ANGEL N JACKSON (NPI# 1447892260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447892260 |
| Entity Type | Individual |
| Full Name | ANGEL N JACKSON |
| Practice Address |
421 Fayetteville Street Suite 1100 Raleigh NC 27601 |
| Practice Telephone | 8774182978 |
| Practice Fax Number | 8665002186 |
| Mailing Telephone | 8774182978 |
| Mailing Fax Number | 8665002186 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164879391 | Angel Jackson | Case Manager/Care Coordinator | 2313 Banyan Lake Cir, West Palm Beach, FL 33415-2678 | 2016-05-18 |
| 1487212221 | Angel Jackson | Technician | 911 N Buffalo Dr Unit 210, Las Vegas, NV 89128-0381 | 2019-06-05 |
| 1174811863 | Angel Marie Jackson | Rehabilitation Practitioner | 480 Galletti Way, Sparks, NV 89431-5564 | 2011-07-14 |
| Street Address |
421 FAYETTEVILLE STREET SUITE 1100 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093267817 | Kristen Ashley Eubanks | Behavior Technician | 421 Fayetteville Street Suite 1100, Raleigh, NC 27601 | 2016-10-27 |
| 1689117285 | Stephanie Hamilton | Behavior Technician | 421 Fayetteville Street Suite 1100, Butterfly Effects LLC, Raleigh, NC 27601-3138 | 2016-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123061 | Sarah C Blankenship | Behavior Technician | 421 Fayette Street Suite 1100, Raleigh, NC 27601 | 2020-10-29 |
| 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 |
| 1023533205 | Carolina Sport & Spine Physical Therapy, Inc. | Clinic/Center | 555 Fayetteville St Ste 201, Raleigh, NC 27601 | 2017-08-08 |
| 1902346067 | Nc Community Care Services Inc | Day Training, Developmentally Disabled Services | 555 Fayetteville Street, Ste. 201, Raleigh, NC 27601 | 2017-03-08 |
| 1649712399 | Sleep Health and Wellness Center, Pllc | Sleep Specialist, PhD | 555 S Wilmington St, Suite 201, Raleigh, NC 27601 | 2016-11-12 |
| 1205281631 | Kayla Christian Hart | Developmental Therapist | 421 Fayetteville Street, Suite 1100, Raleigh, NC 27601 | 2016-05-04 |
| 1457759003 | Vanessa Lech | Social Worker | 555 Fayetteville St, Suite 201, Raleigh, NC 27601 | 2014-12-15 |
| 1649513177 | Manual Medicine Physical Therapy | Clinic/Center | 300 W. Hargett St., Apt. 307, Raleigh, NC 27601 | 2013-04-03 |
| 1457581514 | Patricia Jean Bilitzke | Counselor | 33 W Davie St., Raleigh, NC 27601 | 2009-07-22 |
| Find all providers in zip 27601 | ||||
| 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 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on ANGEL N JACKSON.
| 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.