JESSICA JANE RUSSELL


Address: 1107 Carrie Bolin Dr, Columbia, KY 42728-1034
Phone: 2703851506

JESSICA JANE RUSSELL (NPI# 1346859048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346859048
Entity Type Individual
Full Name JESSICA JANE RUSSELL
Practice Address 1107 Carrie Bolin Dr
Columbia
KY 42728-1034
Practice Telephone 2703851506
Mailing Telephone 2703851506
Enumeration Date 2020-07-28
Last Update Date 2020-07-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician KY Behavioral Health & Social Service Providers

Other Providers JESSICA RUSSELL

NPI Name Taxonomy Address Enumeration
1396192258 Jessica Russell Licensed Practical Nurse 7712 Lake Ridge Dr, Waterford, MI 48327-4164 2016-05-20
1043693872 Jessica Russell Occupational Therapist 302 Sadie Douglas Cir, Shreveport, LA 71106-7689 2015-06-29
1407120967 Jessica Jean Russell Massage Therapist 219 S 4th St E, Missoula, MT 59801-2725 2012-03-01
1619103603 Jessica Rylant Russell Occupational Therapist 4450 Landward Dr, Millbrook, AL 36054-2206 2009-06-03
1184776692 Jessica Nicole Jack Russell Social Worker 425 Niles Cortland Rd Se, Warren, OH 44484-2478 2007-01-17
1174121602 Jessica Russell Behavior Technician 2288 Blue Water Blvd Ste 310, Odenton, MD 21113-3301 2020-10-16
1164049516 Jessica Marie Russell Physical Therapist 2502 S Nc Highway 119, Mebane, NC 27302-9565 2020-07-01
1710521778 Jessica Russell Registered Nurse 1199 Prince Ave, Athens, GA 30606-2797 2019-11-03
1821632100 Jessica Russell Student in an Organized Health Care Education/Training Program 311 Whittington Ave, Hot Springs, AR 71901-3407 2019-10-30
1427605401 Jessica Russell Behavioral Analyst 632 Eastern Blvd, Clarksville, IN 47129-2463 2019-08-23

Office Location

Street Address 1107 CARRIE BOLIN DR
City COLUMBIA
State KY
Zip Code 42728-1034

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598234114 Spectrum Care Academy Bluegrass 2 Psychiatric Residential Treatment Facility 1175 Cane Valley Rd., Columbia, KY 42728 2018-11-14
1588176812 Yuichi Kitagawa Family Medicine 803 Burksville St, Columbia, KY 42728 2017-10-26
1265983118 Samantha Giles Occupational Therapist 700 Coy Trce, Columbia, KY 42728 2016-10-16
1164804720 Cumberland Family Medical Center, Inc. Clinic/Center 158 Colonel Casey Drive, Columbia, KY 42728 2015-06-19
1164812509 Eric Henderson Coomer Registered Nurse 85 Downey Drive, Columbia, KY 42728 2015-01-23
1154742518 Mckinsey C Matney Speech-Language Pathologist 638 Huntington Way, Columbia, KY 42728 2014-01-02
1619309861 Lake Cumberland District Health Department Public Health or Welfare 158 Col Casey Drive, Columbia, KY 42728 2013-07-30
1184872475 Wal-mart Stores, Inc. Eyewear Supplier (Equipment, not the service) 2988 Burkesville Rd., Columbia, KY 42728 2008-08-29
1346412301 Adair County Hospital District Home Health 904-b Westlake Drive, Columbia, KY 42728 2008-03-31
1922207513 Columbia Medical Equipment, Inc. Durable Medical Equipment & Medical Supplies 937 Campbellsville Road, Columbia, KY 42728 2007-07-13
Find all providers in zip 42728

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124628821 Shadiat Ogunsakin Behavior Technician 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 2020-10-30
1104423029 Khashema Boyer Behavior Technician 8950 Rte 108 Ste 123, Columbia, MD 21045-2146 2020-10-04
1689281974 Shalexis Wilson Behavior Technician 10360 Swift Stream Pl Apt 412, Columbia, MD 21044-4943 2020-09-30
1144834219 Hanna Doherty Behavior Technician 350 Taylor St Unit G, Columbia, SC 29201-2292 2020-09-04
1659983211 Courtney Danielle Henderson Behavior Technician 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 2020-08-17
1235748914 Heather Marie Merchant Behavior Technician 5682 Stevens Forest Rd Apt 44, Columbia, MD 21045-3312 2020-07-28
1720606155 Jennifer Michelle Cundiff Behavior Technician 309 Hurt St Apt 202, Columbia, KY 42728-2303 2020-07-13
1497374136 Keenan Eldridge Behavior Technician 8950 Md-108, Suite 100, Columbia, MD 21045 2020-04-13
1275166761 Isis Marie Pearson Behavior Technician 4611 Hardscrabble Rd, #239, Columbia, SC 29229 2020-02-13
1083254338 Lintiya Mccleary Behavior Technician 1048 Wildewood Center Dr, Columbia, SC 29229 2020-01-14
Find all providers in COLUMBIA

Competitor

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City COLUMBIA
Zip Code 42728

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Dataset Information

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.

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