JACQUELINE BURKETT (NPI# 1003377904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003377904 |
| Entity Type | Individual |
| Full Name | JACQUELINE BURKETT |
| Practice Address |
2733 Quarry Heights Way Baltimore MD 21209-1080 |
| Practice Telephone | 4433861882 |
| Practice Fax Number | 8153018671 |
| Mailing Telephone | 4433861882 |
| Mailing Fax Number | 8153018671 |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |
| 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 |
| Street Address |
2733 QUARRY HEIGHTS WAY |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21209-1080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821472523 | Erin Stern | Behavioral Analyst | 2733 Quarry Heights Way, Baltimore, MD 21209-1080 | 2015-07-13 |
| 1831650738 | Janice Hernandez | Behavioral Analyst | 2733 Quarry Heights Way, Baltimore, MD 21209-1080 | 2019-03-26 |
| 1568923464 | Lauren Christie | Behavior Technician | 2733 Quarry Heights Way, Baltimore, MD 21209-1080 | 2019-03-26 |
| 1912468810 | Hailey Bulman | Behavior Technician | 2733 Quarry Heights Way, Baltimore, MD 21209-1080 | 2019-03-26 |
| 1841750817 | Courtney Tompakov | Behavioral Analyst | 2733 Quarry Heights Way, Baltimore, MD 21209-1080 | 2019-03-25 |
| 1467929141 | Julia Demino | Behavioral Analyst | 2733 Quarry Heights Way, Baltimore, MD 21209-1080 | 2018-10-31 |
| 1396225843 | Shannon A Wilson | Behavior Technician | 2733 Quarry Heights Way, Baltimore, MD 21209-1080 | 2018-08-15 |
| 1588144026 | Joseph Renneberg | Behavioral Analyst | 2733 Quarry Heights Way, Baltimore, MD 21209-1080 | 2018-08-15 |
| 1023598596 | Rebecca Murphy | Behavior Technician | 2733 Quarry Heights Way, Baltimore, MD 21209-1080 | 2018-08-15 |
| 1104315027 | Jessica Coury | Behavior Technician | 2733 Quarry Heights Way, Baltimore, MD 21209-1080 | 2018-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996239 | Esther Deena Kahn | Occupational Therapist | 2325 Blackberry Rd, Baltimore, MD 21209 | 2020-06-10 |
| 1356988059 | Bunny's Home Care, LLC | Home Health Aide | 1340 Smith Avenue, Baltimore, MD 21209 | 2019-12-02 |
| 1982241626 | Mary Della-davis | Technician, Other | 1621 Sulgrave Ave, Attn: Village Electrolysis, Baltimore, MD 21209 | 2019-12-02 |
| 1982161246 | Sylvia Stewart Powell | Social Worker | 4600 Falls Road, Baltimore, MD 21209 | 2019-02-22 |
| 1811452279 | Honeyb Wellness | Counselor | 4639 Falls Rd, Baltimore, MD 21209 | 2019-02-09 |
| 1417448861 | Ting-jia Rosalinda Huang Lorigiano | Student in an Organized Health Care Education/Training Program | 581 Smith Avenue, Suite 210, Baltimore, MD 21209 | 2018-05-22 |
| 1427546126 | Lea Jane Selitsky | Student in an Organized Health Care Education/Training Program | The Johns Hopkins Hospital Medical Staff Administration, 581 Smith Avenue, Suite 210, Baltimore, MD 21209 | 2018-04-27 |
| 1508362609 | Total Women's Health of Baltimore,pa | Obstetrics & Gynecology | 6080 Falls Rd Ste 204, Baltimore, MD 21209 | 2018-04-05 |
| 1083118418 | Jerome N Beck | Speech-Language Pathologist | 5710 Newbury St., Baltimore, MD 21209 | 2018-03-21 |
| 1700309002 | Michelle Demeule-hayes | Dietitian, Registered | 1708 West Rogers Ave, Baltimore, MD 21209 | 2017-07-19 |
| Find all providers in zip 21209 | ||||
| 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 |
|---|---|---|---|---|
| 1417556549 | Andrea Gadsby | Behavior Technician | 6225 Smith Ave Ste 100, Baltimore, MD 21209-3678 | 2020-10-20 |
| 1922605492 | Scott Miliman | Behavior Technician | 8207 Bendon Rd, Baltimore, MD 21208-1821 | 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 |
| 1851998991 | Breanna Beardsley | Behavior Technician | 6225 Smith Ave, Baltimore, MD 21209-3626 | 2020-10-01 |
| 1730796160 | Toni Tawes | Behavior Technician | 7926 N Boundary Rd, Baltimore, MD 21222-3335 | 2020-09-29 |
| 1578170072 | Naloni Simone Johnson | Behavior Technician | 2500 Winchester St Apt B, Baltimore, MD 21216-4435 | 2020-09-28 |
| 1275140063 | Lea Mccray | Behavior Technician | 132 N Potomac St, Baltimore, MD 21224-1337 | 2020-09-25 |
| 1356958227 | Erica Kelley | Behavior Technician | 4326 Newport Ave, Baltimore, MD 21211-1233 | 2020-09-25 |
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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.