MICHELLE JACKSON (NPI# 1104434067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
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 |
Street Address |
6961 ROOKS CT APT 305 |
City | FREDERICK |
State | MD |
Zip Code | 21703-2781 |
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 |
Find all providers in zip 21703 |
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 |
---|---|---|---|---|
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 |
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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.