JEREMY ROBERTS (NPI# 1801417951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801417951 |
| Entity Type | Individual |
| Full Name | JEREMY ROBERTS |
| Credential | RBT |
| Practice Address |
2810 Premiere Pkwy Ste 500 Duluth GA 30097-8912 |
| Mailing Address |
Po Box 399318 San Francisco CA 94139-9318 |
| Practice Telephone | 8665234268 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588974299 | Jeremy Roberts | Community Health Worker | 3503 Poplar Level Road, Louisville, KY 40213-1009 | 2010-10-15 |
| 1598958969 | Jeremy D Roberts | Psychiatry & Neurology | 40 Aulike St Ste 312, Kailua, HI 96734-2753 | 2007-08-20 |
| 1689150575 | Jeremy David Roberts | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2018-07-14 |
| 1134623408 | Jeremy Roberts | Student in an Organized Health Care Education/Training Program | 100 E 77th St, New York, NY 10075-1850 | 2018-03-21 |
| 1912440389 | Jeremy Roberts | Behavioral Analyst | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2016-12-02 |
| 1417334210 | Jeremy Andrew Roberts | Chiropractor | 3720 E Anaheim St Ste 180, Long Beach, CA 90804-4085 | 2015-04-30 |
| 1487849816 | Jeremy Roberts | Counselor | 515 28 Rd, Grand Junction, CO 81501 | 2007-09-10 |
| 1821112301 | Jeremy Michael Roberts | Anesthesiology | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2007-03-19 |
| Street Address |
2810 PREMIERE PKWY STE 500 |
| City | DULUTH |
| State | GA |
| Zip Code | 30097-8912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568009686 | Isabella Kathryn Johnson | Behavior Technician | 2810 Premiere Pkwy Ste 500, Duluth, GA 30097-8912 | 2019-12-09 |
| 1285235572 | Elena Granados-barron | Behavior Technician | 2810 Premiere Pkwy Ste 500, Duluth, GA 30097-8912 | 2020-11-04 |
| 1023615051 | Nigeria Kysmyu Cox | Behavior Technician | 2810 Premiere Pkwy Ste 500, Duluth, GA 30097-8912 | 2020-10-02 |
| 1386251585 | Miasia K Sinclair | Behavior Technician | 2810 Premiere Pkwy Ste 500, Duluth, GA 30097-8912 | 2020-09-30 |
| 1508473927 | Brittany Nicole English | Behavior Technician | 2810 Premiere Pkwy Ste 500, Duluth, GA 30097-8912 | 2020-09-29 |
| 1053927251 | Adriann Miller | Behavior Technician | 2810 Premiere Pkwy Ste 500, Duluth, GA 30097-8912 | 2020-09-22 |
| 1306451331 | Alexis Marie Hishaw | Behavior Technician | 2810 Premiere Pkwy Ste 500, Duluth, GA 30097-8912 | 2020-09-15 |
| 1871107839 | Johnae Gordon | Behavior Technician | 2810 Premiere Pkwy Ste 500, Duluth, GA 30097-8912 | 2020-09-06 |
| 1336752823 | Gabriela Armes | Behavior Technician | 2810 Premiere Pkwy Ste 500, Duluth, GA 30097-8912 | 2020-08-25 |
| 1225641715 | Latessa Louise Taylor | Behavior Technician | 2810 Premiere Pkwy Ste 500, Duluth, GA 30097-8912 | 2020-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| 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 |
|---|---|---|---|---|
| 1497355416 | Devonta Markeice Lancaster | Behavior Technician | 2200 Satellite Blvd Apt 701, Duluth, GA 30097-4018 | 2020-10-28 |
| 1487254637 | Leatrice Byers | Behavior Technician | 3355 Mcdaniel Rd Apt 4308, Duluth, GA 30096-8629 | 2020-10-27 |
| 1386241578 | Carlos Manuel Irizar | Behavior Technician | 3355 Mcdaniel Rd Apt 17305, Duluth, GA 30096-8681 | 2020-10-01 |
| 1518573476 | Avery Rose Warner | Behavior Technician | 3475 Romulus Dr, Duluth, GA 30097-3443 | 2020-09-16 |
| 1336761816 | Jacqueline Smith | Behavior Technician | 2810 Premiere Pkwy, Duluth, GA 30097-5014 | 2020-05-07 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1568009686 | Isabella Kathryn Johnson | Behavior Technician | 2810 Premiere Pkwy Ste 500, Duluth, GA 30097-8912 | 2019-12-09 |
| 1124581947 | Linnea Mary Moore | Behavior Technician | 1725 Kenwood Ave Apt 110, Duluth, MN 55811-2267 | 2019-04-09 |
| 1508355116 | Sheri Lynn Keppers | Behavior Technician | 828 E 7th St, Duluth, MN 55805-1444 | 2018-05-09 |
| Find all providers in DULUTH | ||||
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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.