DERICKA NICOLE JONES (NPI# 1326509035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326509035 |
| Entity Type | Individual |
| Full Name | DERICKA NICOLE JONES |
| Practice Address |
139 Attwater Ct Leesburg GA 31763-5564 |
| Practice Telephone | 2293384270 |
| Mailing Telephone | 2293384270 |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-80840 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DRIVERS LICENSE | 052755134 | 01 |
| Street Address |
139 ATTWATER CT |
| City | LEESBURG |
| State | GA |
| Zip Code | 31763-5564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790150423 | Jamie Perrella Flynn-pressley | Counselor | 112 Cris Ann St., Leesburg, GA 31763 | 2015-12-07 |
| 1023429511 | Brookstone Medical LLC | Durable Medical Equipment & Medical Supplies | 123 Hugh Rd, Leesburg, GA 31763 | 2014-05-19 |
| 1124370796 | Freds Stores of Tennessee Inc | Pharmacy | 118 Robert B Lee Drive, Leesburg, GA 31763 | 2012-10-08 |
| 1255649273 | Lee County Optical LLC | Optometrist | 1569 Highway 19 South, Leesburg, GA 31763 | 2010-09-24 |
| 1851572473 | Shaun Nicholas Price | Chiropractor | 152 Robert B Lee Dr, # 31, Leesburg, GA 31763 | 2007-11-26 |
| 1710042007 | Williams & Bush Partnership | Dentist | 919 Us Hwy 19 South, Leesburg, GA 31763 | 2006-12-27 |
| 1063570398 | Lee County Board of Education | Local Education Agency (LEA) | 126 Starksville Avenue, North, Leesburg, GA 31763 | 2006-12-06 |
| 1225109929 | Lee County School System | Local Education Agency (LEA) | 126 Starksville Avenue North, Leesburg, GA 31763 | 2006-11-13 |
| 1073682936 | Adams' Loving Pro Home Health Care Inc. | Home Health | 1277 Hwy 82 West, 121, Leesburg, GA 31763 | 2006-11-07 |
| 1225132699 | Deirdre Mae Clairewen Lawson | Internal Medicine | 235 Walnut Street, Leesburg, GA 31763 | 2006-09-07 |
| Find all providers in zip 31763 | ||||
| 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 |
|---|---|---|---|---|
| 1730792441 | Jennifer Marie Cambensy | Behavior Technician | 19416 Newton Pass Sq, Leesburg, VA 20176-6523 | 2020-08-24 |
| 1093358699 | Ashley Roundtree | Behavior Technician | 2336 Olivet Ave, Leesburg, FL 34748-3758 | 2019-10-26 |
| 1598320400 | Kimberly Rodriguez | Behavior Technician | 35435 Orange Grove Ln, Leesburg, FL 34788-2988 | 2019-05-06 |
| 1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
| 1497227664 | Kendra Gosha | Behavior Technician | 926 Willow Dr, Leesburg, FL 34748-6490 | 2018-12-27 |
| 1821533860 | Lindsay Campbell | Behavior Technician | 32939 Merrill Rd, Leesburg, FL 34788-8848 | 2016-12-29 |
| 1356957872 | Randi Alexis Connelly | Behavior Technician | 1650 W Main St Ste 1, Leesburg, FL 34748-2842 | 2020-09-21 |
| 1992293245 | Jamar Hall Sr. | Behavior Technician | 2858 W Main St, Leesburg, FL 34748-4631 | 2018-04-23 |
| 1013452051 | Lindsay Campbell | Behavior Technician | 32939 Merrill Rd, Leesburg, FL 34788-8848 | 2016-12-29 |
| 1003157439 | Marlee Wier | Behavior Technician | 801 Childrens Center Rd Sw, Leesburg, VA 20175-2545 | 2013-03-11 |
| Find all providers in LEESBURG | ||||
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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.