JEANINE CATHERINE JACKSON


Address: 3186 Airway Ave Ste A, Costa Mesa, CA 92626-4650
Phone: 7148810427

JEANINE CATHERINE JACKSON (NPI# 1215570080) 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) 1215570080
Entity Type Individual
Full Name JEANINE CATHERINE JACKSON
Practice Address 3186 Airway Ave Ste A
Costa Mesa
CA 92626-4650
Practice Telephone 7148810427
Practice Fax Number 7143270673
Mailing Telephone 7148810427
Mailing Fax Number 7143270673
Enumeration Date 2019-10-23
Last Update Date 2019-10-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Other Providers JEANINE JACKSON

NPI Name Taxonomy Address Enumeration
1972113223 Jeanine Jackson Licensed Practical Nurse 65 Baxter Dr, Rochester, NY 14626-2137 2020-08-03
1902166895 Jeanine Angela Jackson Audiologist-Hearing Aid Fitter 3239 Telford Ter Sw, Atlanta, GA 30331-5447 2012-05-24
1780037374 Jeanine Jackson Counselor 497 Belleville Ave, New Bedford, MA 02746-5432 2016-07-19
1568434231 Jeanine M. Jackson Nurse Practitioner 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 2006-02-06

Office Location

Street Address 3186 AIRWAY AVE STE A
City COSTA MESA
State CA
Zip Code 92626-4650

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609125731 Hadir M Radwan Marriage & Family Therapist 3186 Airway Ave Ste A, Costa Mesa, CA 92626-4650 2012-09-05
1497356729 Denise Alexandra Ocegueda Behavioral Analyst 3186 Airway Ave Ste A, Costa Mesa, CA 92626-4650 2020-11-03
1912508441 An Mai Behavioral Analyst 3186 Airway Ave Ste A, Costa Mesa, CA 92626-4650 2020-11-02
1730780263 Sreylin Cheng Behavioral Analyst 3186 Airway Ave Ste A, Costa Mesa, CA 92626-4650 2020-11-02
1336740950 Delaney Lauren Jones Behavioral Analyst 3186 Airway Ave Ste A, Costa Mesa, CA 92626-4650 2020-11-02
1164021416 Qynncie Fuller Behavioral Analyst 3186 Airway Ave Ste A, Costa Mesa, CA 92626-4650 2020-10-19
1518566868 Ilza Stephany Perez Behavioral Analyst 3186 Airway Ave Ste A, Costa Mesa, CA 92626-4650 2020-10-19
1427657774 Catherine Vo Behavioral Analyst 3186 Airway Ave Ste A, Costa Mesa, CA 92626-4650 2020-10-19
1093314346 Cassandra Lumbang Behavioral Analyst 3186 Airway Ave Ste A, Costa Mesa, CA 92626-4650 2020-10-19
1902405251 Yvette Sanchez Behavioral Analyst 3186 Airway Ave Ste A, Costa Mesa, CA 92626-4650 2020-10-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215536982 Sergio Gutierrez Behavior Technician 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 2020-10-22
1780201848 Kelly Chauvet Behavior Technician 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 2020-07-06
1316564610 Timo Rosa Behavior Technician 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 2020-07-02
1255966115 Dalia A Sehweil Behavior Technician 1111 Baker, Costa Mesa, CA 92626 2020-03-11
1265071096 Austin Stotelmyre Behavior Technician 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 2019-12-26
1396383022 The Open Table Community/Behavioral Health 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 2019-12-12
1851933550 Jennifer Rivera Behavior Technician 1111 Baker St. Unit #a, Costa Mesa, CA 92626 2019-10-14
1962053595 Peter Na Behavior Technician Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 2019-09-25
1346897147 Jennifer Lopez Behavior Technician 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 2019-08-26
1679134084 Danny Garcia Chiropractic, PC Chiropractor 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 2019-06-26
Find all providers in zip 92626

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
1528602448 Maria Isabel Acosta Gutierrez Behavioral Analyst 3186 Airway Ave # Atea, Costa Mesa, CA 92626-4650 2019-11-04
1295378305 Quynh Le Behavioral Analyst 1111 Baker St # 8, Costa Mesa, CA 92626-4138 2019-10-21
1558922427 Roya Haddadzadeh Behavioral Analyst 3303 Harbor Blvd. Suite B8, Costa Mesa, CA 92626-5212 2019-06-21
1912466590 Kiana Pinawin Behavioral Analyst 1503 S Coast Dr Ste 212, Costa Mesa, CA 92626-1556 2019-03-13
1427516764 Oscar Zuniga Behavioral Analyst 3186 Airway Ave. Bldg.a, Costa Mesa, CA 92626 2019-03-05
1841755378 Rachel E Rangel Behavioral Analyst 151 Kalmus Dr Ste L1, Costa Mesa, CA 92626-5978 2019-02-08
1770056111 Casey Elyssa Mann Behavioral Analyst 3554 Business Park Dr, Costa Mesa, CA 92626-1423 2019-01-08
1437626470 Chiamaka Oranuba Behavioral Analyst 3816 Airway Ave, Suite A, Costa Mesa, CA 92626 2018-10-29
1356822787 United Behavior Consultants Behavioral Analyst 826 Joann St, Costa Mesa, CA 92627-3321 2018-08-23
1366931537 Kristen Schreiber Behavioral Analyst 3186 Airway Ave, Costa Mesa, CA 92626-4650 2018-05-03
Find all providers in COSTA MESA

Competitor

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City COSTA MESA
Zip Code 92626

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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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