JESSICA HAGEDORN (NPI# 1932725751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932725751 |
| Entity Type | Individual |
| Full Name | JESSICA HAGEDORN |
| Practice Address |
32 Brinkwood Rd Brookeville MD 20833-2303 |
| Practice Telephone | 2409387051 |
| Mailing Telephone | 2409387051 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619581642 | Jessica Anne Hagedorn | Case Manager/Care Coordinator | 3651 Bell Blvd, Bayside, NY 11361-2169 | 2020-09-08 |
| Street Address |
32 BRINKWOOD RD |
| City | BROOKEVILLE |
| State | MD |
| Zip Code | 20833-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790844272 | Karen Ann Near | Internal Medicine | 3300 Gregg Road, Brookeville, MD 20833 | 2006-12-08 |
| 1700397130 | Anil Baran Mukherjee | Internal Medicine | 21120 Georgia Ave, Brookeville, MD 20833-0136 | 2017-10-12 |
| 1891127445 | Tiera Chenault | Specialist/Technologist | 21515 Zion Rd, Brookeville, MD 20833-1009 | 2013-08-06 |
| 1629128392 | Diana Lee Bunday | Social Worker | 21221 Georgia Ave, Brookeville, MD 20833-1135 | 2007-01-12 |
| 1336363803 | Barry Stevan Raskin | Specialist | 22321 Flintridge Dr, Brookeville, MD 20833-1238 | 2007-04-13 |
| 1407181787 | Jill Robin Grodofsky | Speech-Language Pathologist | 21628 Gentry Ln, Brookeville, MD 20833-1813 | 2009-10-05 |
| 1649350109 | Jill Suzanne Fonda Allen | Genetic Counselor, MS | 21310 Ridgecroft Dr, Brookeville, MD 20833-1818 | 2006-10-17 |
| 1578171393 | Erinma LLC | Registered Nurse | 1812 Eagles Ridge Ct, Brookeville, MD 20833-1835 | 2020-07-17 |
| 1447868260 | Juliet Erinma Mbonu | Registered Nurse | 1812 Eagles Ridge Ct, Brookeville, MD 20833-1835 | 2020-07-17 |
| 1558616698 | William W Nyambi | Home Health Aide | 21504 New Hampshire Ave, Brookeville, MD 20833-1841 | 2012-07-15 |
| Find all providers in zip 20833 | ||||
| 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 |
|---|---|---|---|---|
| 1932616240 | Aislinn Cunningham | Behavior Technician | 19120 Holberton Ln, Brookeville, MD 20833-2634 | 2018-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1487254546 | Kenita Kayela Douglas | Behavior Technician | 8913 Matthews Ct, Laurel, MD 20708-2008 | 2020-10-28 |
| 1417556549 | Andrea Gadsby | Behavior Technician | 6225 Smith Ave Ste 100, Baltimore, MD 21209-3678 | 2020-10-20 |
| 1518565688 | Mark Schulze | Behavior Technician | 20620 Prathertown Rd., Gaithersburg, MD 20879 | 2020-10-12 |
| 1922605492 | Scott Miliman | Behavior Technician | 8207 Bendon Rd, Baltimore, MD 21208-1821 | 2020-10-07 |
| 1194322644 | Curtis Lee Knox | Behavior Technician | 31 Joyceton Way, Upper Marlboro, MD 20774-1442 | 2020-10-07 |
| 1649877176 | Mary Elizabeth Reznick | Behavior Technician | 352 Nicholson Rd, Baltimore, MD 21221-6608 | 2020-10-07 |
| 1750988283 | Nathaniel Carlton Fortier | Behavior Technician | 1203 Windemere Ave, Baltimore, MD 21218-3014 | 2020-10-07 |
| 1457958076 | Katherine Hughes | Behavior Technician | 727 W 40th St Apt 337, Baltimore, MD 21211-2341 | 2020-10-06 |
| 1477150159 | Leslie Bratcher-williams | Behavior Technician | 4402 28th Pl Apt 4, Mount Rainier, MD 20712-1539 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | BROOKEVILLE |
| Zip Code | 20833 |
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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.