JEANINE CONRAD (NPI# 1831541762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831541762 |
| Entity Type | Individual |
| Full Name | JEANINE CONRAD |
| Practice Address |
7-17 Manor Ave Fair Lawn NJ 07410-1744 |
| Practice Telephone | 2012652549 |
| Mailing Telephone | 2012652549 |
| Enumeration Date | 2016-07-03 |
| Last Update Date | 2016-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | NJ | Behavioral Health & Social Service Providers |
| Street Address |
7-17 MANOR AVE |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| 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 |
|---|---|---|---|---|
| 1952940124 | James Grochowski | Behavioral Analyst | 18-03 Morlot Ave, Fair Lawn, NJ 07410-2183 | 2020-01-05 |
| 1558927657 | Jessica Cordova | Behavioral Analyst | 39-05 Wenonah Dr, Fair Lawn, NJ 07410-5424 | 2019-05-14 |
| 1063971554 | Laurie Barragan | Behavioral Analyst | 31-11 Broadway, Fair Lawn, NJ 07410-3951 | 2019-03-14 |
| 1538628003 | Holsman Children's Therapy Center LLC | Behavioral Analyst | 15-01 Broadway Ste 14c, Fair Lawn, NJ 07410-6018 | 2019-03-14 |
| 1952893182 | Raquel N Torres | Behavioral Analyst | 5-11 Saddle River Rd Ste 6, Fair Lawn, NJ 07410-5636 | 2018-06-04 |
| 1033623251 | Stephen Lockwood | Behavioral Analyst | 6 Hoitsma Ct, Fair Lawn, NJ 07410-2758 | 2017-11-27 |
| 1891206744 | Lisa Jane Mayo | Behavioral Analyst | 12-77 George St, Fair Lawn, NJ 07410-1833 | 2017-10-18 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1780073080 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 2-15 35th St, Fair Lawn, NJ 07410-4739 | 2015-01-10 |
| 1588953830 | Alexis Dworetzky | Behavioral Analyst | 8-49 Oak St, Fair Lawn, NJ 07410-1518 | 2011-04-06 |
| Find all providers in FAIR LAWN | ||||
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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.