JESSICA AMY NELSON (NPI# 1902383219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902383219 |
| Entity Type | Individual |
| Full Name | JESSICA AMY NELSON |
| Practice Address |
4530 E Muirwood Dr Phoenix AZ 85048-7639 |
| Practice Telephone | 4806106981 |
| Practice Fax Number | 4808987419 |
| Mailing Telephone | 4806106981 |
| Mailing Fax Number | 4808987419 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |
| 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 |
|---|---|---|---|---|
| 1326648668 | Jessica J Nelson | Technician | 5821 Prairie View Rd, Towner, ND 58788-9575 | 2020-10-27 |
| 1386267110 | Jessica Elizabeth Nelson | Counselor | 1294 18th St E # 2, Hastings, MN 55033-3680 | 2020-05-27 |
| 1033608088 | Jessica Ann Nelson | Chiropractor | 1947 Kenwood Pl Se, Smyrna, GA 30082-5144 | 2018-05-05 |
| 1639457161 | Jessica Anne Baxter Nelson | Dental Hygienist | 815 Vista Ln, Ione, CA 95640-5424 | 2011-08-02 |
| 1639338833 | Jessica Ann Nelson | Marriage & Family Therapist | 120 Clarkson St, Bridgeport, CT 06605-3240 | 2008-06-03 |
| 1659547602 | Jessica Layne Nelson | Pharmacist | Navajo Route 7 and Navajo Route 12, Fort Defiance, AZ 86504 | 2008-04-30 |
| 1245362599 | Jessica Ann Nelson | Advanced Practice Midwife | 340 Nw 5th St Ste 101, Redmond, OR 97756-1869 | 2007-03-12 |
| 1730790833 | Jessica Nelson | Physical Therapist | 9410 State Highway 151 Ste 104, San Antonio, TX 78251-4784 | 2020-08-12 |
| 1407478480 | Jessica Ann Nelson | Counselor | 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 2020-05-12 |
| 1720609985 | Jessica Lynn Nelson | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-04-29 |
| Street Address |
4530 E MUIRWOOD DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85048-7639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053310227 | Padma R Mahant | Psychiatry & Neurology | 4530 E Muirwood Dr, Suite 111, Phoenix, AZ 85048-7639 | 2005-07-19 |
| 1962009589 | Maria Luisa L Lopez | Behavior Technician | 4530 E Muirwood Dr, Phoenix, AZ 85048-7639 | 2020-10-06 |
| 1376194340 | Laiken Williams | Behavior Technician | 4530 E Muirwood Dr, Phoenix, AZ 85048-7639 | 2019-09-21 |
| 1598241754 | Amanda Marie Grimes | Behavior Technician | 4530 E Muirwood Dr, Phoenix, AZ 85048-7639 | 2018-07-11 |
| 1679081780 | Travis Bell | Behavior Technician | 4530 E Muirwood Dr, Phoenix, AZ 85048-7639 | 2018-01-11 |
| 1144738246 | Tanya Begell | Behavior Technician | 4530 E Muirwood Dr, Phoenix, AZ 85048-7639 | 2018-01-11 |
| 1790293801 | Remington Miller | Behavioral Analyst | 4530 E Muirwood Dr, Phoenix, AZ 85048-7639 | 2018-01-11 |
| 1043728140 | Sara Tackett | Behavioral Analyst | 4530 E Muirwood Dr, Phoenix, AZ 85048-7639 | 2018-01-11 |
| 1003324104 | Meagan Sullivan | Behavioral Analyst | 4530 E Muirwood Dr, Phoenix, AZ 85048-7639 | 2018-01-11 |
| 1962910075 | Kristen Terrell | Behavior Technician | 4530 E Muirwood Dr, Phoenix, AZ 85048-7639 | 2018-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062618 | Smile Dentistry Pllc | Dentist | 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 | 2020-01-13 |
| 1558924415 | Ahwatukee Orthodontic Associates Inc | Dentist | 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 | 2019-04-17 |
| 1699299560 | Brianna Alean Kinsey | Student in an Organized Health Care Education/Training Program | 16214 S. 1st Street, Phoenix, AZ 85048 | 2017-08-01 |
| 1497278113 | Teague Duncan Wilson | Specialist/Technologist | 3305 E Nighthawk Way, Phoenix, AZ 85048 | 2017-07-25 |
| 1730550146 | Jennifer Zazueta | Physician Assistant | 4126 E Nighthawk Way, Phoenix, AZ 85048 | 2015-10-12 |
| 1235551904 | Louise Marie Braunbeck | Physical Therapy Assistant | 16649 S 24th Place, Phoenix, AZ 85048 | 2014-01-14 |
| 1780026260 | Erin Onacki | Social Worker | 4530 E Muirwood Dr. Suite 103, Phoenix, AZ 85048 | 2013-07-24 |
| 1649528720 | Cody A Morales | Social Worker | 4654 E Mountain Vista Dr, Phoenix, AZ 85048 | 2012-08-21 |
| 1417168287 | Lori Lynn Haas | Social Worker | 4025 E. Chandler Boulevard, #70-e7, Phoenix, AZ 85048 | 2007-05-24 |
| 1285847210 | Jonne Amorette Housh | Nurse Practitioner | 4545 E Chandler Blvd., Phoenix, AZ 85048 | 2007-05-07 |
| Find all providers in zip 85048 | ||||
| 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] |
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|---|---|---|---|---|
| 1215538806 | Life N Love Wellness Inc | Behavior Technician | 4050 E Cotton Center Blvd Ste 77, Phoenix, AZ 85040-8865 | 2020-11-02 |
| 1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
| 1023629235 | Empowerment Family Care Inc | Behavior Technician | 6918 S 37th Dr, Phoenix, AZ 85041-6160 | 2020-08-11 |
| 1134744360 | A Path To A New World LLC | Behavior Technician | 11242 N 19th Ave Ste 24, Phoenix, AZ 85029-4857 | 2020-06-12 |
| 1073136719 | Closel Defonse | Behavior Technician | 7812 W Wood Ln, Phoenix, AZ 85043-1426 | 2020-05-28 |
| 1083236723 | True Hand Behavioral Agency | Behavior Technician | 7631 W Globe Ave, Phoenix, AZ 85043-1679 | 2020-05-16 |
| 1225662562 | Vanessa Riviera Delgado | Behavior Technician | 16431 N 33rd Dr, Phoenix, AZ 85053-2902 | 2020-02-25 |
| 1285273789 | Sandy Salcido | Behavior Technician | 4710 North 108th Ave, Phoenix, AZ 85037-5472 | 2019-12-31 |
| 1568001402 | Empowerment Family Care Inc 2 | Behavior Technician | 8729 W Catalina Dr, Phoenix, AZ 85037-3207 | 2019-12-23 |
| 1063050177 | Fight4life Incorporated | Behavior Technician | 4411 S 40th St, Phoenix, AZ 85040-2950 | 2019-12-19 |
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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.