RODNEY LAJUAN JACKSON JR. (NPI# 1063972669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063972669 |
| Entity Type | Individual |
| Full Name | RODNEY LAJUAN JACKSON JR. |
| Practice Address |
7445 39th Pl N St Petersburg FL 33709-4310 |
| Practice Telephone | 7272251669 |
| Mailing Telephone | 7272251669 |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-03-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205125747 | Rodney Jackson | Occupational Therapist | 18135 W Catawba Ave Ste 11, Cornelius, NC 28031-5641 | 2011-04-05 |
| 1306981295 | Rodney Jackson | Case Manager/Care Coordinator | 5849 Crocker St Unit L, Los Angeles, CA 90003-1311 | 2007-02-20 |
| 1205931599 | Rodney Allen Jackson | Dentist | 2517 Sir Barton Way Ste 200, Lexington, KY 40509-2275 | 2006-09-13 |
| 1285659615 | Rodney Gilkey Jackson | Chiropractor | 309 Laurel Ave, Tillamook, OR 97141-2313 | 2006-07-13 |
| 1457838062 | Rodney Jackson Jr. | Case Manager/Care Coordinator | 1800 Mercy Dr, Orlando, FL 32808-5646 | 2018-07-26 |
| 1538602941 | Rodney Jackson Sr. | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2016-12-02 |
| 1093965089 | Rodney Dewayne Jackson | Specialist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2008-09-25 |
| 1619975398 | Rodney Mark Jackson | Specialist | 3654 W Anthem Way, Suite B-114, Anthem, AZ 85086-0455 | 2005-07-07 |
| Street Address |
7445 39TH PL N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709-4310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987240 | Kierra Coston | Behavior Technician | 7445 39th Pl N, St Petersburg, FL 33709-4310 | 2020-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| 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 |
|---|---|---|---|---|
| 1992321004 | Lynel Allen Curd | Behavior Technician | 2200 1/2 7th Ave N, St Petersburg, FL 33713-7016 | 2020-06-24 |
| 1548897820 | Natalie Elliott | Behavior Technician | 2638 13th Ave N, St Petersburg, FL 33713-5807 | 2020-03-25 |
| 1407486640 | Jamar Wright | Behavior Technician | 1175 Pinellas Point Dr S Apt 538, St Petersburg, FL 33705-6771 | 2020-01-16 |
| 1679119325 | Christopher Rossetti | Behavior Technician | 5175 45th St N # 4, St Petersburg, FL 33714-2266 | 2019-11-18 |
| 1679128623 | Koffee Garlington | Behavior Technician | 800 6th Ave S, St Petersburg, FL 33701-4512 | 2019-08-06 |
| 1962063560 | Harry Russo | Behavior Technician | 8950 Martin Luther King St N Ste 190, St Petersburg, FL 33702-3001 | 2019-06-25 |
| 1992267058 | James Philip Sheridan | Behavior Technician | 5175 45th St N, St Petersburg, FL 33714-2266 | 2019-04-05 |
| 1841771755 | Candace Nichole Smith | Behavior Technician | 1907 Tyrone Blvd N # 274, St Petersburg, FL 33710-4841 | 2018-08-28 |
| 1083190540 | Brittney Anne Volpe | Behavior Technician | 3190 75th St N, St Petersburg, FL 33710-2326 | 2018-07-17 |
| 1215427117 | Allison Anne Mitchell | Behavior Technician | 4224 28th St N, St Petersburg, FL 33714-3922 | 2018-05-16 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33709 |
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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.