ALEXIS MONAE JACKSON (NPI# 1275040248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275040248 |
| Entity Type | Individual |
| Full Name | ALEXIS MONAE JACKSON |
| Practice Address |
5121 Kingdom Way Ste 100 Raleigh NC 27607-6063 |
| Practice Telephone | 9197978137 |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |
| 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 |
|---|---|---|---|---|
| 1770121378 | Alexis Adrianna Jackson | Technician | 1205 Parkman Rd Nw, Warren, OH 44485-2470 | 2019-12-13 |
| 1801430343 | Alexis Jackson | Specialist/Technologist | 22 Ashworth Ct, Conroe, TX 77385-3485 | 2019-10-28 |
| 1750980280 | Alexis Jackson | Pharmacist | 6535 Grayson Rd, Harrisburg, PA 17111-5150 | 2020-10-26 |
| 1699389056 | Alexis Jackson | Counselor | 19 N Grant St Ste 2c, Hinsdale, IL 60521-3368 | 2020-09-03 |
| 1710502596 | Alexis Jackson | Peer Specialist | 530 Kings County Dr, Hanford, CA 93230-3579 | 2020-06-08 |
| 1962026013 | Alexis Joan Jackson | Physician Assistant | 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474-8854 | 2020-06-04 |
| 1164804753 | Alexis R Jackson | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2015-06-19 |
| 1952553729 | Alexis Renee Jackson | Student in an Organized Health Care Education/Training Program | 400 Wabash Ave, Akron, OH 44307-2433 | 2008-10-10 |
| 1508984816 | Alexis Malaina Jackson | Occupational Therapist | 1800 Nations Dr, Suite 208, Gurnee, IL 60031-9168 | 2007-03-26 |
| Street Address |
5121 KINGDOM WAY STE 100 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-6063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881751865 | Autism Society of North Carolina, Inc. | Community/Behavioral Health | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2007-01-02 |
| 1912507260 | Taylor Danielle Edgerley | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-10-27 |
| 1154920544 | Elizabeth Campbell | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-10-18 |
| 1659970028 | Jordan Lee Hill | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-10-18 |
| 1770182131 | Courtney Lynn Moriarty | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-10-17 |
| 1124627559 | Julia Mlynarick | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-10-17 |
| 1417555830 | Raquel Byrd | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-10-16 |
| 1619575149 | Janel Moira Dy Cuevas | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-10-16 |
| 1235745308 | Christina Royster | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-09-23 |
| 1720692304 | Paige O Yanik | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| 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 |
|---|---|---|---|---|
| 1629679584 | Shenita Covington | Behavior Technician | 1217 Ujamaa Dr, Raleigh, NC 27610-5767 | 2020-11-05 |
| 1629679675 | Katherine G. Brown | Behavior Technician | 5051 Amber Clay Ln, Raleigh, NC 27612-3069 | 2020-11-05 |
| 1174123061 | Sarah C Blankenship | Behavior Technician | 421 Fayette Street Suite 1100, Raleigh, NC 27601 | 2020-10-29 |
| 1356940035 | Kaitlyn Kinzer | Behavior Technician | 6240 Saint Regis Cir Apt 202, Raleigh, NC 27606-2286 | 2020-10-22 |
| 1700484797 | Kayla Daher | Behavior Technician | 5760 Willowblue Ln Apt 110, Raleigh, NC 27604-8317 | 2020-10-13 |
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1548885544 | Jessi Wright Topping | Behavior Technician | 119 Wind Chime Ct # 4, Raleigh, NC 27615-6433 | 2020-06-15 |
| 1164043725 | Ronald Faulkner | Behavior Technician | 5213 Fieldstone Dr, Raleigh, NC 27609-4709 | 2020-05-05 |
| 1700428513 | Amanda Sue Abner | Behavior Technician | 421 Fayetteville St. Suite 1100, Raleigh, NC 27601 | 2019-10-14 |
| 1720632680 | Courtney R Dickerson | Behavior Technician | 421 Fayettville St. Suite 1100, Raleigh, NC 27601 | 2019-07-30 |
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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.