BEATRICE KASEY JACKSON (NPI# 1649768672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649768672 |
| Entity Type | Individual |
| Full Name | BEATRICE KASEY JACKSON |
| Practice Address |
1411 S Socorro St Deming NM 88030 |
| Practice Telephone | 5759367162 |
| Mailing Telephone | 5759367162 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |
| 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 |
|---|---|---|---|---|
| 1669877460 | Beatrice Jackson | Non-emergency Medical Transport (VAN) | 14100 Bardwell Avenue, East Cleveland, OH 44112 | 2014-10-23 |
| 1306317540 | Beatrice Latricia Jackson | Behavior Technician | 5300 Lennox Ave Ste 100, Bakersfield, CA 93309-1662 | 2018-12-16 |
| 1356825954 | Beatrice Jackson | Counselor | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2018-09-19 |
| Street Address |
1411 S SOCORRO ST |
| City | DEMING |
| State | NM |
| Zip Code | 88030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301824 | Gila Regional Medical Center | Family Medicine | 901 S. Gold Avenue, Deming, NM 88030 | 2019-08-12 |
| 1437621943 | Lloyd's Water Pal Corporation | Pharmacist | 622 West First Street, Soon Other At Other : 8700 East Fourth Street, Deming, NM 88030 | 2018-12-21 |
| 1376062174 | Suzzana M Weber | Social Worker | 1321 E Poplar Ave, Deming, NM 88030 | 2017-09-12 |
| 1477073823 | Rocky Mountain Holdings Ll C | Ambulance | 2865 Raymond J. Reed Blvd Se, Deming, NM 88030 | 2017-06-26 |
| 1124419627 | Ambercare Medical Supply Co. | Durable Medical Equipment & Medical Supplies | 707 E Pine St, Suite A, Deming, NM 88030 | 2015-02-05 |
| 1508288598 | Brian Plasters | Case Manager/Care Coordinator | 9025 Hwy 377 Ne, Deming, NM 88030 | 2014-01-10 |
| 1275884785 | Marcos A Reyna | Counselor | 125 Chaparral Blvd. Nw, Deming, NM 88030 | 2012-09-24 |
| 1487963831 | Juanita A. Smith | Case Manager/Care Coordinator | 901 West Hickory, Deming, NM 88030 | 2010-10-04 |
| 1659504231 | Marylou H Lozano | Case Manager/Care Coordinator | 901 West Hickory St, Deming, NM 88030 | 2009-08-28 |
| 1407098296 | Kathleen Slee | Social Worker | 901 W. Hickory, Deming, NM 88030 | 2009-03-25 |
| Find all providers in zip 88030 | ||||
| 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 |
|---|---|---|---|---|
| 1912530452 | Raymond A Anaya | Behavior Technician | 2011 S Saddler St, Deming, NM 88030-6146 | 2020-02-12 |
| 1801433081 | Catalina Maria Rios | Behavior Technician | 4453 Warm Springs Rd Se, Deming, NM 88030-8283 | 2019-12-05 |
| 1821569526 | Brisa Ney Ruiz I | Behavior Technician | 2695 El Bordo Rd Se, Deming, NM 88030-2162 | 2018-12-06 |
| 1558859348 | Megan S Crady | Behavior Technician | 1402 S Roswell St, Deming, NM 88030-4935 | 2018-04-26 |
| 1740783182 | Tammy Pierce Zumwalt | Behavior Technician | 1507 S Santa Cruz St, Deming, NM 88030-6012 | 2018-03-12 |
| 1730690314 | Jonathan Ryan Gonzales | Behavior Technician | 315 S Lead St, Deming, NM 88030-3518 | 2017-10-23 |
| 1417599192 | Miranda Chavez | Behavior Technician | 313 S 12th St, Deming, NM 88030-3307 | 2019-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396057 | Heather Smith | Behavior Technician | 25a Cr 5060, Bloomfield, NM 87413 | 2020-11-04 |
| 1215538343 | Victoria Lopez | Behavior Technician | 1015 Pinatubo Pl Nw, Albuquerque, NM 87120-2974 | 2020-11-04 |
| 1467053967 | Candace Torres | Behavior Technician | 2572 Las Alturas Ct, Alamogordo, NM 88310-4339 | 2020-11-03 |
| 1598366080 | Maya Mascarenas | Behavior Technician | 516 Madeira Dr Se Apt 3, Albuquerque, NM 87108-2971 | 2020-11-03 |
| 1831790419 | Alisa Maria Salazar | Behavior Technician | 9610 Arvada Ave Ne, Albuquerque, NM 87112-2912 | 2020-11-02 |
| 1548861065 | Darren Anzures | Behavior Technician | 10004 Benavides Rd Sw, Albuquerque, NM 87121-8126 | 2020-11-02 |
| 1851992374 | Sara Olguin | Behavior Technician | 2910 Mountain View Dr, Carlsbad, NM 88220-3157 | 2020-11-02 |
| 1548869068 | Marian Kinsel | Behavior Technician | 5107 Loma Alto Dr, Farmington, NM 87402-8344 | 2020-10-26 |
| 1730788241 | Krysta Balzano | Behavior Technician | 1000 Paseo Del Gallo, Bernalillo, NM 87004-5558 | 2020-10-26 |
| 1376142935 | Amber Giles | Behavior Technician | 401 N Frontier St, Bloomfield, NM 87413-5529 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
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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.