JENNIFER L WIXON (NPI# 1093334393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093334393 |
| Entity Type | Individual |
| Full Name | JENNIFER L WIXON |
| Practice Address |
1482 Premier Village Way Clearwater FL 33764-2885 |
| Practice Telephone | 7272786765 |
| Mailing Telephone | 7272786765 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |
| 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 |
1482 PREMIER VILLAGE WAY |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33764-2885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821440231 | Richard Ernest Wixon Jr. | Community Health Worker | 1482 Premier Village Way, Clearwater, FL 33764-2885 | 2016-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649891904 | Jennifer Rose Whealey | Social Worker | 1437 S. Belcher Rd., Clearwater, FL 33764 | 2020-04-28 |
| 1831740521 | Kasey Coffin | Pharmacist | 1938 Sever Drive, Clearwater, FL 33764 | 2019-09-24 |
| 1053876649 | Jacqueline Armstead | Community Health Worker | 11270 Us Hwy 19 N, Bldg#3 Apt#108, Clearwater, FL 33764 | 2019-02-07 |
| 1215419791 | Linda Susanne Blake | Social Worker | 19029 Us Highway 19 North, Villa 22d, Clearwater, FL 33764 | 2018-08-31 |
| 1770002651 | American Advanced Senior Care LLC | Assisted Living Facility | 2298 Bellaire Road, Clearwater, FL 33764 | 2017-09-12 |
| 1366969016 | Ryan Black | Social Worker | 2100 Nursery Rd. E18, Clearwater, FL 33764 | 2017-08-24 |
| 1710370366 | Susan Arleen Gaddy | Dietitian, Registered | 1340 Weber Drive, Clearwater, FL 33764 | 2015-03-06 |
| 1699108373 | Lori L Fehr | Physician Assistant | 18167 U.S. Highway 19n, Suite 650, Emcare Attn: Laurie, Clearwater, FL 33764 | 2013-08-16 |
| 1306287628 | A Tender Touch In Home Services | In Home Supportive Care | 2159 Nursery Rd #314, Clearwater, FL 33764 | 2013-07-15 |
| 1174884134 | Applied Behavior Approaches of Tampa Bay Inc. | Community/Behavioral Health | 2225 Nursery Rd, Apt 13-203, Clearwater, FL 33764 | 2012-06-06 |
| Find all providers in zip 33764 | ||||
| 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 |
|---|---|---|---|---|
| 1437750403 | Phong Hai Huynh | Behavior Technician | 4173 105th Ave N, Clearwater, FL 33762-5461 | 2020-11-05 |
| 1770184210 | Sandra Shanice Campisi | Behavior Technician | 29228 Us-19 N, Clearwater, FL 33761 | 2020-11-02 |
| 1053928135 | Barbara Y Santelices | Behavior Technician | 1799 N Highland Ave Apt M168, Clearwater, FL 33755-2132 | 2020-09-23 |
| 1780292102 | Anthony Michael Esparza | Behavior Technician | 2481 Ne Coachman Rd Apt 901, Clearwater, FL 33765-1712 | 2020-07-22 |
| 1770140873 | Sierra Lynn Krecker | Behavior Technician | 29228 Us 19 N, Clearwater, FL 33761-2101 | 2019-05-23 |
| 1639636848 | Megan Schron | Behavior Technician | 2081 Powderhorn Dr, Clearwater, FL 33755-1358 | 2019-02-24 |
| 1528539467 | Sharit Melissa Kelley | Behavior Technician | 2666 N Mcmullen Booth Rd Apt 1032, Clearwater, FL 33761-4048 | 2018-12-17 |
| 1063901403 | Sheleaha C Egly I | Behavior Technician | 29288 Us Highway 19 N, Clearwater, FL 33761 | 2018-05-01 |
| 1194213397 | Lakshmi Cruz Galan | Behavior Technician | 1409 Alpine Rd Apt 12, Clearwater, FL 33755-1209 | 2018-04-24 |
| 1750887485 | Kimberly Winstead | Behavior Technician | 3455 Countryside Blvd, 90, Clearwater, FL 33761-3376 | 2018-04-02 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33764 |
Please comment or provide details below to improve the information on JENNIFER L WIXON.
| 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.