CHANELL MALAN JACKSON (NPI# 1780101584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780101584 |
| Entity Type | Individual |
| Full Name | CHANELL MALAN JACKSON |
| Practice Address |
4141 Palm Ave Apt 490 Sacramento CA 95842-4233 |
| Practice Telephone | 9165829600 |
| Mailing Telephone | 9164422396 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |
| 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 |
|---|---|---|---|---|
| 1225698285 | Chanell Jackson | Behavior Technician | 583 Shoemaker Rd Ste 230, King of Prussia, PA 19406-4201 | 2019-06-20 |
| Street Address |
4141 PALM AVE APT 490 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95842-4233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306318837 | Eve T Mallillin | Behavioral Analyst | 11670 White Rock Road, Suite 150, Rancho Cordova, CA 95842 | 2018-12-21 |
| 1760928824 | Tami Bumpass | Behavior Technician | 7806 Uplands Way Suite A, Citrus Hts, CA 95842 | 2017-01-13 |
| 1659621373 | Carl D Engelke | Military Health Care Provider | 7484 Holworthy Way, Apt 139, Sacramento, CA 95842 | 2012-09-11 |
| 1396033395 | Erik Kristopher Smith | Physician Assistant | 5255 Elkhorn Blvd Ste C, Sacramento, CA 95842 | 2011-07-12 |
| 1356437008 | Christopher Phen | Dentist | 5315 Elkhorn Blvd, Sacramento, CA 95842 | 2006-10-04 |
| 1861906455 | Palatnik Smith Health Care Corp | Clinic/Center | 5255 Elkhorn Blvd Ste C, Sacramento, CA 95842 | 2017-11-20 |
| 1427477975 | Zachariah Edwards | Counselor | 7425 Verdugo Way, Sacramento, CA 95842-1504 | 2014-04-14 |
| 1336454628 | Lela Feliz Evelyn Feliz | Counselor | 5036 Earlcort Cir, Sacramento, CA 95842-1737 | 2010-08-11 |
| 1447769211 | Milton Danilo Guerrero Leon | Behavior Technician | 5215 Karm Way, Sacramento, CA 95842-1951 | 2017-09-25 |
| 1104472059 | Alicia Cary | Occupational Therapy Assistant | 5520 Lancelot Dr, Sacramento, CA 95842-2100 | 2019-08-15 |
| Find all providers in zip 95842 | ||||
| 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 |
|---|---|---|---|---|
| 1801497821 | Daisia Newman | Behavior Technician | 3038 Great Egret Way, Sacramento, CA 95834-1096 | 2020-11-05 |
| 1366041105 | Brooke Doutherd | Behavior Technician | 204 Selby Ranch Rd Apt 7, Sacramento, CA 95864-5812 | 2020-10-22 |
| 1740889633 | Catherine Andrade | Behavior Technician | 7958 Pocket Rd Apt 67, Sacramento, CA 95831-5713 | 2020-10-21 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1609473156 | Joshua A Soto | Behavior Technician | 1300 Ethan Way Ste 100, Sacramento, CA 95825-2295 | 2020-10-07 |
| 1184231714 | Nancy Vue | Behavior Technician | 276 Olmstead Dr, Sacramento, CA 95838-4742 | 2020-09-28 |
| 1609482090 | Javonte Wills | Behavior Technician | 511 9th St Apt 2, Sacramento, CA 95814-1340 | 2020-09-21 |
| 1861006850 | Ayanna Enzy Johnson | Behavior Technician | 1400 Brewerton Dr, Sacramento, CA 95833-1981 | 2020-09-07 |
| 1740894138 | Esmeralda Rodriguez | Behavior Technician | 725 Howe Ave Apt 66, Sacramento, CA 95825-4612 | 2020-09-02 |
| 1881207413 | Angela Santana | Behavior Technician | 1451 River Park Dr Ste 400, Sacramento, CA 95815-4507 | 2020-08-24 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95842 |
Please comment or provide details below to improve the information on CHANELL MALAN 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.