JESSICA MARY FICKLE (NPI# 1134603525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134603525 |
| Entity Type | Individual |
| Full Name | JESSICA MARY FICKLE |
| Credential | BCBA |
| Practice Address |
180 Grand Ave Ste 225 Oakland CA 94612-3769 |
| Practice Telephone | 9258767915 |
| Mailing Telephone | 9258767915 |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-16-22012 | CA | Behavioral Health & Social Service Providers |
| Street Address |
180 GRAND AVE STE 225 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-3769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942537436 | Lisa Jane Katzman | Physical Therapist | 180 Grand Ave Ste 225, Oakland, CA 94612-3769 | 2009-11-04 |
| 1578175469 | Dina Elizabeth Orellana | Specialist | 180 Grand Ave Ste 225, Oakland, CA 94612-3769 | 2020-08-20 |
| 1659906881 | Brooke Cynthia Mitschang | Behavior Technician | 180 Grand Ave Ste 225, Oakland, CA 94612-3769 | 2020-03-09 |
| 1881225571 | Irina Isobel Gaerlan Lukban | Behavior Technician | 180 Grand Ave Ste 225, Oakland, CA 94612-3769 | 2020-01-31 |
| 1003455015 | Maria Fernanda Huertascano | Behavior Technician | 180 Grand Ave Ste 225, Oakland, CA 94612-3769 | 2019-12-23 |
| 1215571211 | Luis Alfonso Leon Aguirre | Behavior Technician | 180 Grand Ave Ste 225, Oakland, CA 94612-3769 | 2019-11-01 |
| 1558904821 | Tianna Elizabeth Lesinski | Behavior Technician | 180 Grand Ave Ste 225, Oakland, CA 94612-3769 | 2019-10-19 |
| 1326689365 | Kami Patricia Caban Yamamoto | Behavior Technician | 180 Grand Ave Ste 225, Oakland, CA 94612-3769 | 2019-10-01 |
| 1760032049 | Jocelyn Hernandnez | Behavior Technician | 180 Grand Ave Ste 225, Oakland, CA 94612-3769 | 2019-09-18 |
| 1831743400 | Diana Jaquelin Rodriguez Diaz | Specialist | 180 Grand Ave Ste 225, Oakland, CA 94612-3769 | 2019-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707254 | Sarah Feng | Behavioral Analyst | 1127 Wellington St, Oakland, CA 94602-1342 | 2020-10-09 |
| 1881205110 | The Autism Impact Circle | Behavioral Analyst | 9015 Sage Rd, Oakland, CA 94605-4603 | 2020-08-11 |
| 1912517533 | Kimberly Joan Krafft | Behavioral Analyst | 9 Princeton Ter, Oakland, NJ 07436-3507 | 2020-08-07 |
| 1437769866 | Olivia Hartos | Behavioral Analyst | 43 Nokomis Ave, Oakland, NJ 07436-2119 | 2020-07-31 |
| 1396371456 | Zhivka Stoilova Vasileva-winbush | Behavioral Analyst | 160 Franklin St, Oakland, CA 94607-3713 | 2020-03-19 |
| 1255966305 | Janis Marie Peterson | Behavioral Analyst | 6317 Majestic Ave Apt 3, Oakland, CA 94605-1877 | 2020-03-10 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1629615307 | Autumn M Lai | Behavioral Analyst | 1950 21st Ave, Oakland, CA 94606-4663 | 2019-12-02 |
| 1558907295 | Nancy Gates | Behavioral Analyst | 617 La Prenda Dr, Oakland, CA 94603-3542 | 2019-11-18 |
| 1841831518 | Stephanie Lizette Baez-aguilar | Behavioral Analyst | 1222 88th Ave, Oakland, CA 94621-1116 | 2019-10-03 |
| Find all providers in OAKLAND | ||||
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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.