MS. KATRINA ELAINE JACKSON (NPI# 1699384180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699384180 |
| Entity Type | Individual |
| Full Name | MS. KATRINA ELAINE JACKSON |
| Credential | RBT |
| Practice Address |
644 Ferguson Dr Orlando FL 32805-1014 |
| Mailing Address |
1829 Rushden Dr Ocoee FL 34761-7708 |
| Practice Telephone | 4075744629 |
| Practice Fax Number | 4079654263 |
| Mailing Telephone | 4074684721 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-10-09 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 907 Outer Rd, Orlando, FL 328146601 | 8558326727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598200115 | Katrina Jackson | Registered Nurse | 127 Tallulah Ave, Jacksonville, FL 32208-4163 | 2017-01-05 |
| 1891135364 | Katrina Nicole Jackson | Behavioral Analyst | 524 Parkview Dr, Hartsville, SC 29550-5084 | 2013-06-28 |
| 1154589976 | Katrina M Jackson | Nurse's Aide | 1725 Shatto Ave, Akron, OH 44313-6323 | 2008-05-29 |
| 1992989867 | Katrina Larie Jackson | Case Manager/Care Coordinator | 450 H St Rm 202, Crescent City, CA 95531-4021 | 2007-12-27 |
| 1073735445 | Katrina Marie Jackson | Physician Assistant | 2911 S Shore Blvd Ste 190, League City, TX 77573-3919 | 2007-05-03 |
| 1578127692 | Katrina Jackson | Licensed Practical Nurse | 7248 Elmwood Ave, Philadelphia, PA 19142-1533 | 2019-04-24 |
| 1588979306 | Katrina Margaret Jackson | Nurse Practitioner | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2010-08-17 |
| 1144318296 | Katrina A Jackson | Anesthesiology | 500 S. University, Suite 505, Little Rock, AR 72205-5307 | 2006-10-11 |
| Street Address |
644 FERGUSON DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32805-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083086326 | Michaela Scotchie | Behavior Technician | 644 Ferguson Dr, Orlando, FL 32805-1014 | 2015-10-27 |
| 1609474964 | Tamiko N. Jones | Behavior Technician | 644 Ferguson Dr, Orlando, FL 32805-1014 | 2020-10-09 |
| 1518565878 | Jonelli Lydia Rosa | Behavior Technician | 644 Ferguson Dr, Orlando, FL 32805-1014 | 2020-10-09 |
| 1063010320 | Janee Blackman | Behavior Technician | 644 Ferguson Dr, Orlando, FL 32805-1014 | 2020-10-09 |
| 1205443041 | Diana Alvarez | Behavior Technician | 644 Ferguson Dr, Orlando, FL 32805-1014 | 2020-09-25 |
| 1023625860 | Cassidy Behrens | Behavior Technician | 644 Ferguson Dr, Orlando, FL 32805-1014 | 2020-09-25 |
| 1831706670 | Precious Jewel Goins | Behavior Technician | 644 Ferguson Dr, Orlando, FL 32805-1014 | 2020-09-25 |
| 1023623592 | Naishali Deally | Behavior Technician | 644 Ferguson Dr, Orlando, FL 32805-1014 | 2020-09-11 |
| 1437763364 | Monica Michelle Aragon | Behavior Technician | 644 Ferguson Dr, Orlando, FL 32805-1014 | 2020-09-08 |
| 1609480532 | Casey Michelle Perkins | Behavior Technician | 644 Ferguson Dr, Orlando, FL 32805-1014 | 2020-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797677 | Gerardo Carlos Dorado | Rehabilitation Hospital | 830 29th Street, Orlando, FL 32805 | 2019-12-18 |
| 1639731557 | Relyancecorp | Non-emergency Medical Transport (VAN) | 15 N Tanpa Ave, Orlando, FL 32805 | 2019-07-01 |
| 1518477231 | Evolution Insight Incorporated | Community/Behavioral Health | 1521 W Washington St, Orlando, FL 32805 | 2017-10-08 |
| 1366983140 | Medical Allied Nursing Academy, Inc. | Custodial Care Facility | 750 Plaza Orange Blossom Trail, Suite 264, Orlando, FL 32805 | 2017-03-14 |
| 1407238033 | Vickie Marie Ferguson | Social Worker | 3700 34th St Ste 100f, Orlando, FL 32805 | 2015-06-19 |
| 1508248287 | Compassionate Care Community Health Services LLC | In Home Supportive Care | 927 S. Goldwyn Ave, Suite 230, Orlando, FL 32805 | 2015-06-18 |
| 1750772612 | Rx Florida Pharmacy,llc | Pharmacist | 3615 Columbia St, Orlando, FL 32805 | 2015-02-13 |
| 1588053946 | Speech Steps | Speech-Language Pathologist | 2607 Windward Ct., Orlando, FL 32805 | 2015-01-22 |
| 1831597426 | Vonda White | Counselor | 1602 Crooms Ave., Orlando, FL 32805 | 2014-12-12 |
| 1558788653 | Laura F Lucas | Case Management | 750 S. Obt Suite 111, Orlando, FL 32805 | 2014-03-26 |
| Find all providers in zip 32805 | ||||
| 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 |
|---|---|---|---|---|
| 1639770860 | Kailye L Marsh | Behavior Technician | 768 E Michigan St Unit 75, Orlando, FL 32806-4682 | 2020-11-04 |
| 1740887397 | Sabrina Nicole Demski | Behavior Technician | 11476 S Apopka Vineland Rd Unit 118, Orlando, FL 32836-7006 | 2020-10-07 |
| 1609482728 | Maria Belen Bengolea | Behavior Technician | 10920 Moss Park Rd. Suite 130, Orlando, FL 32832 | 2020-09-23 |
| 1053927558 | Moesha Young | Behavior Technician | 907 Outer Rd Ste D, Orlando, FL 32814-6601 | 2020-09-20 |
| 1053926733 | Sylvia Marie Stecher | Behavior Technician | 6831 Slaven Dr, Orlando, FL 32819-4725 | 2020-09-10 |
| 1104430230 | Liliana M. Felipe | Behavior Technician | 12221 E Colonial Dr, Orlando, FL 32826-4718 | 2020-09-05 |
| 1952915696 | Thalia Corrales Pino | Behavior Technician | 5962 Village Cir # 5962, Orlando, FL 32822-4130 | 2020-09-01 |
| 1578175584 | Yansel Rosado Ocasio | Behavior Technician | 14001 Sanctuary Creek Way Unit 303, Orlando, FL 32832-6615 | 2020-08-20 |
| 1407467103 | Cayla Thomas | Behavior Technician | 1728 E Crystal Lake Ave, Orlando, FL 32806-4906 | 2020-08-14 |
| 1689284135 | Maria Isabel Primera | Behavior Technician | 8617 E Colonial Dr Ste 1600, Orlando, FL 32817-3937 | 2020-08-08 |
| Find all providers in ORLANDO | ||||
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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.