KATHRYN JACKSON (NPI# 1558829861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558829861 |
| Entity Type | Individual |
| Full Name | KATHRYN JACKSON |
| Practice Address |
500 Ala Moana Blvd Ste 7400 Honolulu HI 96813-4902 |
| Mailing Address |
7108 S Kanner Hwy Stuart FL 34997-7462 |
| Practice Telephone | 8083540090 |
| Mailing Telephone | 8558326727 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2020-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 2019-012 | AL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6122 Avenue H, Bessemer, AL 350203053 | 6627881121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710478144 | Kathryn Jackson | Social Worker | 18331 Wolfpack Way, Hagerstown, MD 21740-3583 | 2018-05-22 |
| 1609048735 | Kathryn Martin Jackson | Speech-Language Pathologist | 1879 E Robinson Ave, Springdale, AR 72764-5713 | 2008-03-28 |
| 1780661694 | Kathryn Jackson | Registered Nurse | 6002 Westgate Blvd Ste 274, Tacoma, WA 98406-2571 | 2005-12-30 |
| 1528053816 | Kathryn Horton Jackson | Pharmacist | 5445 Meridian Marks Rd Ne, Suite 190, Atlanta, GA 30342-4763 | 2005-09-13 |
| 1649888314 | Kathryn Jackson | Speech-Language Pathologist | 7281 W Charleston Blvd, Las Vegas, NV 89117-1592 | 2020-07-20 |
| 1659936607 | Kathryn Marie Jackson | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2019-05-06 |
| 1942707914 | Kathryn Elizabeth Jackson | Occupational Therapist | 905 Arrowhead Trl, Warner Robins, GA 31088-5390 | 2018-04-06 |
| 1447632922 | Kathryn Miles Jackson | Audiologist | 1505 Sw Cary Pkwy, Suite 301, Cary, NC 27511-6219 | 2015-06-22 |
| 1295160091 | Kathryn Jackson | Counselor | 12125 Shale Ridge Ln, Auburn, CA 95602-8880 | 2013-09-11 |
| 1093157919 | Kathryn Lynelle-tudor Jackson | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-07-19 |
| Street Address |
500 ALA MOANA BLVD STE 7400 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-4902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992887681 | Melissa Bowen | Social Worker | 500 Ala Moana Blvd Ste 7400, Honolulu, HI 96813-4902 | 2006-10-20 |
| 1295334415 | Shanay Ruth Adams | Behavior Technician | 500 Ala Moana Blvd Ste 7400, Honolulu, HI 96813-4902 | 2020-10-19 |
| 1366055584 | Gino B Titus-luciano | Counselor | 500 Ala Moana Blvd Ste 7400, Honolulu, HI 96813-4902 | 2020-08-27 |
| 1861002479 | Carissa Thibodeaux | Behavior Technician | 500 Ala Moana Blvd Ste 7400, Honolulu, HI 96813-4902 | 2020-08-07 |
| 1053920215 | Cortney Wolensky | Behavior Technician | 500 Ala Moana Blvd Ste 7400, Honolulu, HI 96813-4902 | 2020-07-23 |
| 1669098828 | Catherine Anabell Gifford | Behavior Technician | 500 Ala Moana Blvd Ste 7400, Honolulu, HI 96813-4902 | 2020-06-23 |
| 1629694286 | Angelight Badongen Alan | Behavior Technician | 500 Ala Moana Blvd Ste 7400, Honolulu, HI 96813-4902 | 2020-06-19 |
| 1457975617 | Jessica E Minshall | Behavior Technician | 500 Ala Moana Blvd Ste 7400, Honolulu, HI 96813-4902 | 2020-06-03 |
| 1013531334 | Paige Akemi Uyehara | Behavior Technician | 500 Ala Moana Blvd Ste 7400, Honolulu, HI 96813-4902 | 2020-06-02 |
| 1619599610 | Ciara G Steynberg | Behavior Technician | 500 Ala Moana Blvd Ste 7400, Honolulu, HI 96813-4902 | 2020-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902322 | Kawehi Hanohano-navarro | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suit, Honolulu, HI 96813 | 2020-11-03 |
| 1659971489 | University Clinical Education & Research Associates | Clinical Medical Laboratory | 651 Ilalo Street, Bioscience Bldg Rm 333, Honolulu, HI 96813 | 2020-10-30 |
| 1700490919 | Tiana Taylor Williams | Behavior Technician | 7 Waterfront Plaza, 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2020-09-04 |
| 1134761109 | Florence Kwitonda | Behavior Technician | 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-10-11 |
| 1629629373 | Alyssa Niel Gethings | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suite, Honolulu, HI 96813 | 2019-09-24 |
| 1851949069 | Miho Camarata | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1326696519 | Chanelle Ashley Ramos | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1568022580 | Fataly Willy | Behavioral Analyst | 500 Alamoana Blvd #7-400, Honolulu, HI 96813 | 2019-06-20 |
| 1538624069 | Galaxy Urgent Care Inc | Internal Medicine | 50 South Beretania St, C210 B, Honolulu, HI 96813 | 2019-02-08 |
| 1376010124 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2018-10-30 |
| Find all providers in zip 96813 | ||||
| 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 |
|---|---|---|---|---|
| 1205441664 | Sarah Rosenfeld | Behavioral Analyst | 315 Sand Island Access Road, Honolulu, HI 96819-2295 | 2020-09-12 |
| 1952915845 | Chrtistian Silvia | Behavioral Analyst | 2059 Keeaumoku St, Honolulu, HI 96822-2527 | 2020-09-08 |
| 1538785787 | Jackie Chung | Behavioral Analyst | 1288 Kapiolani Blvd Apt 1802, Honolulu, HI 96814-2869 | 2020-06-23 |
| 1710516240 | Vincent Paul Lacson Baron | Behavioral Analyst | 1125 Young St Apt 606, Honolulu, HI 96814-1933 | 2020-04-06 |
| 1699301366 | Letesha Driskell | Behavioral Analyst | 7192 Kalanianaole Hwy Ste A143a, Honolulu, HI 96825-1849 | 2020-03-13 |
| 1538794201 | Ike Loa Therapeutic Services, Inc | Behavioral Analyst | 1604 Ohu St, Honolulu, HI 96819-3657 | 2020-03-03 |
| 1649812710 | Melissa Young | Behavioral Analyst | 1617 Clark St Apt 302, Honolulu, HI 96822-4803 | 2019-10-10 |
| 1962055491 | Jeffrey David Azzalina | Behavioral Analyst | 1 Keahole Pl Apt 3505, Honolulu, HI 96825-3425 | 2019-07-23 |
| 1093376337 | Shelby Bassili | Behavioral Analyst | 1243 Ala Kapuna St, Honolulu, HI 96819-1266 | 2019-06-26 |
| 1568022580 | Fataly Willy | Behavioral Analyst | 500 Alamoana Blvd #7-400, Honolulu, HI 96813 | 2019-06-20 |
| Find all providers in HONOLULU | ||||
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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.