JENNA MICHELLE ODNEAL (NPI# 1134726219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134726219 |
| Entity Type | Individual |
| Full Name | JENNA MICHELLE ODNEAL |
| Practice Address |
16915 Liverpool Pkwy. Suite B. Cornelius NC 28301 |
| Mailing Address |
16915 Liverpool Pkwy Suite B Cornelius NC 28031 |
| Practice Telephone | 8182416780 |
| Mailing Telephone | 8182416780 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| 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 |
16915 LIVERPOOL PKWY. SUITE B. |
| City | CORNELIUS |
| State | NC |
| Zip Code | 28301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1518217066 | Deborah L. Hall | Licensed Practical Nurse | 528 Country Club Drive, Fayetteville, NC 28301 | 2012-09-12 |
| Find all providers in zip 28301 | ||||
| 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 |
|---|---|---|---|---|
| 1144827221 | Jessica Leigh Akbari | Behavior Technician | 16915 Liverpool Pkwy. Suite B, Cornelius, NC 28031 | 2020-10-02 |
| 1548871569 | Aalasa Brooks | Behavior Technician | 16915 Liverpool Pkwy, Suite B, Cornelius, NC 28031 | 2020-08-13 |
| 1366053381 | Mary-clara Pearl Mcalister | Behavior Technician | 16915 Liverpool Parkway, Suite B, Cornelius, NC 28031 | 2020-08-13 |
| 1295203826 | Emma Cook | Behavior Technician | 17141 Doe Valley Ct, Cornelius, NC 28031-5669 | 2018-11-13 |
| 1124446109 | Brittany Ann Ross | Behavior Technician | 19615 Liverpool Pkwy Ste B, Cornelius, NC 28031 | 2014-04-07 |
| 1083215651 | Nicki Tyena Leazer | Behavior Technician | 16915 Liverpool Pkwy, Cornelius, NC 28031 | 2020-11-02 |
| 1841890555 | Heather K Mataraza | Behavior Technician | 16915 Liverpool Pkwy, Suite B, Cornelius, NC 28031 | 2020-10-30 |
| 1093315145 | Carla Young | Behavior Technician | 19615 Liverpool Pkwy Ste B, Cornelius, NC 28031-4075 | 2020-10-28 |
| 1306445515 | Samantha Ann Horenstein | Behavior Technician | 19615 Liverpool Pkwy Ste B, Cornelius, NC 28031-4075 | 2020-10-19 |
| 1447858824 | Essie Benton | Behavior Technician | 19615 Liverpool Pkwy Ste B, Cornelius, NC 28031-4075 | 2020-10-16 |
| Find all providers in CORNELIUS | ||||
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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.