ave., Suite 11, Wilmington, MA 01887 | 2007-07-30 |
| 1093847345 | Deborah Ann Edgerly | Dentist | 388 Rear Main Street, Wilmington, MA 01887 | 2007-03-12 |
| 1033240817 | Wilminton Public Schools | Local Education Agency (LEA) | 161 Church St., Wilmington, MA 01887 | 2007-03-07 |
| 1013046176 | Occupational Health Centers of The Southwest, P.a., Co. | Clinic/Center | 66b Concord St., Wilmington, MA 01887 | 2007-03-05 |
| Find all providers in zip 01887 | ||||
| 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 |
|---|---|---|---|---|
| 1235746850 | Victoria Marie Hetrick | Behavioral Analyst | 1601 Milltown Rd Ste 11, Wilmington, DE 19808-4084 | 2020-09-28 |
| 1043859721 | Alexa Debenedictis | Behavioral Analyst | 155 West St, Wilmington, MA 01887-6009 | 2019-12-30 |
| 1902452972 | Caren Sabol | Behavioral Analyst | 4860 Weatherhill Dr, Wilmington, DE 19808-4377 | 2019-08-14 |
| 1316591704 | Keara Maccorkle | Behavioral Analyst | 12 Cedarcrest Rd, Wilmington, MA 01887-4006 | 2019-07-24 |
| 1215499983 | Juanita Castro | Behavioral Analyst | 725 W E St, Wilmington, CA 90744-5319 | 2019-04-02 |
| 1730653643 | Erika Moniz Ramalho | Behavioral Analyst | 155 West St Ste 7, Wilmington, MA 01887-6010 | 2019-01-14 |
| 1255877502 | Josephine De La Cruz | Behavioral Analyst | 1233 N Neptune Ave, Wilmington, CA 90744-3134 | 2017-01-10 |
| 1689121402 | Rachel Brown | Behavioral Analyst | 60 Concord St Ste I, Wilmington, MA 01887-2179 | 2016-09-09 |
| 1205290566 | Kathleen Welsh | Behavioral Analyst | 210 Bellefonte, Wilmington, DE 19809 | 2016-04-12 |
| 1376910729 | Behavioral Consulting for Autism, LLC | Behavioral Analyst | 4039 Masonboro Loop Rd, Suite 1-0, Wilmington, NC 28409-3683 | 2015-09-01 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 01887 |
Please comment or provide details below to improve the information on MRS. SOKHORN JERDAN.
| 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.