JESSICA K CRANK (NPI# 1114568334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114568334 |
| Entity Type | Individual |
| Full Name | JESSICA K CRANK |
| Practice Address |
500 Highway J Hayti MO 63851-1200 |
| Practice Telephone | 5733592600 |
| Mailing Telephone | 5733592600 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-10-01 |
| 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 |
500 HIGHWAY J |
| City | HAYTI |
| State | MO |
| Zip Code | 63851-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114107612 | Stephanie L Lewis | Case Manager/Care Coordinator | 500 Highway J, Hayti, MO 63851 | 2007-11-13 |
| 1578172920 | Chastity Omaria Russell | Behavior Technician | 500 Highway J, Hayti, MO 63851-1200 | 2020-07-30 |
| 1861017105 | Daniel Aaron Hulan | Behavior Technician | 500 Highway J, Hayti, MO 63851-1200 | 2020-06-12 |
| 1699397109 | Dustin Allen Burdine | Behavior Technician | 500 Highway J, Hayti, MO 63851-1200 | 2020-05-07 |
| 1639718943 | Craig M Perkins Jr. | Behavior Technician | 500 Highway J, Hayti, MO 63851-1200 | 2020-01-03 |
| 1033758529 | Hailey Elise Roberts | Behavior Technician | 500 Highway J, Hayti, MO 63851-1200 | 2019-12-31 |
| 1881239473 | Ashten Harden | Behavior Technician | 500 Highway J, Hayti, MO 63851-1200 | 2019-11-07 |
| 1063053023 | Brandi Aerionia Jordan | Behavior Technician | 500 Highway J, Hayti, MO 63851-1200 | 2019-10-01 |
| 1992346142 | Randy Wayne Parker | Behavior Technician | 500 Highway J, Hayti, MO 63851-1200 | 2019-09-30 |
| 1578114880 | Frances Lee Sciortino | Peer Specialist | 500 Highway J, Hayti, MO 63851-1200 | 2019-09-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619518032 | Mcpherson Medical & Diagnostic, LLC | Clinic/Center | 110 Us Hwy 61 N, Ste B, Hayti, MO 63851 | 2019-10-07 |
| 1225525744 | Roosevelt Dismukes Jr. | Behavior Technician | 500 Highway 61 N J, Hayti, MO 63851 | 2018-04-19 |
| 1417461625 | Rivian Ricole Hill | Recreation Therapist | 501 Highway 61 J N, Hayti, MO 63851 | 2017-11-27 |
| 1750761169 | Lindsey Moody | Case Manager/Care Coordinator | 909 East Reed Street, Hayti, MO 63851 | 2015-06-02 |
| 1710375811 | Jeremy Winstead | Technician, Other | 500 Highway J North, Hayti, MO 63851 | 2014-12-26 |
| 1164810206 | Teresa Ward | Registered Nurse | 589 Hwy J, Hayti, MO 63851 | 2014-12-23 |
| 1780081463 | Heather Brown | Case Manager/Care Coordinator | 581 Hwy J, Hayti, MO 63851 | 2014-11-25 |
| 1184029241 | Cheryl Byrd | Case Manager/Care Coordinator | 581 Highway J, Hayti, MO 63851 | 2014-10-30 |
| 1114320827 | Toshia Russell | Licensed Practical Nurse | 579 North Highway J, Hayti, MO 63851 | 2014-10-08 |
| 1992104301 | Lora Hawes | Case Manager/Care Coordinator | 581 Hwy J North, Hayti, MO 63851 | 2014-08-21 |
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| 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 |
|---|---|---|---|---|
| 1225525744 | Roosevelt Dismukes Jr. | Behavior Technician | 500 Highway 61 N J, Hayti, MO 63851 | 2018-04-19 |
| 1578172920 | Chastity Omaria Russell | Behavior Technician | 500 Highway J, Hayti, MO 63851-1200 | 2020-07-30 |
| 1861017105 | Daniel Aaron Hulan | Behavior Technician | 500 Highway J, Hayti, MO 63851-1200 | 2020-06-12 |
| 1699397109 | Dustin Allen Burdine | Behavior Technician | 500 Highway J, Hayti, MO 63851-1200 | 2020-05-07 |
| 1639718943 | Craig M Perkins Jr. | Behavior Technician | 500 Highway J, Hayti, MO 63851-1200 | 2020-01-03 |
| 1033758529 | Hailey Elise Roberts | Behavior Technician | 500 Highway J, Hayti, MO 63851-1200 | 2019-12-31 |
| 1780221341 | Latasha Hollywood | Behavior Technician | 501 Highway J, Hayti, MO 63851-1200 | 2019-12-03 |
| 1881239473 | Ashten Harden | Behavior Technician | 500 Highway J, Hayti, MO 63851-1200 | 2019-11-07 |
| 1063053023 | Brandi Aerionia Jordan | Behavior Technician | 500 Highway J, Hayti, MO 63851-1200 | 2019-10-01 |
| 1992346142 | Randy Wayne Parker | Behavior Technician | 500 Highway J, Hayti, MO 63851-1200 | 2019-09-30 |
| Find all providers in HAYTI | ||||
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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.