JACLYN PENNINGTON (NPI# 1265968069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265968069 |
| Entity Type | Individual |
| Full Name | JACLYN PENNINGTON |
| Practice Address |
18201 Se 44th St Newalla OK 74857-6618 |
| Practice Telephone | 4055965616 |
| Mailing Telephone | 4055965616 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| 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 |
|---|---|---|---|---|
| 1346765500 | Jaclyn Pennington | Developmental Therapist | 519 Latham Dr, Lowell, AR 72745-8360 | 2017-08-09 |
| 1316216492 | Jaclyn Marie Pennington | Physician Assistant | 1 Galleria Blvd # 1420, Metairie, LA 70001-2082 | 2011-12-20 |
| Street Address |
18201 SE 44TH ST |
| City | NEWALLA |
| State | OK |
| Zip Code | 74857-6618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730321639 | Laressa D Beliele | Counselor | 18201 Se 44th St, Newalla, OK 74857-6618 | 2009-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831730142 | Justin Anthony Conkling | Peer Specialist | 18101 Se44th Street, Newalla, OK 74857 | 2019-10-08 |
| 1982149290 | Lynndee Parsons | Counselor | 16854 Meadow Lake Cir, Newalla, OK 74857-1217 | 2016-12-21 |
| 1720522451 | Katherine Mcelwee | Social Worker | 20414 Se 52nd St, Newalla, OK 74857-3017 | 2016-12-14 |
| 1851619514 | April Dawn Allen | Counselor | 19800 Se 60th St, Newalla, OK 74857-3401 | 2010-05-05 |
| 1275838773 | Kimberly Anne Nelson | Physical Therapy Assistant | 5800 Sun Perch Dr, Newalla, OK 74857-6432 | 2011-01-14 |
| 1144731829 | Brittany Danielle Burnes | Peer Specialist | 18451 Se 44th St, Newalla, OK 74857-6620 | 2017-10-20 |
| 1194257253 | Kelsie Self | Case Manager/Care Coordinator | 18360 S Harrah Rd, Newalla, OK 74857-7237 | 2017-03-29 |
| 1124367180 | Erica Elliott | Counselor | 10316 Carolyn Dr, Newalla, OK 74857-7605 | 2013-02-11 |
| 1578114591 | Ok Peds Pediatric Therapy Services | Clinic/Center | 7301 S Harrah Rd, Newalla, OK 74857-7912 | 2019-09-20 |
| 1730703596 | Kevin Lee Simmons | Peer Specialist | 10700 S Choctaw Rd, Newalla, OK 74857-7962 | 2020-06-07 |
| Find all providers in zip 74857 | ||||
| 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 |
|---|---|---|---|---|
| 1730780792 | Baylee Marie Hicks | Behavior Technician | 4515 E 91st St # 201, Tulsa, OK 74137-2810 | 2020-11-05 |
| 1023617818 | Leo Gross IIi | Behavior Technician | 5597 Nw 50th St Apt 5597b, Warr Acres, OK 73122-5232 | 2020-10-22 |
| 1366059909 | Richard Williams | Behavior Technician | 1121 S. Douglas Boulevard, Suite A, Midwest City, OK 73130 | 2020-09-28 |
| 1366052896 | Trayea Lindemann | Behavior Technician | 6020 Nw 23rd St Apt 7, Oklahoma City, OK 73127-1205 | 2020-08-10 |
| 1376152116 | Faris Roberts | Behavior Technician | 8336 S 77th East Ave Apt 1219, Tulsa, OK 74133-3931 | 2020-07-28 |
| 1255940383 | Avery Dawn Batchelor | Behavior Technician | 2240 36th Ave Nw Unit 100, Norman, OK 73072-3251 | 2020-07-24 |
| 1982212494 | Randall Austill | Behavior Technician | 1109 S Walnut St, Stillwater, OK 74074-5235 | 2020-07-21 |
| 1275158008 | Jerlecia Thompson | Behavior Technician | 4599 N Washington St Apt 29e, Stillwater, OK 74075-1346 | 2020-06-08 |
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1114549136 | Morgan Blair Cunningham | Behavior Technician | 806 Sw 36th St, Moore, OK 73160-7688 | 2020-05-13 |
| Find all providers with the same taxonomy | ||||
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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.