JACY LANE ROGERS (NPI# 1477175685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477175685 |
| Entity Type | Individual |
| Full Name | JACY LANE ROGERS |
| Credential | RBT |
| Practice Address |
1001 W Southwest Loop 323 Tyler TX 75701-9416 |
| Practice Telephone | 4302058710 |
| Practice Fax Number | 8322133381 |
| Mailing Telephone | 4302058710 |
| Mailing Fax Number | 8322133381 |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-116085 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1001 W SOUTHWEST LOOP 323 |
| City | TYLER |
| State | TX |
| Zip Code | 75701-9416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871654244 | East Texas Pediatric Rehabilitation Associates Inc | Clinic/Center | 1001 W Southwest Loop 323, Tyler, TX 75701-9416 | 2006-12-12 |
| 1174148787 | Marcelina Perez | Behavior Technician | 1001 W Southwest Loop 323, Tyler, TX 75701-9416 | 2020-06-09 |
| 1821639816 | Cassie Jones | Behavior Technician | 1001 W Southwest Loop 323, Tyler, TX 75701-9416 | 2019-10-01 |
| 1568018612 | Nigel Thomas | Behavior Technician | 1001 W Southwest Loop 323, Tyler, TX 75701-9416 | 2019-08-14 |
| 1427560507 | Kristi Dubois | Speech-Language Pathologist | 1001 W Southwest Loop 323, Tyler, TX 75701-9416 | 2017-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| 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 |
|---|---|---|---|---|
| 1184224594 | Dakotah Hazlewood | Behavior Technician | 1001 W Sw Loop 323, Tyler, TX 75701-9416 | 2020-10-27 |
| 1609474238 | Sarah Mcgee | Behavior Technician | 1001 W Sw Loop 323, Tyler, TX 75701-9416 | 2020-10-15 |
| 1689288912 | Kendrick Clark | Behavior Technician | 1001 W Sw Loop 323, Tyler, TX 75701-9416 | 2020-09-03 |
| 1174148787 | Marcelina Perez | Behavior Technician | 1001 W Southwest Loop 323, Tyler, TX 75701-9416 | 2020-06-09 |
| 1710517057 | Rocio Perez | Behavior Technician | 1001 W Sw Loop 323, Tyler, TX 75701-9416 | 2020-01-24 |
| 1164065322 | Keyanna Redwine | Behavior Technician | 1001 W Sw Loop 323, Tyler, TX 75701-9416 | 2019-10-21 |
| 1801437165 | Colton Killingsworth | Behavior Technician | 1001 W Sw Loop 323, Tyler, TX 75701-9416 | 2019-10-07 |
| 1821639816 | Cassie Jones | Behavior Technician | 1001 W Southwest Loop 323, Tyler, TX 75701-9416 | 2019-10-01 |
| 1811545320 | Nycole Jeanne Renfrow | Behavior Technician | 1001 W Sw Loop 323, Tyler, TX 75701-9416 | 2019-08-28 |
| 1568018612 | Nigel Thomas | Behavior Technician | 1001 W Southwest Loop 323, Tyler, TX 75701-9416 | 2019-08-14 |
| Find all providers in TYLER | ||||
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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.