TAYLOR JACKSON (NPI# 1376188375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376188375 |
| Entity Type | Individual |
| Full Name | TAYLOR JACKSON |
| Practice Address |
1317 Oakdale Rd Ste 610 Modesto CA 95355-3365 |
| Mailing Address |
2080 N Tustin Ave Ste B Santa Ana CA 92705-7875 |
| Practice Telephone | 8555810100 |
| Mailing Telephone | 8555810100 |
| Mailing Fax Number | 9497090311 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |
| 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 |
|---|---|---|---|---|
| 1194324848 | Taylor Jackson | Registered Nurse | 4255 Wildener Way, Cumming, GA 30041-3602 | 2020-10-23 |
| 1992173025 | Taylor Jackson | Specialist/Technologist | 707 E Merry Ave, Bowling Green, OH 43403-4502 | 2015-09-06 |
| 1487251302 | Taylor Leeanne Jackson | Occupational Therapist | 3710 Olentangy River Rd, Columbus, OH 43214-3426 | 2020-10-04 |
| 1275158404 | Taylor Kiyota Jackson | Optometrist | 5900 Keyes St Ste 101, Frederick, CO 80504-5956 | 2020-06-13 |
| 1215568233 | Taylor Jackson | Social Worker | 128 S 17th St, Blair, NE 68008-2004 | 2020-01-29 |
| 1265083679 | Taylor Bauer Jackson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2019-09-26 |
| 1326543752 | Taylor Jackson | Orthopaedic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2018-03-27 |
| 1558877548 | Taylor Mae Jackson | Counselor | 515 Lakeway Dr, Bellingham, WA 98225-5233 | 2017-12-28 |
| 1700258324 | Taylor Joel Jackson | Pharmacist | 5633 N Lidgerwood St, Spokane, WA 99208 | 2015-10-22 |
| Street Address |
1317 OAKDALE RD STE 610 |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-3365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730346420 | Soft Tissue & Myofascial Treatment Inc. | Clinic/Center | 1317 Oakdale Rd Ste 610, Modesto, CA 95355-3365 | 2008-05-20 |
| 1114534468 | Rosemary Escrito | Behavior Technician | 1317 Oakdale Rd Ste 610, Modesto, CA 95355-3365 | 2020-09-29 |
| 1831706183 | Kevin Newburg | Behavior Technician | 1317 Oakdale Rd Ste 610, Modesto, CA 95355-3365 | 2020-09-29 |
| 1851908289 | Regina Narayan | Behavior Technician | 1317 Oakdale Rd Ste 610, Modesto, CA 95355-3365 | 2020-09-29 |
| 1962019315 | Marianna Garcia | Behavior Technician | 1317 Oakdale Rd Ste 610, Modesto, CA 95355-3365 | 2020-09-29 |
| 1134736580 | Ana Cuevas | Behavior Technician | 1317 Oakdale Rd Ste 610, Modesto, CA 95355-3365 | 2020-09-29 |
| 1396352746 | Julene Bazan | Behavior Technician | 1317 Oakdale Rd Ste 610, Modesto, CA 95355-3365 | 2020-09-29 |
| 1760099113 | Jonathan Alcantara | Behavior Technician | 1317 Oakdale Rd Ste 610, Modesto, CA 95355-3365 | 2020-09-29 |
| 1053928556 | Carla Garcia | Behavior Technician | 1317 Oakdale Rd Ste 610, Modesto, CA 95355-3365 | 2020-09-28 |
| 1043827546 | David Jimenez | Behavior Technician | 1317 Oakdale Rd Ste 610, Modesto, CA 95355-3365 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| 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 |
|---|---|---|---|---|
| 1023622206 | Paloma Salcido | Behavior Technician | 5325 Avenue D, Modesto, CA 95358-9445 | 2020-09-03 |
| 1417561812 | Rosalie Martinez | Behavior Technician | 810 1/2 Wright St, Modesto, CA 95350-5952 | 2020-09-02 |
| 1649804683 | Laica Jean Marte | Behavior Technician | 2801 Braden Ave Apt 324, Modesto, CA 95356-0660 | 2020-02-28 |
| 1346880721 | Venice Nomof | Behavior Technician | 420 Fusco Ave, Modesto, CA 95354-1611 | 2020-01-13 |
| 1609334424 | Chanelle Mendoza | Behavior Technician | 3136 Honey Bee Ct, Modesto, CA 95356-0116 | 2019-03-11 |
| 1003386764 | Angelica Hermelinda Nila | Behavior Technician | 2617 Medinah Ct, Modesto, CA 95355-9666 | 2018-11-26 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1992208219 | Ariana Dominguez | Behavior Technician | 1613 Briarwood Dr, Modesto, CA 95355-1522 | 2018-03-13 |
| 1851894497 | Ashley Marie Leal | Behavior Technician | 2908 Amir Pl, Modesto, CA 95355-8724 | 2018-03-09 |
| 1225530884 | Emily Marie Casarez | Behavior Technician | 3425 Coffee Rd Ste 2, Modesto, CA 95355-1582 | 2018-02-28 |
| Find all providers in MODESTO | ||||
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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.