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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106S00000X | Behavior Technician | KY | Behavioral Health & Social Service Providers |
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 |
Street Address |
1107 CARRIE BOLIN DR |
City | COLUMBIA |
State | KY |
Zip Code | 42728-1034 |
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 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 |
---|---|---|---|---|
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 |
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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.