MICHELLE JACKSON


Address: 6961 Rooks Ct Apt 305, Frederick, MD 21703-2781
Phone: 3132899356

MICHELLE JACKSON (NPI# 1104434067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104434067
Entity Type Individual
Full Name MICHELLE JACKSON
Practice Address 6961 Rooks Ct Apt 305
Frederick
MD 21703-2781
Practice Telephone 3132899356
Mailing Telephone 3132899356
Enumeration Date 2020-07-16
Last Update Date 2020-07-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Other Providers MICHELLE JACKSON

NPI Name Taxonomy Address Enumeration
1790347722 Michelle Lynn Jackson Family Medicine 456 Circle Dr, Kewanee, IL 61443-3622 2019-06-29
1396301487 Michelle Jackson Technician 14000 Castle Blvd Apt 703, Silver Spring, MD 20904-4640 2019-05-14
1184196685 Michelle Maria Jackson Health Educator 220 E 89th St, Brooklyn, NY 11236-1418 2018-12-20
1396253258 Michelle Laray Jackson Counselor 3765 Carisbrook Dr, North Las Vegas, NV 89081-6631 2018-01-12
1427509173 Michelle Jackson Behavioral Analyst 115 Franklin St Ne Apt H21, Washington, DC 20002-1091 2016-10-18
1891193678 Michelle Jackson Occupational Therapy Assistant 12611 Hickman Pl, Denver, CO 80239-6204 2014-12-10
1215338330 Michelle Jackson Nurse Practitioner 115 Fields St # De, Mooresville, IN 46158-1492 2014-09-08
1699058008 Michelle A Jackson Occupational Therapist 6045 Ashford Ln, Unit 102, Naples, FL 34110-2416 2011-09-21
1285923185 Michelle Ann Jackson Rehabilitation Practitioner 7124 Diving Petrels Pl, 7124 Diving Petrels Pl, North Las Vegas, NV 89084-2353 2011-03-31
1063650802 Michelle Jackson Occupational Therapy Assistant 10200 Richmond Ave, Houston, TX 77042-4140 2009-02-02

Office Location

Street Address 6961 ROOKS CT APT 305
City FREDERICK
State MD
Zip Code 21703-2781

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861902959 Kenny Chen Optometrist 5283 Corporate Dr Ste 201, Frederick, MD 21703 2017-10-03
1578934550 Barbara Tarlowski Physical Therapy Assistant 347 Ballenger Center Drive, Frederick, MD 21703 2015-10-15
1679958813 Taiji Acupuncture Clinic Community Based Residential Treatment Facility, Mental Illness 1411 Bluewing Ct, Frederick, MD 21703 2015-07-29
1609283050 Green Ridge Behavioral Health, LLC Psychiatry & Neurology 5216 Chairmans Court, Suite 102, Frederick, MD 21703 2014-07-17
1841597705 Jennifer Anne Dye Speech-Language Pathologist 5312 Ballenger Creek Pike, Frederick, MD 21703 2011-02-11
1568794790 Andersons Community Healthcare Services Inc Nursing Care 4727 Verdana Loop, Frederick, MD 21703 2010-02-15
1962672782 Service Coordination Inc Case Management 5303 Spectrum Drive, Suite I, Frederick, MD 21703 2008-03-07
1396877189 Health and Happiness LLC Psychologist 93 S Mccain Drive, Frederick, MD 21703 2007-03-09
1275629776 Mary Bernadette Sheehy Nurse Practitioner Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 2006-10-04
1720185218 Rea and Derick Inc P 1835 Pharmacy 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 2006-09-19
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144832791 Sadie Reece Hamrick Behavior Technician 149 Willowdale Dr Apt 13, Frederick, MD 21702-1170 2020-08-17
1740891845 Airiana Bryant Behavior Technician 2426 Huntwood Ct, Frederick, MD 21702-3184 2020-08-12
1720696800 Brice L Drabo Behavior Technician 1948 Timber Grove Rd, Frederick, MD 21702-3099 2020-07-15
1790303154 Edward Calabro Dalkiewicz Behavior Technician 120 Willowdale Dr Apt 31, Frederick, MD 21702-1040 2020-07-10
1487284006 Danielle James Behavior Technician 5300 Westview Dr, Frederick, MD 21703-8339 2020-01-23
1366081713 Emma I Mcneil Behavior Technician 6005 Alynwood Dr, Frederick, MD 21704-6730 2020-01-02
1043858269 Morgan Sara Kidwell Behavior Technician 808 Stratford Way Apt E, Frederick, MD 21701-9182 2019-12-18
1679116222 Hope Marie Harley Behavior Technician 204 Ashfield Ct, Frederick, MD 21702-8711 2019-10-25
1255973038 Jasmyn T. Ajlouny Behavior Technician 22 W 7th St, Frederick, MD 21701-4502 2019-10-12
1164073300 Susan Ignasiak Behavior Technician 524 Logan St, Frederick, MD 21701-6365 2019-09-27
Find all providers in FREDERICK

Competitor

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City FREDERICK
Zip Code 21703

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Dataset Information

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.

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