KELLY JACLYN ADAMS (NPI# 1114447125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114447125 |
| Entity Type | Individual |
| Full Name | KELLY JACLYN ADAMS |
| Practice Address |
1217 Stone St Jonesboro AR 72401-4520 |
| Practice Telephone | 8709721268 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245712561 | Kelly Anne Adams | Behavioral Analyst | 145 Buck Hl, Greentown, PA 18426-4812 | 2018-09-04 |
| 1205325446 | Kelly Jane Adams | Dental Hygienist | 10943 Hodge Canyon Dr, Salado, TX 76571-6319 | 2018-05-03 |
| 1316294473 | Kelly Lynn Adams | Registered Nurse | 1201 Ivy St, Coshocton, OH 43812-2636 | 2012-08-08 |
| 1215250725 | Kelly Renee Adams | Occupational Therapist | 594 Adams St, Dundee, MI 48131-1108 | 2010-03-11 |
| 1801036041 | Kelly Jean Adams | Registered Nurse | 1160 Nw Kathleen Dr, Oak Harbor, WA 98277-9289 | 2009-02-28 |
| 1902072580 | Kelly Lynn Adams | Licensed Practical Nurse | 1210 Superior St Apt C16, Watertown, NY 13601-1147 | 2008-05-05 |
| 1194995233 | Kelly Elizabeth Adams | Licensed Practical Nurse | 256 Webster St, Apt #2, Auburndale, MA 02466-2106 | 2008-03-05 |
| 1013138254 | Kelly Kristen Adams | Pediatrics | 4686 W Crosswater Road, South Jordon, UT 84009 | 2007-05-02 |
| 1063561595 | Kelly Adams | Psychologist | 200 E 33rd St Apt 31j, New York, NY 10016-4832 | 2007-01-10 |
| 1053483750 | Kelly Lynn Adams | Emergency Medicine | 5722 S Flamingo Rd, #273, Cooper City, FL 33330-3206 | 2006-11-15 |
| Street Address |
1217 STONE ST |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982623609 | Karen L Fullen | Social Worker | 1217 Stone St, Jonesboro, AR 72401-4520 | 2006-07-19 |
| 1609423292 | Sarah Taylor Lipsky | Social Worker | 1217 Stone St, Jonesboro, AR 72401-4520 | 2019-08-20 |
| 1114483963 | Candace Wong | Case Manager/Care Coordinator | 1217 Stone St, Jonesboro, AR 72401-4520 | 2019-02-18 |
| 1134685985 | Lisa Jane Kimbrell | Case Manager/Care Coordinator | 1217 Stone St, Jonesboro, AR 72401-4520 | 2019-02-18 |
| 1205392917 | Pamela Denise Garrett | Case Manager/Care Coordinator | 1217 Stone St, Jonesboro, AR 72401-4520 | 2019-02-18 |
| 1720552466 | Thomas Lee Wells | Case Manager/Care Coordinator | 1217 Stone St, Jonesboro, AR 72401-4520 | 2019-01-16 |
| 1750855490 | Linsey Erin Upchurch | Case Manager/Care Coordinator | 1217 Stone St, Jonesboro, AR 72401-4520 | 2019-01-16 |
| 1740754480 | Hannah Moore | Case Manager/Care Coordinator | 1217 Stone St, Jonesboro, AR 72401-4520 | 2019-01-16 |
| 1588138226 | Regina Guylene Carpenter | Case Manager/Care Coordinator | 1217 Stone St, Jonesboro, AR 72401-4520 | 2019-01-16 |
| 1285143305 | Savannah Kohler | Case Manager/Care Coordinator | 1217 Stone St, Jonesboro, AR 72401-4520 | 2017-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| 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 |
|---|---|---|---|---|
| 1003422700 | Paola Cristina Melendez | Behavior Technician | 330 Arrowhead Blvd Apt 15e, Jonesboro, GA 30236-1111 | 2020-09-17 |
| 1235765637 | Palace Zinnermon Mcmichael | Behavior Technician | 8540 Sheridan Dr, Jonesboro, GA 30236-3739 | 2020-03-17 |
| 1902445307 | Shadeana L Mcdaniel | Behavior Technician | 10228 Hemlock Way, Jonesboro, GA 30238-8608 | 2020-01-02 |
| 1407402100 | Tanya Mcallister | Behavior Technician | 8431 Regent St, Jonesboro, GA 30238-7048 | 2019-08-18 |
| 1427661933 | Abbie Dickson | Behavior Technician | 3700 Access Rd, Jonesboro, AR 72401-8225 | 2020-08-25 |
| 1043823552 | Sheila Mckenzie | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-08-25 |
| 1245841592 | Skyler Prunty | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-08-11 |
| 1053922302 | Matheu Turner | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-08-11 |
| 1245841576 | Tatyana Barber | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-08-11 |
| 1861001141 | Natasha Samudzi | Behavior Technician | 837 Willett Rd, Jonesboro, AR 72401 | 2020-07-23 |
| Find all providers in JONESBORO | ||||
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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.