Provider Demographics
NPI:1467337824
Name:HORNE, JIMMIE MARIE
Entity type:Individual
Prefix:
First Name:JIMMIE
Middle Name:MARIE
Last Name:HORNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 S DIXON RD
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-2997
Mailing Address - Country:US
Mailing Address - Phone:765-236-3630
Mailing Address - Fax:
Practice Address - Street 1:2900 S DIXON RD
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-2997
Practice Address - Country:US
Practice Address - Phone:765-236-3630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
INRBT-25-460334OtherBEHAVIOR ANALYST CERTIFICATION BOARD