MS. LEIGH KAROLE GRANNAN


Address: 625 Wham Dr - Mailcode 6607, Center for Autism Spectrum Disorders, Carbondale, IL 62901-4313
Phone: 6184537168

MS. LEIGH KAROLE GRANNAN (NPI# 1861512501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861512501
Entity Type Individual
Full Name MS. LEIGH KAROLE GRANNAN
Credential M.S., BCBA
Practice Address 625 Wham Dr - Mailcode 6607
Center for Autism Spectrum Disorders
Carbondale
IL 62901-4313
Mailing Address 60 Jaros Ln
Apt F
Makanda
IL 62958-2154
Practice Telephone 6184537168
Mailing Telephone 6189678859
Enumeration Date 2007-03-29
Last Update Date 2012-11-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 171000000X Military Health Care Provider Other Service Providers
Y 103K00000X Behavioral Analyst 1-04-1782 Behavioral Health & Social Service Providers

Office Location

Street Address 625 WHAM DR - MAILCODE 6607
CENTER FOR AUTISM SPECTRUM DISORDERS
City CARBONDALE
State IL
Zip Code 62901-4313

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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

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1619449733 Jeffrey Steinberg Behavioral Analyst 38 N Scott St, Carbondale, PA 18407-1888 2018-12-31
1457822207 Desma Elizabeth Manigault-mcelveen Behavioral Analyst 145 Apple Orchard Rd, Carbondale, IL 62903-7673 2018-12-05
1619447042 Alexis Drane Behavioral Analyst 818 Industry Pl, Carbondale, CO 81623 2018-11-28
1235627654 Brandy S Smith Behavioral Analyst 136 Premier Ln, Carbondale, IL 62902-4101 2018-05-01
1336667435 Brenda Rivera Behavioral Analyst 278 Garfield Ave, Carbondale, CO 81623-2133 2017-09-08
1649797895 Jordan Belisle Behavioral Analyst 747 E Park St Apt K, Carbondale, IL 62901-3874 2017-08-28
1821519463 Michael Pittinaro Behavioral Analyst 818 Industry Place, Carbondale, CO 81623-2508 2017-07-05
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Competitor

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City CARBONDALE
Zip Code 62901

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Dataset Information

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.

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