JESSICA DIANNE TERRY (NPI# 1285103218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285103218 |
| Entity Type | Individual |
| Full Name | JESSICA DIANNE TERRY |
| Practice Address |
743 S Hills Oak Rd Portales NM 88130 |
| Practice Telephone | 5757915951 |
| Mailing Telephone | 5757915951 |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-18-71169 | NM | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780941831 | Jessica S Terry | Nurse Practitioner | 12301 Grapefield Rd, Bastian, VA 24314-4547 | 2012-04-13 |
| Street Address |
743 S HILLS OAK RD |
| City | PORTALES |
| State | NM |
| Zip Code | 88130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245861319 | Cynthia Alarid | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Schroc, Portales, NM 88130 | 2020-01-28 |
| 1649800384 | Gurveen Sandhu | Student in an Organized Health Care Education/Training Program | 1500 S Ave. K Station 3, Shroc, Portales, NM 88130 | 2020-01-22 |
| 1740744226 | Ashley Mcclelland | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K, Station 3 Shroc, Portales, NM 88130 | 2019-01-29 |
| 1619445822 | Jonna Smith | Marriage & Family Therapist | 44 S Roosevelt Road N, Portales, NM 88130 | 2018-11-06 |
| 1932689254 | Carolina Yanez | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K Station 3 Shroc, Portales, NM 88130 | 2018-08-16 |
| 1033611918 | Shelley Marie Laya | Student in an Organized Health Care Education/Training Program | 1500 S. Ave K., Station 3, Shroc, Portales Nm, CA 88130 | 2018-03-06 |
| 1750800744 | Sara Rose Mccarty | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Shro, Portales, NM 88130 | 2017-09-12 |
| 1528584463 | Calli Bane | Student in an Organized Health Care Education/Training Program | 1500 South Ave. K, Station 3, Shroc, Portales, NM 88130 | 2017-08-22 |
| 1700302890 | Victoria L Young | Speech-Language Pathologist | 1500 South Ave K, Station 3 Shroc, Portales, NM 88130 | 2017-08-21 |
| 1669998928 | Amanda Eliza Ramirez | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Shroc, Portales, NM 88130 | 2017-08-18 |
| Find all providers in zip 88130 | ||||
| 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 |
|---|---|---|---|---|
| 1679184725 | Chesney Chellise Carter | Behavior Technician | 1378 S Roosevelt Road 5, Portales, NM 88130-9653 | 2020-08-12 |
| 1376171025 | Alicia Aguilar | Behavior Technician | 1540 Arizona Dr Apt 22, Portales, NM 88130-7060 | 2020-03-30 |
| 1477193076 | Autumn Reynolds | Behavior Technician | 900 W 17th Ln, Portales, NM 88130-6638 | 2020-01-10 |
| 1245877604 | Aubrey Rose Courtney | Behavior Technician | 921 S Boulder Ave, Portales, NM 88130-6523 | 2019-12-04 |
| 1477108868 | Alexandra Kristiana Esquibel | Behavior Technician | 1025 W 14th St, Portales, NM 88130-6619 | 2019-08-03 |
| 1447719323 | Samantha L Gibson | Behavior Technician | 2108 Mockingbird Ln, Portales, NM 88130-7195 | 2019-03-19 |
| 1528551157 | Tyra Hardin | Behavior Technician | 205 New Mexico Dr, Portales, NM 88130-7040 | 2018-06-08 |
| 1265948038 | Tracey La Dawn Bullock | Behavior Technician | 830 W 14th St, Portales, NM 88130-6708 | 2017-12-15 |
| 1770008500 | Shea Mahan | Behavior Technician | 1500 S Avenue K, Portales, NM 88130 | 2017-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396057 | Heather Smith | Behavior Technician | 25a Cr 5060, Bloomfield, NM 87413 | 2020-11-04 |
| 1215538343 | Victoria Lopez | Behavior Technician | 1015 Pinatubo Pl Nw, Albuquerque, NM 87120-2974 | 2020-11-04 |
| 1467053967 | Candace Torres | Behavior Technician | 2572 Las Alturas Ct, Alamogordo, NM 88310-4339 | 2020-11-03 |
| 1598366080 | Maya Mascarenas | Behavior Technician | 516 Madeira Dr Se Apt 3, Albuquerque, NM 87108-2971 | 2020-11-03 |
| 1831790419 | Alisa Maria Salazar | Behavior Technician | 9610 Arvada Ave Ne, Albuquerque, NM 87112-2912 | 2020-11-02 |
| 1548861065 | Darren Anzures | Behavior Technician | 10004 Benavides Rd Sw, Albuquerque, NM 87121-8126 | 2020-11-02 |
| 1851992374 | Sara Olguin | Behavior Technician | 2910 Mountain View Dr, Carlsbad, NM 88220-3157 | 2020-11-02 |
| 1548869068 | Marian Kinsel | Behavior Technician | 5107 Loma Alto Dr, Farmington, NM 87402-8344 | 2020-10-26 |
| 1730788241 | Krysta Balzano | Behavior Technician | 1000 Paseo Del Gallo, Bernalillo, NM 87004-5558 | 2020-10-26 |
| 1376142935 | Amber Giles | Behavior Technician | 401 N Frontier St, Bloomfield, NM 87413-5529 | 2020-10-23 |
| 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.