JENNIFER GALLO (NPI# 1861035099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861035099 |
| Entity Type | Individual |
| Full Name | JENNIFER GALLO |
| Practice Address |
1033 Larchwood Rd Mansfield OH 44907-2424 |
| Mailing Address |
729 Hampton Dr Mansfield OH 44907-1807 |
| Practice Telephone | 4197474126 |
| Mailing Telephone | 4196121760 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 10600000X | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790101061 | Jennifer Gallo | Occupational Therapist | 2218 E 60th Pl, Brooklyn, NY 11234-6404 | 2014-03-11 |
| 1871800276 | Jennifer Gallo | Speech-Language Pathologist | 8 43rd St, Centereach, NY 11720-2325 | 2010-09-07 |
| 1811174733 | Jennifer Lynn Gallo | Licensed Practical Nurse | 36 Morning Dr, Centereach, NY 11720-2317 | 2008-01-22 |
| 1750584660 | Jennifer Carmela Gallo | Social Worker | 166 Old Brookfield Rd Unit 1-4, Danbury, CT 06811-4030 | 2007-06-07 |
| 1912905290 | Jennifer L. Gallo | Optometrist | 900 Pine Island Road, Cape Coral, FL 33991 | 2005-07-12 |
| 1104382944 | Jennifer Gallo | Occupational Therapist | 484 Main St Ste 600, Worcester, MA 01608-1881 | 2019-02-18 |
| 1316487416 | Jennifer Gallo | Clinical Neuropsychologist | 245 N 15th St, Room 8101, Philadelphia, PA 19102-1101 | 2017-03-08 |
| 1275664559 | Jennifer Lee Gallo | Physical Therapist | 30 S Main St, Poland, OH 44514-1914 | 2007-03-08 |
| 1922076843 | Jennifer M. Gallo | Physician Assistant | 100 N Academy Ave, Danville, PA 17822-2170 | 2006-03-08 |
| Street Address |
1033 LARCHWOOD RD |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44907-2424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275848707 | The Silver Lining Group Morrow Co LLC | Case Management | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2010-08-09 |
| 1659978807 | Kaleb James Armstrong | Behavior Technician | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2020-10-01 |
| 1508479981 | Jessica Greer | Assistant Behavior Analyst | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2020-08-26 |
| 1750993242 | Darby Elise Delong | Behavior Technician | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2020-08-18 |
| 1790395895 | Autumn Robin Mcgarvey | Behavior Technician | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2020-08-04 |
| 1225646557 | Brooklynn Renee Whisler | Behavior Technician | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2020-07-22 |
| 1740815372 | Erica Lyn Phillips | Behavior Technician | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2020-03-04 |
| 1902431547 | Gavin Raymond Anable | Behavior Technician | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2020-03-04 |
| 1285269811 | Hannah Hope Lozier | Behavior Technician | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2020-03-04 |
| 1497380034 | D Jla Johnson | Behavior Technician | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2020-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
| 1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
| 1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
| 1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
| 1528533320 | Ohio Treatment Center, LLC | Clinic/Center | 475 Lexington Ave., Mansfield, OH 44907 | 2018-10-08 |
| 1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
| 1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
| 1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
| 1427321579 | Tara Kightlinger | Community Health Worker | 442 Brenda Dr, Mansfield, OH 44907 | 2012-02-21 |
| 1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
| Find all providers in zip 44907 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497371124 | Sarah Copenhaver | Behavior Technician | 11 N Main St Apt 3, Mansfield, MA 02048-2389 | 2020-06-18 |
| 1700425014 | Ralph Barnal Facio Jr. | Behavior Technician | 1033 Larchwood Rd # Thes, Mansfield, OH 44907-2424 | 2020-01-03 |
| 1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
| 1730730177 | Michelle D Thompson | Behavior Technician | 703 Scholl Rd., Mansfield, OH 44907-1571 | 2019-09-26 |
| 1952957128 | Tremarous Cobb | Behavior Technician | 447 Burns St, Mansfield, OH 44903-1005 | 2019-08-14 |
| 1396307773 | Angela M Hale | Behavior Technician | 95 E 1st St, Mansfield, OH 44902-2088 | 2019-07-05 |
| 1902469174 | Caitlyn Ashton Loveland | Behavior Technician | 1754 Richard Dr, Mansfield, OH 44905-1853 | 2019-04-15 |
| 1720546674 | Daigeana Marie Buck | Behavior Technician | 135 E Cook Rd Apt H10, Mansfield, OH 44907-2580 | 2019-03-11 |
| 1427547678 | Kandi Lea Moore | Behavior Technician | 775 Lexington Ave Ste M, Mansfield, OH 44907-1906 | 2018-05-03 |
| 1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
| Find all providers in MANSFIELD | ||||
Please comment or provide details below to improve the information on JENNIFER GALLO.
| 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.