BRANDON SCOTT JACKSON (NPI# 1164952644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164952644 |
| Entity Type | Individual |
| Full Name | BRANDON SCOTT JACKSON |
| Credential | BT |
| Practice Address |
1200 W South Boulder Rd Ste 204 Lafayette CO 80026-2833 |
| Mailing Address |
Po Box 271690 Louisville CO 80027-5035 |
| Practice Telephone | 7208372348 |
| Practice Fax Number | 3035545657 |
| Mailing Telephone | 7208372348 |
| Mailing Fax Number | 3035545657 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1275046153 | Brandon Lamarr Jackson | Home Health Aide | 400 Brunswick St, Mooresville, NC 28115-2246 | 2017-11-14 |
| 1083163521 | Brandon Jackson | Student in an Organized Health Care Education/Training Program | 122 Lanier Dr, 322c, Statesboro, GA 30458-0804 | 2016-09-26 |
| 1881030310 | Brandon Christopher Jackson | Military Health Care Provider | 6810 Camphor Ln, San Diego, CA 92139 | 2013-05-10 |
| 1861753949 | Brandon Joshua Jackson | Dentist | 70 Virginia Ave, Staten Island, NY 10305-1748 | 2012-06-05 |
| 1952340671 | Brandon Leroy Jackson | Physical Therapist | 4765 S. Durango Dr., Ste 106, Las Vegas, NV 89147 | 2006-06-06 |
| 1457994634 | Brandon Jackson | Rehabilitation Practitioner | 1873 W 54th St, Los Angeles, CA 90062-2604 | 2019-10-21 |
| 1427611151 | Brandon Clark Jackson | Social Worker | 42-77 65th Place, Woodside, NY 11377-5054 | 2019-04-18 |
| 1831658640 | Brandon Thomas Jackson | Plastic Surgery | 251 E Huron St, Chicago, IL 60611-3055 | 2019-03-19 |
| 1578896031 | Brandon T. Jackson | Chiropractor | 1258 Bryan Rd, O Fallon, MO 63366-3771 | 2009-09-15 |
| Street Address |
1200 W SOUTH BOULDER RD STE 204 |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104000223 | Juliet Conners Blevins | Psychologist | 1200 W South Boulder Rd Ste 204, Lafayette, CO 80026-2833 | 2007-12-26 |
| 1649812660 | Natalie Mosier | Behavior Technician | 1200 W South Boulder Rd Ste 204, Lafayette, CO 80026-2833 | 2019-10-10 |
| 1477109742 | Jessica Solis | Behavior Technician | 1200 W South Boulder Rd Ste 204, Lafayette, CO 80026-2833 | 2019-08-13 |
| 1053964734 | Jennifer Wilkinson | Behavior Technician | 1200 W South Boulder Rd Ste 204, Lafayette, CO 80026-2833 | 2019-07-22 |
| 1639732548 | Kimberly Meachum | Behavior Technician | 1200 W South Boulder Rd Ste 204, Lafayette, CO 80026-2833 | 2019-04-16 |
| 1508325952 | Ammy Wilson-rivera | Behavior Technician | 1200 W South Boulder Rd Ste 204, Lafayette, CO 80026-2833 | 2019-03-15 |
| 1508323965 | Thairesia Trimm | Behavior Technician | 1200 W South Boulder Rd Ste 204, Lafayette, CO 80026-2833 | 2019-02-21 |
| 1295208692 | Lauren Brown | Behavior Technician | 1200 W South Boulder Rd Ste 204, Lafayette, CO 80026-2833 | 2019-01-08 |
| 1881165918 | Molly Delahoyde | Behavior Technician | 1200 W South Boulder Rd Ste 204, Lafayette, CO 80026-2833 | 2018-12-16 |
| 1407327539 | Rebekah North | Behavior Technician | 1200 W South Boulder Rd Ste 204, Lafayette, CO 80026-2833 | 2018-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| 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 |
|---|---|---|---|---|
| 1760017982 | Marissa Ann Alcala | Behavior Technician | 300 Mcdonald St Apt 15x, Lafayette, LA 70506-8232 | 2020-03-09 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1679128870 | Zong Ning Zhou | Behavior Technician | 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 | 2019-08-05 |
| 1912551227 | Tamiesha Jackson | Behavior Technician | Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2019-07-25 |
| 1386206761 | Britny Moore | Behavior Technician | 3650 Mt Diablo Blvd Ste 107l, Lafayette, CA 94549-3780 | 2019-07-05 |
| 1114583739 | Keenon Jarell Leblanc | Behavior Technician | 603 W Gloria Switch Rd, Lafayette, LA 70507-2315 | 2019-05-20 |
| 1699331900 | Sarah Nicole Daigle | Behavior Technician | 100 Rue Le Bois, Lafayette, LA 70508-4332 | 2019-05-13 |
| 1518427525 | Mariam Abdo-pitre | Behavior Technician | 1103 Hugh Wallis Rd S Ste B-2, Lafayette, LA 70508-2515 | 2019-03-25 |
| 1235608399 | Andrew Thompson | Behavior Technician | 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-11-19 |
| 1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
| Find all providers in LAFAYETTE | ||||
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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.