MS. JILL LORI BASSO (NPI# 1811168172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811168172 |
| Entity Type | Individual |
| Full Name | MS. JILL LORI BASSO |
| Credential | MA BCBA |
| Practice Address |
1705 Medio St. Santa Fe NM 87501 |
| Practice Telephone | 5059866114 |
| Mailing Telephone | 5059866114 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | CERT#1-03-1109 B | Behavioral Health & Social Service Providers | |
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 225700000X | Massage Therapist | 6162 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 103K00000X | Behavioral Analyst | 1-03-1109 | NM | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4001 Office Court Dr, Santa Fe, NM 875074929 | 5053959611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235596206 | Jill Basso | Specialist | 11 Tower Rd, Hopewell Junction, NY 12533-7418 | 2016-01-21 |
| Street Address |
1705 MEDIO ST. |
| City | SANTA FE |
| State | NM |
| Zip Code | 87501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841775327 | Rasanjana Bhandari | Behavior Technician | 1505 Paseo De Conquistadora, Santa Fe, NM 87501 | 2018-10-01 |
| 1497102172 | New Mexico Neurodiagnostics, LLC | Clinic/Center | 150 Washington Ave., Ste. #201-220, Office 224, Santa Fe, NM 87501 | 2016-05-23 |
| 1831557891 | Jane Berger | Social Worker | 300 Griffin St Ste 213, Santa Fe, NM 87501 | 2016-02-05 |
| 1316325061 | Serenity Wellness Center of Santa Fe, LLC | Counselor | 343 E Palace Ave, Santa Fe, NM 87501 | 2015-05-14 |
| 1902209497 | Mdlive Medical Group Nm LLC | Counselor | 123 Marcy Street, Santa Fe, NM 87501 | 2014-09-29 |
| 1396154183 | Julie Price | Counselor | 1 Montoya Cir, Santa Fe, NM 87501 | 2014-08-06 |
| 1053609487 | Michael Shawn Haner | Acupuncturist | 909 Early St., Santa Fe, NM 87501 | 2011-07-19 |
| 1396045316 | Dana Moore | Counselor | 950 Canyon Rd., Santa Fe, NM 87501 | 2010-10-25 |
| 1720394232 | Susan Nelsen | Social Worker | 118 Huddleson St, Santa Fe, NM 87501 | 2010-08-20 |
| 1033434543 | Anthony R Moya | Social Worker | 501 Franklin Ave Ofc 6, Santa Fe, NM 87501 | 2010-03-29 |
| Find all providers in zip 87501 | ||||
| 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 |
|---|---|---|---|---|
| 1023648144 | Pauline I Vigil | Behavioral Analyst | 4001 Office Court Dr Ste 705, Santa Fe, NM 87507-4958 | 2020-01-16 |
| 1750948139 | Althea P Fleming | Behavioral Analyst | 4001 Office Court Dr # 705-707, Santa Fe, NM 87507-4929 | 2019-05-21 |
| 1790349710 | Samantha R Montoya | Behavioral Analyst | 64 Cochiti W, Santa Fe, NM 87508-8099 | 2019-04-25 |
| 1689135378 | Loretta Michele O'donnell | Behavioral Analyst | 6332 Entrada De Milagro Apt 1212, Santa Fe, NM 87507-1654 | 2019-03-26 |
| 1497226831 | Samantha Rohl | Behavioral Analyst | 1459 Zepol Rd Apt 109, Santa Fe, NM 87507-7144 | 2018-12-11 |
| 1386113389 | Bradley Laurence Hart | Behavioral Analyst | 929 Acequia Madre, Santa Fe, NM 87505-2885 | 2018-11-19 |
| 1972088847 | Vincent Foustino Vigil | Behavioral Analyst | 3938 Buffalo Grass Rd Ste 6, Santa Fe, NM 87507-3519 | 2018-09-26 |
| 1639684236 | Kelly Marie Clifford | Behavioral Analyst | 2730b Calle Anna Jean, Santa Fe, NM 87505-5205 | 2017-12-05 |
| 1841701885 | Ron Jarus | Behavioral Analyst | 3523 Camino Jalisco, Santa Fe, NM 87507-0407 | 2017-10-17 |
| 1063932374 | Sarah Maxwell | Behavioral Analyst | 720 Rosita St, Santa Fe, NM 87505 | 2017-06-27 |
| Find all providers in SANTA FE | ||||
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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.