MARIANNE LOUISE JACKSON (NPI# 1841623790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841623790 |
| Entity Type | Individual |
| Full Name | MARIANNE LOUISE JACKSON |
| Credential | BCBA-D |
| Practice Address |
4910 N Chestnut Ave Fresno CA 93726-1852 |
| Practice Telephone | 5592782757 |
| Mailing Telephone | 5592782757 |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1-07-3824 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BCBA-D | 1-07-3824 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013386374 | Marianne Jackson | Registered Nurse | 1613 Stonefield St, Las Vegas, NV 89144-5405 | 2015-09-16 |
| 1184832396 | Marianne Jackson | Psychologist | 60 Plaza St E Apt 1k, Brooklyn, NY 11238-5033 | 2007-05-19 |
| 1184626012 | Marianne Jackson | Obstetrics & Gynecology | 133 Pleasant St, Berlin, NH 03570-2006 | 2005-08-11 |
| Street Address |
4910 N CHESTNUT AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93726-1852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821362211 | California State University Fresno Foundation | Early Intervention Provider Agency | 4910 N Chestnut Ave, Fresno, CA 93726-1852 | 2012-03-02 |
| 1912307893 | Victoria Forsythe | Behavioral Analyst | 4910 N Chestnut Ave, Fresno, CA 93726-1852 | 2014-08-28 |
| 1972921310 | Jonpaul Moschella | Behavioral Analyst | 4910 N Chestnut Ave, Fresno, CA 93726-1852 | 2014-04-02 |
| 1306285150 | Dena Mendoza | Behavioral Analyst | 4910 N Chestnut Ave, Fresno, CA 93726-1852 | 2013-06-14 |
| 1386991842 | Amanda Adams | Behavioral Analyst | 4910 N Chestnut Ave, Fresno, CA 93726-1852 | 2012-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528520814 | Tania Grijalva Miranda | Behavior Technician | 4910 E. Ashland Ave, Fresno, CA 93726 | 2019-04-04 |
| 1790249894 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 3751 E Shields Avenue, Fresno, CA 93726 | 2019-01-23 |
| 1013481100 | Jill A Perricone | Respiratory Therapist, Registered | 4785 N First St, Fresno, CA 93726 | 2019-01-11 |
| 1285108399 | Leann Lokelani Benton | Respiratory Therapist, Registered | 4785 N. First St, Fresno, CA 93726 | 2019-01-11 |
| 1548745912 | Alina Gonzalez | Counselor | 4440 N. First St., Fresno, CA 93726 | 2018-10-01 |
| 1336622067 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 3751 E Shields Ave, Fresno, CA 93726 | 2018-09-10 |
| 1730676206 | Joanne K Groves | Counselor | 3636 N. First Street, St. 123, Fresno, CA 93726 | 2018-04-19 |
| 1356865679 | Fresno Mental Psychological Health Services, P.C. | Clinic/Center | 4021 N Fresno Street, Ste. 101, Fresno, CA 93726 | 2017-07-28 |
| 1205358819 | Jetinder Singh Ghag | Counselor | 3636 N.first St # 135 and 154, Fresno, CA 93726 | 2017-07-14 |
| 1164897328 | Karam Um Dds Inc | Dentist | 4747 N. First St. #174, Fresno, CA 93726 | 2015-12-14 |
| Find all providers in zip 93726 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003828518 | Smadar Aviv | Psychologist | 7131 N 11th St Ste 104, Fresno, CA 93720-3375 | 2006-08-13 |
| 1669633293 | Fresno City College | Psychologist | 1101 E University Ave, Fresno, CA 93704-6219 | 2008-06-17 |
| 1437348224 | Thomas Naiman | Psychologist | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2007-10-17 |
| 1891866992 | Eric Kunkel | Psychologist | 445 S Cedar Ave, Fresno, CA 93702-2907 | 2006-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746650 | Alexandria Marie Schick | Psychologist | 2785 Cold Springs Rd Apt 31, Placerville, CA 95667-3240 | 2020-10-08 |
| 1841804853 | Nia Mayers Franklin | Psychologist | 8940 S Hobart Blvd, Los Angeles, CA 90047-3615 | 2020-09-08 |
| 1871104307 | Erania Marie Martin-lang | Psychologist | 13329 Arbor Park Ln, Moreno Valley, CA 92553-6916 | 2020-08-10 |
| 1366051070 | Shellie Renae Higuera | Psychologist | 5059 Day Dr, Fairfield, CA 94533-6597 | 2020-07-28 |
| 1730706979 | Oak Forest Recovery Center, Inc. | Psychologist | 5655 Lindero Canyon Rd Ste 425, Westlake Village, CA 91362-4046 | 2020-07-04 |
| 1861016842 | Valley Harvest Church of Merced | Psychologist | 557 W 26th St, Merced, CA 95340-2825 | 2020-06-04 |
| 1629691993 | Franklin Clifford Wimberly | Psychologist | 10 Pleasant Walk, Aliso Viejo, CA 92656-4266 | 2020-05-21 |
| 1790325694 | Pacific Forensic Psychology Associates, Inc | Psychologist | 19230 Sonoma Highway, Building 200, Sonoma, CA 95476 | 2020-01-09 |
| 1386282762 | Danielle Wischenka | Psychologist | 155 E Campbell Ave Ste 219, Campbell, CA 95008-2062 | 2019-12-16 |
| 1528525326 | Sylvia Cary | Psychologist | 4650 Sepulveda Blvd Apt 201, Sherman Oaks, CA 91403-2462 | 2019-02-28 |
| Find all providers with the same taxonomy | ||||
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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.