ALISHA EVON JACKSON (NPI# 1194350413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194350413 |
| Entity Type | Individual |
| Full Name | ALISHA EVON JACKSON |
| Credential | BCBA |
| Practice Address |
256 Honeysuckle Rd Ste 6 Dothan AL 36305-1168 |
| Mailing Address |
4756 Glen Lawrence Rd Webb AL 36376-6118 |
| Practice Telephone | 3347925020 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491006 | Alisha Ann Jackson | Nurse Practitioner | 4421 Emerson Ave Ste 205, Parkersburg, WV 26104-1200 | 2019-01-25 |
| 1578160628 | Alisha Jackson | Social Worker | 140 Michigan Ave W, Battle Creek, MI 49017-3602 | 2020-10-01 |
| 1821593872 | Alisha Jackson | Chore Provider | 2690 Chandler Ave Ste 1, Las Vegas, NV 89120-4088 | 2018-03-29 |
| 1487197745 | Alisha Jackson | Nurse Practitioner | 1650 Midtown Rd, Peru, IL 61354-1200 | 2016-11-18 |
| Street Address |
256 HONEYSUCKLE RD STE 6 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-1168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871093013 | Tara Cook | Behavioral Analyst | 256 Honeysuckle Rd Ste 6, Dothan, AL 36305-1168 | 2018-02-14 |
| 1952911281 | Lynette Eileen Robles-mena | Behavior Technician | 256 Honeysuckle Rd Ste 6, Dothan, AL 36305-1168 | 2020-08-02 |
| 1811457609 | Hannah Brasher | Behavior Technician | 256 Honeysuckle Rd Ste 6, Dothan, AL 36305-1168 | 2019-03-20 |
| 1528527785 | Cade Hall | Behavior Technician | 256 Honeysuckle Rd Ste 6, Dothan, AL 36305-1168 | 2019-03-18 |
| 1124587787 | Alexis Messina | Behavior Technician | 256 Honeysuckle Rd Ste 6, Dothan, AL 36305-1168 | 2019-03-13 |
| 1588120661 | Brooke Hays | Behavior Technician | 256 Honeysuckle Rd Ste 6, Dothan, AL 36305-1168 | 2019-02-14 |
| 1033675111 | Katie Ward | Behavior Technician | 256 Honeysuckle Rd Ste 6, Dothan, AL 36305-1168 | 2019-02-14 |
| 1366908451 | Charlena Joyce Cotton | Behavior Technician | 256 Honeysuckle Rd Ste 6, Dothan, AL 36305-1168 | 2019-02-14 |
| 1982194064 | Laura Swicord | Behavioral Analyst | 256 Honeysuckle Rd Ste 6, Dothan, AL 36305 | 2018-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
| 1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
| 1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
| 1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
| 1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
| 1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
| Find all providers in zip 36305 | ||||
| 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 |
|---|---|---|---|---|
| 1457915340 | Kelli Thornton | Behavioral Analyst | 130 Montreat Ct, Dothan, AL 36303-6320 | 2019-04-25 |
| 1811492390 | Christy Welch Howell | Behavioral Analyst | 2543 Ross Clark Cir Ste 5, Dothan, AL 36301-4916 | 2018-03-27 |
| 1871093013 | Tara Cook | Behavioral Analyst | 256 Honeysuckle Rd Ste 6, Dothan, AL 36305-1168 | 2018-02-14 |
| 1972995033 | Behavioral Momentum LLC | Behavioral Analyst | 224 Belhaven Dr, Dothan, AL 36303-4041 | 2015-02-26 |
| 1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
| 1922315621 | Jennifer Baumann Bonney | Behavioral Analyst | 112 Adris Pl, Dothan, AL 36303-1997 | 2010-09-02 |
| 1497364947 | Siang Nee Lim | Behavioral Analyst | 256 Honeysuckle Rd Ste 4, Dothan, AL 36305-1168 | 2020-07-29 |
| 1982194064 | Laura Swicord | Behavioral Analyst | 256 Honeysuckle Rd Ste 6, Dothan, AL 36305 | 2018-05-15 |
| 1568968592 | Rachel King Pope | Behavioral Analyst | 2543 Ross Clark Cir, Dothan, AL 36301-4925 | 2018-03-30 |
| 1972907780 | Kara Etheredge | Behavioral Analyst | 3124 W Main St Ste 9, Dothan, AL 36305-1181 | 2014-10-22 |
| Find all providers in DOTHAN | ||||
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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.