KIERA A JACKSON (NPI# 1013402296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013402296 |
| Entity Type | Individual |
| Full Name | KIERA A JACKSON |
| Practice Address |
4875 Eisenhower Ave Alexandria VA 22304-4886 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 5712900143 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 10017EC3C | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245464155 | Kiera D Jackson | Behavioral Analyst | 200 S. Progress Avenue, Harrisburg, PA 17109-4638 | 2009-05-06 |
| Street Address |
4875 EISENHOWER AVE |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22304-4886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285133934 | Dana Williams | Behavior Technician | 4875 Eisenhower Ave, Alexandria, VA 22304-4886 | 2018-02-08 |
| 1467086710 | Nyla Green | Nurse's Aide | 4875 Eisenhower Ave, Alexandria, VA 22304-4886 | 2020-02-26 |
| 1316584923 | Angela Tulk | Behavior Technician | 4875 Eisenhower Ave, Alexandria, VA 22304-4886 | 2019-12-02 |
| 1538716782 | Kyra Nishay Varner | Behavior Technician | 4875 Eisenhower Ave, Alexandria, VA 22304-4886 | 2019-08-22 |
| 1578030342 | Leah Naomi Nickens | Behavior Technician | 4875 Eisenhower Ave, Alexandria, VA 22304-4886 | 2018-10-30 |
| 1396246963 | Sasha R Sinclair | Behavior Technician | 4875 Eisenhower Ave, Alexandria, VA 22304-4886 | 2018-02-28 |
| 1982105540 | Devin Jones | Behavioral Analyst | 4875 Eisenhower Ave, Alexandria, VA 22304-4886 | 2018-02-27 |
| 1780185702 | Candis Marcela Twyman | Behavior Technician | 4875 Eisenhower Ave, Alexandria, VA 22304-4886 | 2018-02-25 |
| 1932609815 | Edward Junior Covington IIi | Behavioral Analyst | 4875 Eisenhower Ave, Alexandria, VA 22304-4886 | 2018-02-16 |
| 1972003234 | Eduardo Herrera | Behavioral Analyst | 4875 Eisenhower Ave, Alexandria, VA 22304-4886 | 2018-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489768 | Anthony Michael Frato | Counselor | 205 S Whiting St #601, Alexandria, VA 22304 | 2020-02-14 |
| 1245885805 | Personal Touch Personal Care Providers, LLC | In Home Supportive Care | 4241-d8 Duke Street, Alexandria, VA 22304 | 2019-08-09 |
| 1336658772 | Jade F. Hillery | Doula | 5240 Duke St #310, Alexandria, VA 22304 | 2017-09-28 |
| 1447784731 | Aymara Matos | Behavioral Analyst | 5426 Richenbacher Ave Apt 100, Alexandria, VA 22304 | 2017-04-13 |
| 1659827871 | Tesfaye A Hailemariam Dds PC | Dentist | 5764 Dow Ave, Alexandria, VA 22304 | 2016-08-28 |
| 1912302605 | Alexandria Health Department | Clinic/Center | 1200 North Howard, Alexandria, VA 22304 | 2014-10-24 |
| 1497157663 | Aminata Jalloh | Registered Nurse | 101 South Whiting St, Alexandria, VA 22304 | 2014-09-19 |
| 1386075133 | Carla Renee Riley | Registered Nurse | 4320 Raleigh Ave, Apt 204, Alexandria, VA 22304 | 2013-12-04 |
| 1700223500 | Landmark Dental Care | Dentist | 101 S. Whiting St., Suite 100, Alexandria, VA 22304 | 2013-06-03 |
| 1114266954 | Stella M Meusch | Physician Assistant | 4230 Seminary Rd, Alexandria, VA 22304 | 2013-02-13 |
| Find all providers in zip 22304 | ||||
| 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 |
|---|---|---|---|---|
| 1447865696 | Aminata Banya Koroma | Behavior Technician | 6180 Grovedale Ct Ste 2006180, Alexandria, VA 22310-2552 | 2020-09-14 |
| 1073145157 | Stephanie Etienne | Behavior Technician | 2201 Mill Rd Apt 219, Alexandria, VA 22314-5312 | 2020-02-06 |
| 1235761487 | Mironda Shepard | Behavior Technician | 2475 Windbreak Dr, Alexandria, VA 22306-2662 | 2020-02-05 |
| 1699310094 | Abigail Chavez | Behavior Technician | 4850 Eisenhower Ave Unit 329, Alexandria, VA 22304-7325 | 2019-11-10 |
| 1295389732 | Katarzyna Piwek | Behavior Technician | 6281 Franconia Road, Suite B, Alexandria, VA 22310 | 2019-08-01 |
| 1184276396 | Alyah Ann Gilberry | Behavior Technician | 2801 Duke St, Alexandria, VA 22314 | 2019-07-09 |
| 1225699960 | Andrea Rivero | Behavior Technician | 3710 Towanda Rd, Alexandria, VA 22303-1039 | 2019-06-24 |
| 1831657543 | Gaby D. Arauco | Behavior Technician | 318 Montgomery St, Alexandria, VA 22314-1516 | 2019-03-12 |
| 1205393170 | Cinthya Beltran Calero | Behavior Technician | 701 N Paxton St, Alexandria, VA 22304-2737 | 2019-02-26 |
| 1023581469 | Zuzel Peraza | Behavior Technician | 4373 Raleigh Ave Apt 304, Alexandria, VA 22304-5353 | 2019-01-08 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22304 |
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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.