DAWNTAYE JACKSON (NPI# 1063963254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063963254 |
| Entity Type | Individual |
| Full Name | DAWNTAYE JACKSON |
| Practice Address |
1375 Kenneth Dunham St Apt 305 Savannah GA 31415-2165 |
| Practice Telephone | 9126312322 |
| Mailing Telephone | 9126312322 |
| Enumeration Date | 2016-10-22 |
| Last Update Date | 2016-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1375 KENNETH DUNHAM ST APT 305 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31415-2165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164765665 | Jabez's Dream | Clinic/Center | 619 W. 37th Street, Savannah, GA 31415 | 2013-04-03 |
| 1891934576 | Coastal Counseling LLC | Counselor | 619 W 37th St, Savannah, GA 31415 | 2009-02-19 |
| 1588188841 | J C Lewis Primary Health Care Center Inc | Clinic/Center | 1410 Richards St, Savannah, GA 31415-2038 | 2017-07-28 |
| 1861866543 | Tonya Deneen Parker | Licensed Practical Nurse | 1344 Augusta Ave, Savannah, GA 31415-2063 | 2015-11-18 |
| 1699380030 | Capstone Hme Inc | Durable Medical Equipment & Medical Supplies | 1129 Mente Dr, Savannah, GA 31415-3104 | 2020-09-12 |
| 1295267375 | Ifraj Quiyim | Psychologist | 1015 Porter St, Savannah, GA 31415-5284 | 2017-03-29 |
| 1396280632 | Gwendolyn Williams | Counselor | 1142 Darwin St, Savannah, GA 31415-5314 | 2016-12-22 |
| 1073085809 | Love and Honesty Homecare, LLC | Home Health | 644 Kline St, Savannah, GA 31415-5453 | 2018-12-18 |
| 1588017412 | J C Lewis Primary Health Care Center Inc | Clinic/Center | 1110 May St, Savannah, GA 31415-5470 | 2016-07-15 |
| 1306475942 | Rivers Home Care Service, LLC. | Nurse's Aide | 1608 Chevy Chase Rd, Savannah, GA 31415-7809 | 2020-04-06 |
| Find all providers in zip 31415 | ||||
| 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 |
|---|---|---|---|---|
| 1083224299 | Raquel-monet Tucker | Behavior Technician | 5710 Ogeechee Road, Suite 200 - 251, Savannah, GA 31405-9515 | 2020-08-03 |
| 1437771706 | Tahlia Leleka Price | Behavior Technician | 450 Al Henderson Blvd Unit 1202, Savannah, GA 31419-6048 | 2020-05-10 |
| 1942821483 | Taylor Depol | Behavior Technician | 9111 White Bluff Rd, Savannah, GA 31406-4606 | 2020-05-06 |
| 1356976419 | Alexandria Herrin | Behavior Technician | 613 Stephenson Ave Ste A, Savannah, GA 31405-5985 | 2020-03-10 |
| 1790317154 | Lisa Henderson | Behavior Technician | 31 Beaver Run Dr, Savannah, GA 31419-9528 | 2020-02-04 |
| 1639716350 | Brandi Dawn Blackwell | Behavior Technician | 125 Tibet Ave Apt 116a, Savannah, GA 31406-5550 | 2019-12-01 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1417511379 | Erika Wallace | Behavior Technician | 8515 Lyn Ave, Savannah, GA 31406-6019 | 2019-04-26 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1457829335 | Kayla Glover | Behavior Technician | 210 Cromer St, Savannah, GA 31407-4829 | 2018-11-08 |
| Find all providers in SAVANNAH | ||||
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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.