AMBER JACKSON (NPI# 1578107363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578107363 |
| Entity Type | Individual |
| Full Name | AMBER JACKSON |
| Practice Address |
401 S Mount Juliet Rd Ste 235-118 Mt Juliet TN 37122-6359 |
| Mailing Address |
2301 Scott Ave Nashville TN 37216-3119 |
| Practice Telephone | 6153931709 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| 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 |
|---|---|---|---|---|
| 1659918878 | Amber Dawn Jackson | Licensed Vocational Nurse | 117 Sw Taylor St, Burleson, TX 76028-3813 | 2019-12-06 |
| 1558923052 | Amber Hauoli Jackson | Massage Therapist | 5820 W Locksley Loop, Wasilla, AK 99623-0874 | 2019-07-03 |
| 1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
| 1790224863 | Amber Jackson | Specialist | 24 Ball Ave, Yonkers, NY 10701-5001 | 2017-02-22 |
| 1730429226 | Amber Nicole Jackson | Licensed Practical Nurse | 5963 Highland View Dr, Sylvania, OH 43560 | 2013-02-21 |
| 1295941219 | Amber Nicole Jackson | Licensed Practical Nurse | 1800 Claremore Ave, Pawhuska, OK 74056-1747 | 2007-05-15 |
| 1912944158 | Amber Adney Jackson | Social Worker | 221 N East Ave Ste 203, Fayetteville, AR 72701-5226 | 2006-05-31 |
| 1659970945 | Amber Rose Jackson | Specialist/Technologist | 12708 Riata Vista Cir Ste A106, Austin, TX 78727-7174 | 2020-10-19 |
| 1346859378 | Amber Jackson | Nurse Practitioner | 4327 Barnett Rd, Wichita Falls, TX 76310-2303 | 2020-07-27 |
| 1770105967 | Amber Jackson | Student in an Organized Health Care Education/Training Program | 300 E 6th St, Texarkana, AR 71854-5207 | 2020-05-11 |
| Street Address |
401 S MOUNT JULIET RD STE 235-118 |
| City | MT JULIET |
| State | TN |
| Zip Code | 37122-6359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784671 | Tricia Gentry | Behavior Technician | 401 S Mount Juliet Rd Ste 235-118, Mt Juliet, TN 37122-6359 | 2019-05-09 |
| 1891318010 | Chelsea Rae O'hara | Behavior Technician | 401 S Mount Juliet Rd Ste 235-118, Mt Juliet, TN 37122-6359 | 2020-05-21 |
| 1891314530 | Mallory E Smith | Behavioral Analyst | 401 S Mount Juliet Rd Ste 235-118, Mt Juliet, TN 37122-6359 | 2020-04-13 |
| 1093334260 | Hollyn Lentz | Behavior Technician | 401 S Mount Juliet Rd Ste 235-118, Mt Juliet, TN 37122-6359 | 2020-04-08 |
| 1386202018 | Carlin Saalfrank | Behavioral Analyst | 401 S Mount Juliet Rd Ste 235-118, Mt Juliet, TN 37122-6359 | 2019-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628084 | Your Motion Physical Therapy Pllc | Physical Therapist | 102 Vanner Rd, Mt. Juliet, TN 37122 | 2020-01-14 |
| 1639728355 | Brantley Allen Thigpen | Student in an Organized Health Care Education/Training Program | 2128, Fellowshid Rd, Mount Juliet, TN 37122 | 2019-09-05 |
| 1811479272 | Jessica Danielle Parker | Nurse Practitioner | 854 N Mt Juliet Road, Mt Juliet, TN 37122 | 2018-09-02 |
| 1952891798 | Twin Lakes Dental Care Pllc | Clinic/Center | 11315 Lebanon Rd, Mount Juliet, TN 37122 | 2018-05-17 |
| 1346768983 | William Siegel | Chiropractor | 650 S. Mount Juliet Rd. Suite 105, Mount Juliet, TN 37122 | 2017-09-04 |
| 1194269506 | Michele Mcdermitt | Nurse Practitioner | 108 Providence Trail, Mt. Juliet, TN 37122 | 2016-12-05 |
| 1720537491 | Mt. Juliet Dental Group, PC | Dentist | 4155 N Mt Juliet Rd, Mt. Juliet, TN 37122 | 2016-09-23 |
| 1407302169 | Comprehensive Neurology Center, Pllc | Psychiatry & Neurology | 5000 Crossings Cir Ste 101, Mt Juliet, TN 37122 | 2016-08-31 |
| 1639624109 | Samantha Nicole Grishaber | Occupational Therapist | 5000 Crossing Circle, Suite 100, Mount Juliet, TN 37122 | 2016-08-24 |
| 1033584461 | Kimberly Campbell | Nurse Practitioner | 3500 N Mount Juliet Rd Ste 201, Mt Juliet, TN 37122 | 2015-12-10 |
| Find all providers in zip 37122 | ||||
| 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 |
|---|---|---|---|---|
| 1528625340 | Sarah Paige O'nan | Behavior Technician | 401 S Mount Juliet Rd # 235-118, Mt Juliet, TN 37122-6359 | 2019-05-28 |
| 1134784671 | Tricia Gentry | Behavior Technician | 401 S Mount Juliet Rd Ste 235-118, Mt Juliet, TN 37122-6359 | 2019-05-09 |
| 1366940223 | Danielle Potter | Behavior Technician | 2138 Fawns Creek Xing, Mt Juliet, TN 37122-1207 | 2018-01-25 |
| 1851991558 | Kendra Robertson | Behavior Technician | 2138 Fawns Creek Xing, Mt Juliet, TN 37122-1207 | 2020-10-30 |
| 1811596604 | Molly Balmer | Behavior Technician | 2138 Fawns Creek Xing, Mt Juliet, TN 37122-1207 | 2020-10-22 |
| 1780283127 | Anna Pszenny | Behavior Technician | 401 S Mount Juliet Rd # 235-118, Mt Juliet, TN 37122-6359 | 2020-10-17 |
| 1225636590 | Laci Evans | Behavior Technician | 2138 Fawns Creek Xing, Mt Juliet, TN 37122-1207 | 2020-10-09 |
| 1255944286 | Holli Brown | Behavior Technician | 2138 Fawns Creek Xing, Mt Juliet, TN 37122-1207 | 2020-08-28 |
| 1750993614 | Melanie Freeman | Behavior Technician | 401 S Mount Juliet Rd, Mt Juliet, TN 37122-6359 | 2020-08-20 |
| 1780296210 | John Jacob Mcmahon Iv | Behavior Technician | 401 S Mount Juliet Rd, Mt Juliet, TN 37122-6359 | 2020-08-17 |
| Find all providers in MT JULIET | ||||
Please comment or provide details below to improve the information on AMBER 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.