MS. JECOLIAH JACKSON (NPI# 1376012583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376012583 |
| Entity Type | Individual |
| Full Name | MS. JECOLIAH JACKSON |
| Credential | RBT |
| Practice Address |
4001 Westerly Pl Ste 110 Newport Beach CA 92660-2302 |
| Mailing Address |
8612 Ramona St Apt B Bellflower CA 90706-7744 |
| Practice Telephone | 9497568799 |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | CA | Behavioral Health & Social Service Providers |
| Street Address |
4001 WESTERLY PL STE 110 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841640315 | Casa Capri | Clinic/Center | 4001 Westerly Pl Ste 110, Newport Beach, CA 92660-2302 | 2016-06-15 |
| 1366057564 | Forbes Individual and Family Therapy, Inc. | Marriage & Family Therapist | 4001 Westerly Pl Ste 110, Newport Beach, CA 92660-2302 | 2020-09-14 |
| 1851862627 | Meera Shah | Behavioral Analyst | 4001 Westerly Pl Ste 110, Newport Beach, CA 92660-2302 | 2018-12-05 |
| 1801370846 | Sydney Hannah Podue | Behavior Technician | 4001 Westerly Pl Ste 110, Newport Beach, CA 92660-2302 | 2018-09-15 |
| 1295224640 | Adriana Urbina | Behavior Technician | 4001 Westerly Pl Ste 110, Newport Beach, CA 92660-2302 | 2018-05-01 |
| 1922597350 | Ahiline Campos | Behavioral Analyst | 4001 Westerly Pl Ste 110, Newport Beach, CA 92660-2302 | 2018-05-01 |
| 1689174377 | Natalie Huff | Behavior Technician | 4001 Westerly Pl Ste 110, Newport Beach, CA 92660-2302 | 2018-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| 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 |
|---|---|---|---|---|
| 1780143255 | Brian Cooper | Behavioral Analyst | 211 42nd St Apt 2, Newport Beach, CA 92663-1501 | 2019-03-14 |
| 1477095610 | Sean Gorgie | Behavioral Analyst | 1520 E Oceanfront, Newport Beach, CA 92661-1414 | 2016-11-04 |
| 1528425253 | Jennifer Haley Tarris | Behavioral Analyst | 461 Bolero Way, Newport Beach, CA 92663-3636 | 2016-01-26 |
| 1114329240 | Ashley Robert Damaj | Behavioral Analyst | 2851 Catalpa St, Newport Beach, CA 92660-3220 | 2014-09-19 |
| 1740845957 | Annessa Leeann Brock | Behavioral Analyst | 1151 Dove St Ste 105, Newport Beach, CA 92660-2805 | 2019-05-02 |
| 1528524378 | Zeenat Laurel Gonzalez Perez | Behavioral Analyst | 4695 Macarthur Ct, Newport Beach, CA 92660-1882 | 2019-02-18 |
| 1851862627 | Meera Shah | Behavioral Analyst | 4001 Westerly Pl Ste 110, Newport Beach, CA 92660-2302 | 2018-12-05 |
| 1285102855 | Kelliann Lively | Behavioral Analyst | 4001 Westerly Pl, Newport Beach, CA 92660-2315 | 2018-11-12 |
| 1023501624 | Vitzania Estrada | Behavioral Analyst | 4001 Westerly Pl, Newport Beach, CA 92660-2315 | 2018-06-08 |
| 1922597350 | Ahiline Campos | Behavioral Analyst | 4001 Westerly Pl Ste 110, Newport Beach, CA 92660-2302 | 2018-05-01 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
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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.