JESSICA HOLCOMB (NPI# 1871059485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871059485 |
| Entity Type | Individual |
| Full Name | JESSICA HOLCOMB |
| Practice Address |
415 N Richard Jackson Blvd Panama City Beach FL 32407-3664 |
| Mailing Address |
415 N Richard Jackson Blvd Ste 209 Panama City Beach FL 32407-3694 |
| Practice Telephone | 9142635250 |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-79016 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962983403 | Jessica Ann Holcomb | Psychologist | 880 82nd Dr, Gladstone, OR 97027-1803 | 2018-08-23 |
| 1992154199 | Jessica Paige Holcomb | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2016-06-08 |
| 1346588498 | Jessica Holcomb | Nurse Practitioner | 8725 N Wickham Rd Ste 103, Melbourne, FL 32940-2240 | 2013-01-24 |
| 1982978813 | Jessica Marie Holcomb | Occupational Therapist | 3364 Kolbe Rd, Lorain, OH 44053-1628 | 2012-02-23 |
| Street Address |
415 N RICHARD JACKSON BLVD |
| City | PANAMA CITY BEACH |
| State | FL |
| Zip Code | 32407-3664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568857225 | Barbara Ellis-woroch | Behavioral Analyst | 415 N Richard Jackson Blvd, Suite 204, Panama City Beach, FL 32407-3664 | 2015-03-31 |
| 1679104558 | Sophia Marie Benopoulos | Behavior Technician | 415 N Richard Jackson Blvd, Panama City Beach, FL 32407-3664 | 2020-01-30 |
| 1497286074 | The Work Studies Institute,llc | Community/Behavioral Health | 415 N Richard Jackson Blvd, Suite 204, Panama City Beach, FL 32407-3664 | 2017-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637497 | Beach Midway Med Express | Internal Medicine | 11038 Hutchison Blvd, Panama City, FL 32407 | 2018-01-23 |
| 1225497365 | Shae Nicole Luster | Counselor | 415 N Richard Jackson Blvd Ste 204, Panama City Beach, FL 32407 | 2016-02-17 |
| 1447675988 | Nicoleta M Tatum | Nurse Practitioner | 140 N Richard Jackson Blvd, Panama City Beach, FL 32407 | 2014-02-20 |
| 1528482361 | Best Care Home Health of Panama City LLC | Home Health | 12216 Panama City Parkway Unit B, Panama City Beach, FL 32407 | 2014-02-14 |
| 1134463482 | Panhandle Orthopaedics LLC | Pediatrics | 12909 Panama City Beach Pkwy, Panama City Beach, FL 32407 | 2012-11-26 |
| 1215296983 | Jennifer Lynn Holloran | Speech-Language Pathologist | 8317 Front Beach Road Suite 34c, Panama City Beach, FL 32407 | 2012-05-15 |
| 1295043248 | Candida Jill Pratt | Massage Therapist | 10200 Clarence St., Suite B, Panama City Beach, FL 32407 | 2010-09-23 |
| 1326275843 | Richard Lee Giffin | Registered Nurse | 1625 Vecuna Cir, Panama City Beach, FL 32407 | 2009-06-11 |
| 1649455726 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11801 Panama City Beach Pkwy., Panama City Beach, FL 32407 | 2008-01-08 |
| 1891915740 | Cambridge Carruth | Physical Therapist | 120 R Jackson Bvld., Ste. 130, Panama City Beach, FL 32407 | 2007-04-25 |
| Find all providers in zip 32407 | ||||
| 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 |
|---|---|---|---|---|
| 1225660145 | Jacob Alvarez | Behavior Technician | 415 N Jackson Blvd, Panama City Beach, FL 32407-3664 | 2020-02-08 |
| 1346808623 | Jessica Wilson | Behavior Technician | 415 N Richard Jackson Blvd Ste 209, Panama City Beach, FL 32407-3694 | 2019-06-03 |
| 1578121109 | Elizabeth Kathleen Hill | Behavior Technician | 512 Lake Powell Dr, Panama City Beach, FL 32413-1158 | 2019-05-29 |
| 1679104558 | Sophia Marie Benopoulos | Behavior Technician | 415 N Richard Jackson Blvd, Panama City Beach, FL 32407-3664 | 2020-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447099 | Allan Ramirez | Behavior Technician | 13805 Sw 26th Ter, Miami, FL 33175-6575 | 2020-11-08 |
| 1023619855 | Suselis Sanchez Gargallo | Behavior Technician | 65 E 34th St, Hialeah, FL 33013-2617 | 2020-11-06 |
| 1487255337 | Mabel Gonzalez | Behavior Technician | 95 E 34th St, Hialeah, FL 33013-2617 | 2020-11-06 |
| 1063013902 | Lisset Cruz Martinez | Behavior Technician | 671 E 63rd St, Hialeah, FL 33013-1152 | 2020-11-06 |
| 1144821984 | Lissette Maylene Garcia | Behavior Technician | 451 E 23rd St Apt 2, Hialeah, FL 33013-3949 | 2020-11-06 |
| 1750982518 | Jesus M Perez | Behavior Technician | 117 Nw 42nd Ave Apt 812, Miami, FL 33126-5430 | 2020-11-06 |
| 1922609783 | Ariday Sosa | Behavior Technician | 9600 Nw 25th St Ph Suite, Doral, FL 33172-1416 | 2020-11-06 |
| 1851992846 | Lumey Mendez | Behavior Technician | 1628 Nw 5th Pl, Cape Coral, FL 33993-5110 | 2020-11-05 |
| 1841891850 | Gicle Gonzalez | Behavior Technician | 10940 Sw 38th St, Miami, FL 33165-4442 | 2020-11-05 |
| 1437750403 | Phong Hai Huynh | Behavior Technician | 4173 105th Ave N, Clearwater, FL 33762-5461 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY BEACH |
| Zip Code | 32407 |
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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.