MRS. CHERYL ANN JACKSON (NPI# 1679700637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679700637 |
| Entity Type | Individual |
| Full Name | MRS. CHERYL ANN JACKSON |
| Practice Address |
4225 Office Pkwy Dallas TX 75204-3628 |
| Mailing Address |
900 Diann Cir Lancaster TX 75146-2262 |
| Practice Telephone | 2148216505 |
| Mailing Telephone | 9722275356 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598052060 | Cheryl Jackson | Registered Nurse | 2001 Begole St, Flint, MI 48504-3197 | 2011-07-06 |
| 1013220268 | Cheryl Jackson | Nurse Practitioner | 5002 S Lake Houston Pkwy Ste 7, Houston, TX 77049-2631 | 2010-07-16 |
| 1285811273 | Cheryl Lynn Jackson | Spec/Tech, Cardiovascular | 20039 Oakwood Dr, Mokena, IL 60448-1397 | 2008-01-22 |
| 1548478217 | Cheryl R Jackson | Specialist/Technologist | 5243 Dalewood Dr, Cross Lanes, WV 25313-1748 | 2007-05-18 |
| 1144262288 | Cheryl A Jackson | Internal Medicine | 5901 Market St, Philadelphia, PA 19139-3117 | 2006-06-12 |
| 1831165166 | Cheryl Anne Jackson | Physician Assistant | 401 Shickshinney Lake Road, Huntington Mills, PA 18622-0046 | 2006-02-27 |
| 1467964320 | Cheryl Jackson | Counselor | 1341 N Cashua Dr, Florence, SC 29501-6939 | 2017-11-01 |
| 1851755243 | Cheryl Lynn Jackson | Occupational Therapist | 3057 Lorna Rd Ste 220, Birmingham, AL 35216-4518 | 2016-04-11 |
| 1508233081 | Cheryl Jackson | Community Health Worker | 1125 W 6th St, 103, Los Angeles, CA 90017-1833 | 2015-08-31 |
| 1366787806 | Cheryl Gwendolyn Jackson | Occupational Therapist | 680 S 4th St, Louisville, KY 40202-2407 | 2012-12-11 |
| Street Address |
4225 OFFICE PKWY |
| City | DALLAS |
| State | TX |
| Zip Code | 75204-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346276680 | Christopher Sungjin Chun | Anesthesiology | 4225 Office Pkwy, Dallas, TX 75204 | 2006-06-25 |
| 1609375880 | Epic Pain and Orthopedics, Pllc | Orthopaedic Surgery | 4225 Office Pkwy, Dallas, TX 75204 | 2018-02-02 |
| 1659814069 | T2 Laboratories, LLC | Clinical Medical Laboratory | 4225 Office Pkwy, Dallas, TX 75204-3628 | 2016-12-02 |
| 1477910404 | Intuit Diagnostic Laboratory Management LLC | Clinical Medical Laboratory | 4225 Office Pkwy, Dallas, TX 75204-3628 | 2016-01-21 |
| 1760874796 | Amerihealth Laboratory, LLC | Clinical Medical Laboratory | 4225 Office Pkwy, Suite 110, Dallas, TX 75204-3628 | 2015-02-27 |
| 1700295722 | Arnice Cobb | Counselor | 4225 Office Pkwy, Dallas, TX 75204-3628 | 2014-08-04 |
| 1548686579 | Juanita Ledesma | Counselor | 4225 Office Pkwy, Dallas, TX 75204-3628 | 2014-03-14 |
| 1942625843 | Cynthia Tellez | Counselor | 4225 Office Pkwy, Dallas, TX 75204-3628 | 2014-02-28 |
| 1508280280 | Southwest Laboratories LLC | Clinical Medical Laboratory | 4225 Office Pkwy, Dallas, TX 75204-3628 | 2014-02-14 |
| 1245664457 | Oscar Alfredo Cruz Marroquin | Counselor | 4225 Office Pkwy, Dallas, TX 75204-3628 | 2013-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1710441803 | Axownal Monitoring, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave Ste 130 #329, Dallas, TX 75204 | 2019-01-23 |
| 1275026221 | Taylor Houser | Advanced Practice Midwife | 3611 Swiss Ave Ste 200, Dallas, TX 75204 | 2018-06-13 |
| 1407372147 | Regan Paulsen | Counselor | 4144 N. Central Expressway 955, 955, Dallas, TX 75204 | 2017-08-15 |
| 1639621311 | Pat Thi Nguyen | Nurse Practitioner | 3133 Lemmon Ave East, Dallas, TX 75204 | 2016-10-28 |
| 1770957896 | Dendrite Monitoring Services, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave, Ste 130 # 335, Dallas, TX 75204 | 2015-12-01 |
| 1245609858 | Heather Eileen Li | Pharmacist | 2830 State St, Dallas, TX 75204 | 2015-09-24 |
| 1437527223 | Christy Walker | Nurse Practitioner | 2420 Clark St #703, Dallas, TX 75204 | 2015-09-10 |
| 1740678077 | Margaret Dutton | Physical Therapist | 4200 Live Oak, Dallas, TX 75204 | 2015-01-09 |
| 1639579659 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3133 Lemmon Ave E, Dallas, TX 75204 | 2014-08-27 |
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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 |
|---|---|---|---|---|
| 1003432246 | Howdy Pediatrics, LLC | Behavioral Analyst | 539 W Commerce St Ste 608, Dallas, TX 75208-1953 | 2020-06-23 |
| 1316561194 | Kevin Goodnight | Behavioral Analyst | 4230 Sigma Road, Dallas, TX 75244 | 2020-06-08 |
| 1861027757 | Penny and Sparrow, LLC | Behavioral Analyst | 806 W Five Mile Pkwy, Dallas, TX 75224-4913 | 2020-03-11 |
| 1710528039 | Mindcolor Autism Texas LLC | Behavioral Analyst | 11816 Inwood Rd # 3149, Dallas, TX 75244-8011 | 2019-10-08 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1467961474 | Katelyn Marie Butler | Behavioral Analyst | 727 Blackberry Run Trl, Dallas, GA 30132-2129 | 2017-09-21 |
| 1205368354 | Maud Dogoe Ankudey | Behavioral Analyst | 1330 River Bend Dr, 100, Dallas, TX 75247-6945 | 2017-03-29 |
| 1649728718 | Corrinne Mercer | Behavioral Analyst | 11008 Glen Echo Ct, Dallas, TX 75238-3731 | 2016-09-16 |
| 1962955831 | Elizabeth Dukes | Behavioral Analyst | 2990 Blackburn St Apt 2132, Dallas, TX 75204-3119 | 2016-07-27 |
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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.