MARANDA FAYE JACKSON (NPI# 1497145692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497145692 |
| Entity Type | Individual |
| Full Name | MARANDA FAYE JACKSON |
| Practice Address |
650 S Peoria Ave Tulsa OK 74120-4429 |
| Mailing Address |
2325 S Harvard Ave Tulsa OK 74114-3300 |
| Practice Telephone | 9185879471 |
| Practice Fax Number | 9185601399 |
| Mailing Telephone | 9189916175 |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
650 S PEORIA AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74120-4429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669470787 | Sharon Ann Stewart | Counselor | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2005-07-12 |
| 1972114825 | Olivia Church Pham | Counselor | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2020-08-13 |
| 1154931913 | Anna Mchenry | Counselor | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2020-08-06 |
| 1306456520 | Brianna Caylen Santos | Case Manager/Care Coordinator | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2020-08-03 |
| 1730707688 | Brittny Baldwin | Social Worker | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2020-07-08 |
| 1790319879 | Alexandra Mccaffery | Social Worker | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2020-02-27 |
| 1295367142 | Krista Taylor | Counselor | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2020-02-09 |
| 1548891377 | Jasmine Marie Rowe | Counselor | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2020-01-30 |
| 1457982795 | Elizabeth Marine Hollingsworth | Case Manager/Care Coordinator | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2020-01-27 |
| 1497302434 | Mercy Jade Hilton | Case Manager/Care Coordinator | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2019-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144704321 | Quintella Delana Miller | Case Manager/Care Coordinator | 1043 E Easton St, Tulsa, OK 74120 | 2018-09-24 |
| 1689152092 | Charles Granger Jr. | Case Manager/Care Coordinator | 103 N Greenwood, Suite 320, Tulsa, OK 74120 | 2018-07-30 |
| 1174015598 | Debra Anne Beasley | Counselor | 1619 E. 13th St., Tulsa, OK 74120 | 2018-06-01 |
| 1649775701 | Cara Marie Cantu | Licensed Practical Nurse | 620 South Peoria, Tulsa, OK 74120 | 2018-03-29 |
| 1639558745 | Wei Te Li | Student in an Organized Health Care Education/Training Program | 1207 S Quaker Ave Apt 104, Tulsa, OK 74120 | 2015-05-21 |
| 1225434350 | Marcos Rivero | Community/Behavioral Health | 130 N. Greenwood, Suite 302, Tulsa, OK 74120 | 2014-11-18 |
| 1861742348 | Tamiika Jones | Social Worker | 1533 E 13th St, Apt B, Tulsa, OK 74120 | 2012-09-12 |
| 1730408097 | Teresa Lee Henshaw | Physical Therapist | 1125 S. Trenton, Hillcrest Medical Center- Kaiser Rehab. Center, Tulsa, OK 74120 | 2010-05-26 |
| 1194970384 | Kym Lynnette Lindsay | Speech-Language Pathologist | 1125 S Trenton Ave Fl 3, Tulsa, OK 74120 | 2008-12-01 |
| 1184872004 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 | 2008-09-04 |
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| 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 |
|---|---|---|---|---|
| 1497353049 | Angela Christene Wilson | Behavioral Analyst | 2523 E 88th St Apt 315, Tulsa, OK 74137-2423 | 2020-10-15 |
| 1356954721 | Michael R Rife | Behavioral Analyst | 1515 S Madison Ave, Tulsa, OK 74120-6215 | 2020-08-26 |
| 1588296198 | Lynsey Garrett | Behavioral Analyst | 7306 S Yale Ave, Tulsa, OK 74136-7027 | 2020-02-11 |
| 1578059259 | Tiffany Lacy David | Behavioral Analyst | 7170 S Braden Ave Ste 195, Tulsa, OK 74136-6324 | 2018-07-06 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1700388899 | Alexis James Rittenhouse | Behavioral Analyst | 4515 E 91st St Ste 201, Tulsa, OK 74137-2810 | 2018-03-05 |
| 1053828970 | Amy Kay Rosa | Behavioral Analyst | 7107 S Yale Ave # 161, Tulsa, OK 74136-6308 | 2017-12-30 |
| 1225571367 | Jennifer Brummert | Behavioral Analyst | 7509 S 95th East Ave, Tulsa, OK 74133-5273 | 2016-11-21 |
| 1366802324 | Thomas Boxley | Behavioral Analyst | 2222 W Newton St, Tulsa, OK 74127-3016 | 2016-03-03 |
| 1003274333 | Delores Warrior-webb | Behavioral Analyst | 2518 E 88th St, Apt 8, Tulsa, OK 74137-2427 | 2016-02-01 |
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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.