KANGAROO JOURNEYS LLC NPI 1003418435

Behavior Analyst in Westerville, OH

NPI 1003418435 Organization Behavior Analyst

About KANGAROO JOURNEYS LLC

Kangaroo Journeys Llc is a provider established in Westerville, Ohio specializing in behavior analyst. The NPI number of Kangaroo Journeys Llc is 1003418435 and was assigned on November 2020. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Kangaroo Journeys Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ms. Cara Elizabeth Jared (Clinical Director)

NPI

1003418435

Provider NameKANGAROO JOURNEYS LLC
Provider Location Address859 FORTUNEGATE DR WESTERVILLE, OH 43081
Provider Mailing Address859 FORTUNEGATE DR WESTERVILLE, OH 43081
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-10-2020
Last Update Date11-10-2020


Primary Taxonomy

Taxonomy Code103K00000X
ClassificationBehavior Analyst
TypeBehavioral Health & Social Service Providers
Taxonomy DescriptionA 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.

Business Address

KANGAROO JOURNEYS LLC
859 FORTUNEGATE DR
WESTERVILLE, OH
ZIP 43081
Phone: (614) 404-8686

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Mailing Address

KANGAROO JOURNEYS LLC
859 FORTUNEGATE DR
WESTERVILLE, OH
ZIP 43081
Phone: (614) 404-8686



Authorized Official

Authorized Official NameMS. CARA ELIZABETH JARED
Authorized Official TitleCLINICAL DIRECTOR
Authorized Official Phone(614) 404-8686

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1952670739OTHER (01)

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952670739 CARA JARED
Individual
Behavior Analyst859 FORTUNEGATE DR
WESTERVILLE, OH 43081
(614) 404-8686

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.