TAMMY JACKSON


Address: 556 New Park Ave Ste A, West Hartford, CT 06110-1317
Phone: 6052712690

TAMMY JACKSON (NPI# 1972767994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972767994
Entity Type Individual
Full Name TAMMY JACKSON
Credential BCBA
Practice Address 556 New Park Ave Ste A
West Hartford
CT 06110-1317
Mailing Address 1105 W Russell St
Sioux Falls
SD 57104-1322
Practice Telephone 6052712690
Mailing Telephone 6052712690
Enumeration Date 2008-07-18
Last Update Date 2019-05-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 1-09-5870 CT Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1764 Litchfield Tpke, Woodbridge, CT 065252353 2038870673

Other Providers TAMMY JACKSON

NPI Name Taxonomy Address Enumeration
1619958758 Tammy Lynn Jackson Psychologist 4201 Whispering Creek Dr, College Station, TX 77845-4054 2005-11-07
1467990671 Tammy Jackson Psychologist 376 E Apple Ave, Muskegon, MI 49442-3466 2017-02-08
1538567573 Tammy M Jackson Licensed Practical Nurse 2250 Wehrle Dr, Suite 1, Williamsville, NY 14221-7034 2014-12-08
1235294018 Tammy J Jackson Psychologist 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 2006-12-22
1093736720 Tammy S Jackson Nurse Practitioner 300 20th Ave N, Ste 301, Nashville, TN 37203-2131 2006-07-21
1497783146 Tammy T. Jackson Emergency Medicine 2525 Desales Avenue, Chattanooga, TN 37404 2006-06-30
1558345371 Tammy Z Jackson Nurse Practitioner 716 S Main St, Ripley, MS 38663-2909 2005-12-05
1275533366 Tammy L. Jackson Nurse Anesthetist, Certified Registered 110 29th Ave N, Ste 202, Nashville, TN 37203-1401 2005-07-29

Office Location

Street Address 556 NEW PARK AVE STE A
City WEST HARTFORD
State CT
Zip Code 06110-1317

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699258905 Behavior Care Specialists, Inc Assistant Behavior Analyst 556 New Park Ave Ste A, West Hartford, CT 06110-1317 2018-09-12
1437558749 Jessica Lyons Behavioral Analyst 556 New Park Ave Ste A, West Hartford, CT 06110-1317 2014-08-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306467030 Jand. Inc. Eyewear Supplier (Equipment, not the service) 1500 New Britain Ave, H216, West Hartford, CT 06110 2020-05-05
1962903492 Mitchell Graham Chiropractor 121 Talcott Rd, West Hartford, CT 06110 2018-02-21
1417302829 Kaitlyn Roggi Behavioral Analyst 101 South St Fl 2, West Hartford, CT 06110 2016-05-04
1487036802 Nino Gigauri Internal Medicine 114 Woodlawn St, Hartford, CT 06110 2015-06-22
1093082174 Shital Makati Pharmacist 940 South Quaker Lane, West Hartford, CT 06110 2011-11-17
1376842948 Kenneth Reeve Pediatrics 1459a New Britain Ave, West Hartford, CT 06110 2011-03-22
1225368913 Jenny Alzate Lpc LLC Counselor 78 Cambridge St, West Hartford, CT 06110 2010-01-04
1821200957 Advocate Community Care Agency, Inc. Home Delivered Meals 1086 New Britain Ave, West Hartford, CT 06110 2007-05-03
1730257155 Catherine Ann Staunton Physical Therapist 1350 Chapel Street, New Haven, CT 06110 2006-12-01
1689750002 Pamela M Matuszewski Optometrist 1445 New Britain Ave, W Hartford, CT 06110 2006-10-27
Find all providers in zip 06110

Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356956221 Lindsay A Yanke Behavioral Analyst 34 Lilley Rd, West Hartford, CT 06119-1333 2020-09-09
1033607437 Joanna Rubinstein Behavioral Analyst 1100 New Britain Ave Ste 107, West Hartford, CT 06110-2448 2018-05-01
1922512573 Melissa Fiaccone Behavioral Analyst 1100 New Britain Ave Ste 105, West Hartford, CT 06110-2448 2017-11-17
1164932398 Dekyi Bhutia Behavioral Analyst 1000 Farmington Ave Ste 106a, West Hartford, CT 06107-2185 2017-10-02
1063957389 Hannah Aliberti Behavioral Analyst 792 Farmington Ave, West Hartford, CT 06119 2016-12-21
1417302829 Kaitlyn Roggi Behavioral Analyst 101 South St Fl 2, West Hartford, CT 06110 2016-05-04
1538539606 Katherine Wizeman Behavioral Analyst 38 Linbrook Rd, West Hartford, CT 06107-1225 2015-10-01
1861736647 Sarah J Larsen Behavioral Analyst 881 Farmington Ave, West Hartford, CT 06119-1411 2012-11-19
1407113046 Erica Gittleman Behavioral Analyst 8 Newgate St, West Hartford, CT 06110-1857 2012-04-20
1033381660 Emily Ricker Sullivan Behavioral Analyst 85 Wardwell Rd, West Hartford, CT 06107-3003 2008-03-24
Find all providers in WEST HARTFORD

Competitor

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City WEST HARTFORD
Zip Code 06110

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Dataset Information

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.

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