JORDAN MARY CHERETIS (NPI# 1912553843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912553843 |
| Entity Type | Individual |
| Full Name | JORDAN MARY CHERETIS |
| Practice Address |
2028 Industrial Dr Ste B&c Annapolis MD 21401-2916 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 4109341473 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |
| 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 |
| Street Address |
2028 INDUSTRIAL DR STE B&C |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051235 | Javron Shakir Keene | Behavioral Analyst | 2028 Industrial Dr Ste B&c, Annapolis, MD 21401-2916 | 2020-10-22 |
| 1285273763 | Shelly Jill Sainsbury | Behavior Technician | 2028 Industrial Dr Ste B&c, Annapolis, MD 21401-2916 | 2019-12-31 |
| 1518504794 | Tristen Griffith | Behavior Technician | 2028 Industrial Dr Ste B&c, Annapolis, MD 21401-2916 | 2019-12-05 |
| 1992347785 | Alaysia Tanae Brown | Behavioral Analyst | 2028 Industrial Dr Ste B&c, Annapolis, MD 21401-2916 | 2019-10-13 |
| 1356998173 | Jaelyn Johnson | Behavioral Analyst | 2028 Industrial Dr Ste B&c, Annapolis, MD 21401-2916 | 2019-08-26 |
| 1952958696 | Kelly Harding | Psychologist | 2028 Industrial Dr Ste B&c, Annapolis, MD 21401-2916 | 2019-08-19 |
| 1477100196 | Leah Renee Jillson | Behavioral Analyst | 2028 Industrial Dr Ste B&c, Annapolis, MD 21401-2916 | 2019-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| 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 |
|---|---|---|---|---|
| 1790391878 | Madelaina Elise Molik | Behavior Technician | 700 Americana Dr Apt 46, Annapolis, MD 21403-3153 | 2020-09-23 |
| 1619586377 | Alyssa Cook | Behavior Technician | 251 Admiral Cochrane Dr, Annapolis, MD 21401-7585 | 2020-07-29 |
| 1083251417 | Stephanie Linden | Behavior Technician | 1717 Nimitz Dr, Annapolis, MD 21401-3225 | 2019-12-04 |
| 1700343316 | Shacree Chestnut | Behavior Technician | 1919 West St, Annapolis, MD 21401-3954 | 2019-03-01 |
| 1538626676 | Matthew Jacob | Behavior Technician | 2028 Industrial Dr Ste B, Annapolis, MD 21401-2916 | 2019-02-25 |
| 1851858138 | Foluke Iyabo Ogunmola | Behavior Technician | 2028 Industrial Dr, Annapolis, MD 21401-2916 | 2019-02-22 |
| 1649756479 | Emma Olson Evans | Behavior Technician | 805 Boucher Ave, Annapolis, MD 21403-2407 | 2018-07-16 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730601212 | Mary Elizabeth Krizek | Behavior Technician | 111 Stone Point Dr Unit 151, Annapolis, MD 21401-7070 | 2017-07-17 |
| 1649878091 | Benjamin Miller | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401-3954 | 2020-10-16 |
| Find all providers in ANNAPOLIS | ||||
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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.