JENNIFER JACKSON (NPI# 1811455421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811455421 |
| Entity Type | Individual |
| Full Name | JENNIFER JACKSON |
| Practice Address |
935 State Route Vv Kennett MO 63857-3822 |
| Practice Telephone | 5738885925 |
| Mailing Telephone | 5738885925 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |
| 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 |
|---|---|---|---|---|
| 1790386738 | Jennifer O Jackson | Pharmacist | 1900 Ese Loop323, Tyler, TX 75701-8337 | 2020-11-05 |
| 1326655705 | Jennifer Nicole Jackson | Physical Therapy Assistant | 2540 Ridgeview Rd, Paris, TX 75460-3321 | 2020-09-29 |
| 1407461163 | Jennifer Jackson | Specialist/Technologist | 149 Flagstaff Dr, Bolingbrook, IL 60440-2657 | 2020-09-10 |
| 1689294829 | Jennifer K Jackson | Dietitian, Registered | 13017 Bear Dancer Trl Ne, Albuquerque, NM 87112-3726 | 2020-04-17 |
| 1285261479 | Jennifer Elizabeth Jackson | Pharmacist | 4675 W 37th Ave Apt 202, Denver, CO 80212-2079 | 2020-03-26 |
| 1487290524 | Jennifer Carol Jackson | Counselor | 76 Vassar St, Worcester, MA 01602-1535 | 2019-11-25 |
| 1275959348 | Jennifer Jackson | Dietitian, Registered | 101 Vinemont Dr, Lafayette, LA 70501-6579 | 2014-03-12 |
| 1013332535 | Jennifer Jackson | Speech-Language Pathologist | 1105 Mcmurdo Cir, Castle Rock, CO 80108-2821 | 2014-02-19 |
| 1891053526 | Jennifer Dawn Jackson | Counselor | 240 Orville Bates Ln, Estill Springs, TN 37330-4278 | 2012-05-01 |
| 1205149382 | Jennifer Lynn Lawrence Jackson | Pharmacist | 4718 Limestone Rd, Wilmington, DE 19808-1928 | 2010-07-19 |
| Street Address |
935 STATE ROUTE VV |
| City | KENNETT |
| State | MO |
| Zip Code | 63857-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952503690 | Emily Jane Garrett-pruett | Nurse Practitioner | 935 State Route Vv, Kennett, MO 63857-3822 | 2007-06-04 |
| 1104447614 | Brittany Lytle | Case Manager/Care Coordinator | 935 State Route Vv, Kennett, MO 63857-3822 | 2020-05-06 |
| 1780210088 | Legusta Renee Perkins | Counselor | 935 State Route Vv, Kennett, MO 63857-3822 | 2020-03-18 |
| 1194356576 | Wanda Jean Goodrich | Licensed Practical Nurse | 935 State Route Vv, Kennett, MO 63857-3822 | 2020-02-04 |
| 1386291144 | Katie Erin Simmons | Behavior Technician | 935 State Route Vv, Kennett, MO 63857-3822 | 2019-08-26 |
| 1922655398 | Dylan Scott Crawford | Behavior Technician | 935 State Route Vv, Kennett, MO 63857-3822 | 2019-08-21 |
| 1356995823 | Emma Quillin | Counselor | 935 State Route Vv, Kennett, MO 63857-3822 | 2019-08-01 |
| 1609428424 | Jessica Elaine Britt | Behavior Technician | 935 State Route Vv, Kennett, MO 63857-3822 | 2019-07-11 |
| 1972167088 | Emmelee Jean Britton-harper | Case Manager/Care Coordinator | 935 State Route Vv, Kennett, MO 63857-3822 | 2019-04-24 |
| 1255994398 | Nancy Beth Copeland | Behavior Technician | 935 State Route Vv, Kennett, MO 63857-3822 | 2019-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278139 | Fancilla Adams | Counselor | 925 State Highway V V, Kennett, MO 63857 | 2019-01-10 |
| 1962994418 | Kiana Alexis Brown | Behavior Technician | 925 Highway W, Kennett, MO 63857 | 2018-05-31 |
| 1568953636 | Doctors Health Group, Inc | Family Medicine | 1312 First Street, Kennett, MO 63857 | 2018-05-24 |
| 1003328873 | Ann Graf | Counselor | 925 Vv, Kennett, MO 63857 | 2017-11-01 |
| 1457872160 | Jessica Luster | Technician, Other | 1109 Jones St., Kennett, MO 63857 | 2017-07-03 |
| 1235669128 | Chandra Celeste Perkins-shannon | Case Manager/Care Coordinator | 925 Hwy V, Kennett, MO 63857 | 2017-06-14 |
| 1467991612 | Sarah Lobdell | Case Manager/Care Coordinator | 925 State Highway Vv, Kennett, MO 63857 | 2017-02-21 |
| 1881132900 | Brandy Rios | Community Health Worker | 935 State Hwy Vv, Kennett, MO 63857 | 2017-02-09 |
| 1295272060 | Johnny Marie Johnson | Case Manager/Care Coordinator | 925 Hwy Vv Family Counseling Center, Kennett, MO 63857 | 2017-01-31 |
| 1043756364 | Heather Bowman | Case Manager/Care Coordinator | 875 Hwy Vv, Kennett, MO 63857 | 2017-01-10 |
| Find all providers in zip 63857 | ||||
| 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 |
|---|---|---|---|---|
| 1578042750 | Brandi Leann Flanigan | Behavior Technician | 935 State Highway V V, Kennett, MO 63857-3822 | 2018-08-09 |
| 1861986564 | Devin Thompson | Behavior Technician | 1109 Jones St Bldg C, Kennett, MO 63857-3824 | 2018-06-18 |
| 1962994418 | Kiana Alexis Brown | Behavior Technician | 925 Highway W, Kennett, MO 63857 | 2018-05-31 |
| 1154822765 | Velma Louise Dority | Behavior Technician | 925 Highway V V, Kennett, MO 63857-0071 | 2018-02-28 |
| 1104339449 | Kimberly Ruth Mccaig | Behavior Technician | Po Box 71, Kennett, MO 63857-0071 | 2017-11-08 |
| 1578014684 | Marissa Jeree Sebastian | Behavior Technician | 102 W Clipper St, Kennett, MO 63857-1910 | 2016-10-24 |
| 1245531235 | Krystal Joyce | Behavior Technician | 1075 Jones St, Kennett, MO 63857-3866 | 2010-11-08 |
| 1972110419 | Della Sparks | Behavior Technician | 1201 Ely St, Kennett, MO 63857-1336 | 2020-09-29 |
| 1518571728 | Dana Renee Brunk | Behavior Technician | 925 Highway Vv, Kennett, MO 63857 | 2020-09-04 |
| 1306455415 | Brandon Giovanni Santos | Behavior Technician | 1226 Independence Ave, Kennett, MO 63857-1316 | 2020-07-24 |
| Find all providers in KENNETT | ||||
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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.