BRIANNE JACKSON (NPI# 1124643556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124643556 |
| Entity Type | Individual |
| Full Name | BRIANNE JACKSON |
| Practice Address |
3101 N Canterbury Ct Bloomington IN 47404-1500 |
| Mailing Address |
550 Congressional Blvd Ste 220 Carmel IN 46032-5632 |
| Practice Telephone | 3172492242 |
| Practice Fax Number | 3176631175 |
| Mailing Telephone | 3172492242 |
| Mailing Fax Number | 3176631175 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |
| 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 |
|---|---|---|---|---|
| 1063922870 | Brianne Michelle Jackson | Registered Nurse | 425 W 5th St, East Liverpool, OH 43920-2405 | 2017-10-06 |
| Street Address |
3101 N CANTERBURY CT |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47404-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316461692 | Autumn Elizabeth Lucero | Behavioral Analyst | 3101 N Canterbury Ct, Bloomington, IN 47404-1500 | 2017-07-28 |
| 1407471832 | Ashlynn Carmichael | Behavior Technician | 3101 N Canterbury Ct, Bloomington, IN 47404-1500 | 2020-06-11 |
| 1679198006 | Lauryn Hunter | Behavior Technician | 3101 N Canterbury Ct, Bloomington, IN 47404-1500 | 2020-06-11 |
| 1275158875 | Alyson Ferguson | Behavior Technician | 3101 N Canterbury Ct, Bloomington, IN 47404-1500 | 2020-06-10 |
| 1487279915 | Ashton Gordon | Behavior Technician | 3101 N Canterbury Ct, Bloomington, IN 47404-1500 | 2020-06-10 |
| 1588225551 | Misty Shea Fox | Behavioral Analyst | 3101 N Canterbury Ct, Bloomington, IN 47404-1500 | 2019-06-21 |
| 1710542360 | Molly A Mcgow | Behavior Technician | 3101 N Canterbury Ct, Bloomington, IN 47404-1500 | 2019-05-08 |
| 1164087714 | Madolyn P Hodges | Behavior Technician | 3101 N Canterbury Ct, Bloomington, IN 47404-1500 | 2019-05-08 |
| 1063077618 | Jaclyn Combs | Behavior Technician | 3101 N Canterbury Ct, Bloomington, IN 47404-1500 | 2019-05-08 |
| 1306401963 | Zach W Jetter | Behavior Technician | 3101 N Canterbury Ct, Bloomington, IN 47404-1500 | 2019-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1750926085 | Michelle Christine Dustin | Nurse Practitioner | 610 N Morton Street, Bloomigton, IN 47404 | 2019-11-11 |
| 1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
| 1770966467 | Richard Lawson | Counselor | 1117 North Jackson Street, Bloomington, IN 47404 | 2015-06-30 |
| 1477952109 | Teresa R. Foster | Social Worker | 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 | 2014-08-19 |
| 1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
| 1497079982 | Tera Dee Nance | Counselor | 101 W. Kirkwood Avenue, Suite 009 Fountain Square Mall, Bloomington, IN 47404 | 2010-03-26 |
| 1962643114 | Pathways Counseling Center | Community/Behavioral Health | 3866 W. Third Street, Bloomington, IN 47404 | 2009-03-18 |
| 1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
| 1396901005 | Kijin Woo | Dentist | 330 N Jacob Drive, Bloomington, IN 47404 | 2008-08-01 |
| Find all providers in zip 47404 | ||||
| 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 |
|---|---|---|---|---|
| 1679171516 | Muna Shire | Behavior Technician | 9133 Knox Ave S, Bloomington, MN 55431-2213 | 2020-10-13 |
| 1366051757 | Hussein Mohamed | Behavior Technician | 8735 Portland Ave S Apt 208, Bloomington, MN 55420-2959 | 2020-07-30 |
| 1942819339 | Farhan Ahmed Mohamoud | Behavior Technician | 9201 Nicollet Ave S Apt 221, Bloomington, MN 55420-3767 | 2020-07-30 |
| 1891328050 | Rebecca Rothwell | Behavior Technician | 1801 American Blvd E Ste 10, Bloomington, MN 55425-1217 | 2020-02-17 |
| 1881232650 | Sarah E Brown | Behavior Technician | 772 S Lancewood Ave, Bloomington, CA 92316-1343 | 2019-12-12 |
| 1518500727 | Kerri R Reese | Behavior Technician | 500 S Morton St Ste 10, Bloomington, IN 47403-2460 | 2019-10-21 |
| 1568920056 | Jessica M Guzman | Behavior Technician | 17796 Marygold Ave, Bloomington, CA 92316-1918 | 2019-03-04 |
| 1558840314 | Alexia Cisneros | Behavior Technician | 526 S Ironwood Ave, Bloomington, CA 92316-1218 | 2018-08-11 |
| 1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
| 1053629246 | Reach High Consulting and Therapy, LLC | Behavior Technician | 1501 W Tapp Rd, Bloomington, IN 47403-3459 | 2010-09-22 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47404 |
Please comment or provide details below to improve the information on BRIANNE JACKSON.
| 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.