JAYLA BREANN MIDDLETON (NPI# 1063990273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063990273 |
| Entity Type | Individual |
| Full Name | JAYLA BREANN MIDDLETON |
| Practice Address |
5220 6th Street Frontage Rd E Ste 1700 Springfield IL 62703-5771 |
| Practice Telephone | 2175258332 |
| Mailing Telephone | 2175258332 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |
| 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 |
5220 6TH STREET FRONTAGE RD E STE 1700 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-5771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437686870 | Hope Clinical Care | Counselor | 5220 6th Street Frontage Rd E Ste 1700, Springfield, IL 62703-5771 | 2017-05-16 |
| 1326655945 | Caitlyn Hoene | Behavior Technician | 5220 6th Street Frontage Rd E Ste 1700, Springfield, IL 62703-5771 | 2020-09-28 |
| 1659987980 | Shea Votava | Behavior Technician | 5220 6th Street Frontage Rd E Ste 1700, Springfield, IL 62703-5771 | 2020-09-22 |
| 1366056723 | Starlit Pope | Behavior Technician | 5220 6th Street Frontage Rd E Ste 1700, Springfield, IL 62703-5771 | 2020-09-03 |
| 1205449998 | Tierney Ater | Behavior Technician | 5220 6th Street Frontage Rd E Ste 1700, Springfield, IL 62703-5771 | 2020-08-24 |
| 1316550007 | Adriana Darow | Behavior Technician | 5220 6th Street Frontage Rd E Ste 1700, Springfield, IL 62703-5771 | 2020-08-24 |
| 1023620010 | Kate Ridge | Behavior Technician | 5220 6th Street Frontage Rd E Ste 1700, Springfield, IL 62703-5771 | 2020-08-20 |
| 1487266474 | Patricia Lyons | Behavior Technician | 5220 6th Street Frontage Rd E Ste 1700, Springfield, IL 62703-5771 | 2020-08-20 |
| 1912518747 | Rachelle Hamman | Behavior Technician | 5220 6th Street Frontage Rd E Ste 1700, Springfield, IL 62703-5771 | 2020-08-14 |
| 1922616184 | Rebecca Nelson | Behavioral Analyst | 5220 6th Street Frontage Rd E Ste 1700, Springfield, IL 62703-5771 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| 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 |
|---|---|---|---|---|
| 1932707775 | Jodi L Oller | Behavior Technician | 3921 Pintail Dr, Springfield, IL 62711-6738 | 2020-10-14 |
| 1871190785 | Jennifer A Hogge | Behavior Technician | 219 42nd St, Springfield, OR 97478-5937 | 2020-10-04 |
| 1902417843 | Delaney Hicks | Behavior Technician | 3048 S Clifton Ave Ste 122, Springfield, MO 65807-5957 | 2020-08-13 |
| 1356959233 | Elanda Johnson | Behavior Technician | 59 Mapledell St, Springfield, MA 01109-3015 | 2020-07-16 |
| 1881212843 | Meghan Talarico | Behavior Technician | 3048 S Clifton Ave, Springfield, MO 65807-5957 | 2020-07-07 |
| 1376165621 | Hilla Obaidullah | Behavior Technician | 2340 S 4th St, Springfield, IL 62703-3402 | 2020-05-09 |
| 1801420906 | Alizay Scott | Behavior Technician | 3049 E Linden Ave, Springfield, IL 62702-6017 | 2020-02-27 |
| 1568094464 | Keesha Readus | Behavior Technician | 1512 E Carpenter St, Springfield, IL 62702-5726 | 2020-02-07 |
| 1679118822 | Ronnie James Wilson Jr. | Behavior Technician | 935 W Washington St Apt B, Springfield, IL 62702-7002 | 2019-11-12 |
| 1740824697 | Terryl Heath Harris Ix | Behavior Technician | 2994 Main St, Springfield, MA 01107-1573 | 2019-11-04 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
Please comment or provide details below to improve the information on JAYLA BREANN MIDDLETON.
| 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.