KRYSTAL JACKMAN (NPI# 1588011233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588011233 |
| Entity Type | Individual |
| Full Name | KRYSTAL JACKMAN |
| Credential | M.S., BCBA |
| Practice Address |
10722 Standing Stone Dr Wimauma FL 33598-6163 |
| Mailing Address |
Po Box 1564 Riverview FL 33568-1564 |
| Practice Telephone | 8136105186 |
| Mailing Telephone | 8136105186 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001289800 | 05 |
| Street Address |
10722 STANDING STONE DR |
| City | WIMAUMA |
| State | FL |
| Zip Code | 33598-6163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477900652 | Higher Aspirations Behavior Services, LLC | Behavioral Analyst | 10722 Standing Stone Dr, Wimauma, FL 33598-6163 | 2016-05-18 |
| 1033621297 | Dwight Scarlett | Behavior Technician | 10722 Standing Stone Dr, Wimauma, FL 33598-6163 | 2017-10-27 |
| 1740790609 | Ashley Beague | Behavior Technician | 10722 Standing Stone Dr, Wimauma, FL 33598-6163 | 2017-10-05 |
| 1528578671 | Richeland Fils-aime | Behavior Technician | 10722 Standing Stone Dr, Wimauma, FL 33598-6163 | 2017-10-03 |
| 1639688955 | Ladonna Elyse Clark-sharritt | Behavior Technician | 10722 Standing Stone Dr, Wimauma, FL 33598-6163 | 2017-09-29 |
| 1881103125 | Michka Daughma | Behavior Technician | 10722 Standing Stone Dr, Wimauma, FL 33598-6163 | 2017-09-28 |
| 1326557661 | Michael Toutoute | Behavior Technician | 10722 Standing Stone Dr, Wimauma, FL 33598-6163 | 2017-09-28 |
| 1811424625 | Sequeoia Sanders | Behavior Technician | 10722 Standing Stone Dr, Wimauma, FL 33598-6163 | 2017-05-11 |
| 1376074401 | Amy Alex | Behavior Technician | 10722 Standing Stone Dr, Wimauma, FL 33598-6163 | 2017-03-21 |
| 1083153431 | Cruzita Coronado | Behavior Technician | 10722 Standing Stone Dr, Wimauma, FL 33598-6163 | 2017-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962032672 | Micheline Renee Ferguson | Case Manager/Care Coordinator | 10008 Carloway Hills Dr., Wimauma, FL 33598 | 2020-01-22 |
| 1619468840 | Community & Home Health Solutions Inc | Registered Nurse | 15703 Carlton Lake Rd., Wimauma, FL 33598 | 2018-05-23 |
| 1629368949 | Marcus William Campbell | Pharmacist | Tgmg Sun City Center, 16521 South Us Hwy 301, Wimauma, FL 33598 | 2011-04-08 |
| 1184934895 | Edith Berrien Homehealth Service | Home Health | 6011 Vel Street, Wimauma, FL 33598 | 2010-10-15 |
| 1962637488 | Christina Ann Raymond | Mechanotherapist | 1078 Chert Rock Trl, Wimauma, FL 33598 | 2009-05-28 |
| 1922139344 | Wal-mart Stores East, L.p. | Technician/Technologist | 4928 State Rd. 674, Ruskin, FL 33598 | 2007-03-08 |
| 1962455873 | Italy Shoe Lab, Inc | Prosthetic/Orthotic Supplier | 16621 Hwy 301 S, #107, Wimauma, FL 33598 | 2006-05-19 |
| 1407413974 | Synergic Healthcare Solutions LLC | Clinic/Center | 16521 S Us Highway 301, Wimauma, FL 33598-2032 | 2019-05-21 |
| 1881161826 | Tower Imaging LLC | Radiology | 16521 S. Us Hwy 301, Wimauma, FL 33598-2032 | 2018-10-29 |
| 1316364623 | Jonathan Pavlinec | Urology | 16513 S Us Highway 301, Wimauma, FL 33598-2032 | 2014-03-25 |
| Find all providers in zip 33598 | ||||
| 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 |
|---|---|---|---|---|
| 1477900652 | Higher Aspirations Behavior Services, LLC | Behavioral Analyst | 10722 Standing Stone Dr, Wimauma, FL 33598-6163 | 2016-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124978 | Jelenny Marquez | Behavioral Analyst | 529 Se Palm Beach Rd Ste 103, Stuart, FL 34994-2477 | 2020-11-06 |
| 1295336246 | Harold Santiso Laureiro | Behavioral Analyst | 5870 S 38th Ct, Greenacres, FL 33463-4724 | 2020-11-05 |
| 1326649286 | Treetop Therapy Fl | Behavioral Analyst | 709 S Federal Hwy Ste 2, Boynton Beach, FL 33435-5610 | 2020-11-05 |
| 1245831676 | Clr Behavior LLC | Behavioral Analyst | 2621 Se 4th Ave, Cape Coral, FL 33904-2765 | 2020-11-03 |
| 1245830843 | Mg Puzzle Pieces Corp | Behavioral Analyst | 4400 N Federal Hwy Ste 5, Boca Raton, FL 33431-3424 | 2020-11-01 |
| 1023618949 | Gerardo Veiga Iparraguirre | Behavioral Analyst | 5789 S 37th St, Greenacres, FL 33463-3271 | 2020-10-29 |
| 1861092751 | Lester Castillo | Behavioral Analyst | 9952 Sw 8th St, Miami, FL 33174-2878 | 2020-10-29 |
| 1437759214 | Minssu Pena | Behavioral Analyst | 2615 Fairways Dr Fl 33035, Homestead, FL 33035-1173 | 2020-10-29 |
| 1447850482 | Yisell Ferreira | Behavioral Analyst | 2315 W 66th Pl, Hialeah, FL 33016-3902 | 2020-10-28 |
| 1447850540 | Janellene Lopez | Behavioral Analyst | 14422 Sw 10th St, Miami, FL 33184-3113 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KRYSTAL JACKMAN.
| 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.