JORDAN BLACKWELL (NPI# 1861046690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861046690 |
| Entity Type | Individual |
| Full Name | JORDAN BLACKWELL |
| Practice Address |
730 Sunrise Ave Roseville CA 95661-4567 |
| Mailing Address |
3400 Marlee Way Rocklin CA 95677-4701 |
| Practice Telephone | 9167730211 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
| Street Address |
730 SUNRISE AVE |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-4567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740357706 | James Robert Dow | Dentist | 730 Sunrise Ave, Suite 110, Roseville, CA 95661-4549 | 2006-11-28 |
| 1487280111 | Jennifer Shelby | Counselor | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2020-03-13 |
| 1437797818 | Teresa L Donato | Counselor | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2019-12-16 |
| 1366086977 | Martha W Linn | Licensed Vocational Nurse | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2019-11-06 |
| 1942860788 | Katherine Jane Hughes | Counselor | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2019-06-14 |
| 1417514092 | Ann Mushlitz Hawken | Counselor | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2019-05-20 |
| 1073176335 | Daniel Michael Martinez | Counselor | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2019-04-22 |
| 1306306733 | Gary Tyrone Hill | Counselor | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2019-03-21 |
| 1285112565 | Michael James Stubblefield | Counselor | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2018-07-30 |
| 1457853822 | Kristin Grassman | Behavior Technician | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2018-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| 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 |
|---|---|---|---|---|
| 1346878964 | Daniela Praseli | Behavior Technician | 7665 Malta Dr, Roseville, CA 95678-6052 | 2020-03-30 |
| 1265062855 | Archie Veradio | Behavior Technician | 2151 Professional Dr Ste 100916, Roseville, CA 95661-3761 | 2020-01-22 |
| 1295386787 | Haley Ann Christensen | Behavior Technician | 1620 Santa Clara Dr Ste 100, Roseville, CA 95661-3559 | 2019-09-25 |
| 1326697848 | Amber Koch | Behavior Technician | 1328 Blue Oaks Blvd Ste 300, Roseville, CA 95678-7031 | 2019-09-06 |
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1144882275 | Amber Christine Burga | Behavior Technician | 9128 Hourglass Cir, Roseville, CA 95747-8654 | 2019-06-28 |
| 1699332528 | Irena Mcdermott | Behavior Technician | 715 Merrill Ct, Roseville, CA 95747-6002 | 2019-05-27 |
| 1245793579 | Aldin Barrett | Behavior Technician | 1473 Black Bear St, Roseville, CA 95747-4618 | 2019-04-12 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1467916288 | Viktoriya Kryvenka | Behavior Technician | 457 Elmwood Ct, Roseville, CA 95678-6969 | 2019-01-25 |
| Find all providers in ROSEVILLE | ||||
Please comment or provide details below to improve the information on JORDAN BLACKWELL.
| 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.