MS. PATRICIA A JACKSON (NPI# 1104458496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104458496 |
| Entity Type | Individual |
| Full Name | MS. PATRICIA A JACKSON |
| Practice Address |
10252 S Hwy 441 Unit 3 Belleview FL 34420 |
| Practice Telephone | 3525592539 |
| Mailing Telephone | 3525592539 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003396185 | Patricia Jackson | Licensed Vocational Nurse | 24310 Forest Canopy Dr, Katy, TX 77493-3088 | 2018-08-17 |
| 1023377967 | Patricia Renee Jackson | Dentist | 191 Highway and Hospital Road, Chinle, AZ 86503 | 2012-05-13 |
| 1306059548 | Patricia L Jackson | Home Health Aide | 11379 E Pike Rd, Cambridge, OH 43725-9162 | 2007-05-07 |
| 1902027329 | Patricia Jackson | Physical Therapist | 307 7th St E, Lehigh Acres, FL 33936-3970 | 2007-05-02 |
| 1396888335 | Patricia Ann Jackson | Social Worker | 420 Mink Pl, Abingdon, VA 24210-3426 | 2007-02-15 |
| 1427132422 | Patricia Suzanne Jackson | Family Medicine | 225 Von Karman Ave, Tullahoma Va Clinic, Arnold Afb, TN 37389 | 2006-10-25 |
| 1710081823 | Patricia Ann Jackson | Chiropractor | 225 3rd St, Batesville, AR 72501 | 2006-09-11 |
| 1073525150 | Patricia L Jackson | Nurse Practitioner | 1252 N 22nd St Unit A, Laramie, WY 82072-5306 | 2006-08-13 |
| 1376557702 | Patricia L Jackson | Nurse Practitioner | 230 W Catalpa Dr, Suite D, Mishawaka, IN 46545-8321 | 2006-07-28 |
| 1225094154 | Patricia Mcgarvey Jackson | Physician Assistant | 6800 Southpoint Pkwy, Suite 200, Jacksonville, FL 32216-6257 | 2006-04-20 |
| Street Address |
10252 S HWY 441 UNIT 3 |
| City | BELLEVIEW |
| State | FL |
| Zip Code | 34420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227726 | Madison Ruth Oglesby | Behavior Technician | 10252 S Us Hwy 441 Units 3 4, Belleview, FL 34420 | 2020-02-19 |
| 1891251781 | Pamela M Swiss | Behavior Technician | 10252 S Hwy 441 Unit 3 and 4, Belleview, FL 34420 | 2019-02-15 |
| 1417412834 | Ashlynn Shearer | Behavior Technician | 10252 S Us Hwy 441, Units 3 & 4, Belleview, FL 34420 | 2019-02-11 |
| 1083178313 | Sheila Bush | Technician | 12791 Se 47th Ave, Belleview, FL 34420 | 2019-01-31 |
| 1124579974 | Tamara Lopez Diaz, Md. Pa | Family Medicine | 12301 Se Us Highway 441 Ste C, Belleview, FL 34420 | 2016-10-17 |
| 1780043992 | Katelyn Garrett | Registered Nurse | 11855 Se 74th Terrace, Belleview, FL 34420 | 2016-02-16 |
| 1982092458 | Tracy Mattia | Pharmacist | 11310 Se Us Hwy 301, Belleview, FL 34420 | 2015-01-06 |
| 1245666171 | Hayden Lee Durham I | Pharmacist | 10762 South Us 441, Belleview, FL 34420 | 2013-09-24 |
| 1285060608 | Cindy Marlene Merritt | Pharmacist | 10762 Se Hwy 441, Belleview, FL 34420 | 2013-09-17 |
| 1861751059 | Marcus Alan Mallory | Pharmacist | 10393-97 Se Hwy 441-27, Belleview, FL 34420 | 2012-05-09 |
| Find all providers in zip 34420 | ||||
| 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 |
|---|---|---|---|---|
| 1881227726 | Madison Ruth Oglesby | Behavior Technician | 10252 S Us Hwy 441 Units 3 4, Belleview, FL 34420 | 2020-02-19 |
| 1861044323 | Kaitlyn Yearout | Behavior Technician | 10252 Se Us Highway 441 Unit 345, Belleview, FL 34420-6819 | 2019-07-15 |
| 1891251781 | Pamela M Swiss | Behavior Technician | 10252 S Hwy 441 Unit 3 and 4, Belleview, FL 34420 | 2019-02-15 |
| 1417412834 | Ashlynn Shearer | Behavior Technician | 10252 S Us Hwy 441, Units 3 & 4, Belleview, FL 34420 | 2019-02-11 |
| 1952828907 | Kristin Renee Hise | Behavior Technician | 11960 Se 108th Terrace Rd, Belleview, FL 34420-6610 | 2017-08-29 |
| 1043748643 | Graciella Ortega | Behavior Technician | 10252 Se Us Highway 441 # 3, Belleview, FL 34420-6819 | 2017-05-25 |
| 1700262151 | Kourtney Keller | Behavior Technician | 10252 Se Us Highway 441 Unit 3, Belleview, FL 34420-7822 | 2015-08-08 |
| 1265033542 | Hailey Purdy | Behavior Technician | 10252 Se Us Highway 441 Unit 3, Belleview, FL 34420-7822 | 2020-11-04 |
| 1114527272 | Charmaine Nikita Barber | Behavior Technician | 10252 Se Us Highway 441 Unit 3, Belleview, FL 34420-7822 | 2020-10-28 |
| 1043820558 | Solina Calixtro | Behavior Technician | 10252 Se Us Highway 441, Belleview, FL 34420-6819 | 2020-08-10 |
| Find all providers in BELLEVIEW | ||||
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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.