EBONY JACKSON (NPI# 1336749597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336749597 |
| Entity Type | Individual |
| Full Name | EBONY JACKSON |
| Practice Address |
11510 Homestead Rd Ste 295 Houston TX 77016-1237 |
| Mailing Address |
2431 Fm 1960 Rd W Apt 3602 Houston TX 77068-3725 |
| Practice Telephone | 8326724894 |
| Mailing Telephone | 2814089075 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 374T00000X | Religious Nonmedical Nursing Personnel | Nursing Service Related Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164073334 | Ebony Jackson | Pharmacy Technician | 145 Emanuel Farm Rd Lot 77, Brunswick, GA 31525-2469 | 2019-09-27 |
| 1750848800 | Ebony Jackson | Doula | 12158 Alexandra Dr, Jacksonville, FL 32218-8883 | 2019-02-25 |
| 1699094326 | Ebony Marie Jackson | Licensed Practical Nurse | 39 Dunbar St, Rochester, NY 14619-2142 | 2010-05-20 |
| 1356678197 | Ebony Jackson | Licensed Practical Nurse | 4754 E 175th St, Cleveland, OH 44128-3932 | 2009-11-16 |
| 1225636582 | Ebony Jamice Jackson | Registered Nurse | 3601 Shady Timber Dr, Twinsburg, OH 44087-4945 | 2020-10-09 |
| 1568025807 | Ebony Jackson | Social Worker | 1655 Burlington Pike Ste 101, Florence, KY 41042-4909 | 2019-04-22 |
| 1639681331 | Ebony Craig Jackson | Pharmacist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2017-11-02 |
| 1871022699 | Ebony Jackson | Counselor | 3084 Westfork Dr Ste C, Baton Rouge, LA 70816-2254 | 2017-06-06 |
| 1477904357 | Ebony Jackson | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2016-06-22 |
| 1730564279 | Ebony Conerly Jackson | Social Worker | 23791 Southpoint Dr, Denham Springs, LA 70726-6856 | 2015-07-27 |
| Street Address |
11510 HOMESTEAD RD STE 295 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77016-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741790 | Michelle Y Johnson | Technician | 6731 Leedale St., Houston, TX 77016 | 2019-10-14 |
| 1013568302 | Lynette Callier | Technician | 7410 Caddo, Houston, TX 77016 | 2019-09-27 |
| 1770132169 | Mary Collins | Technician | 7221 Boggess, Houston, TX 77016 | 2019-09-09 |
| 1417503467 | Superior Surgical Services, LLC | Physician Assistant | 5527 Yorkwood St, Houston, TX 77016 | 2019-08-15 |
| 1407336654 | Something Special Mental Health Care | Clinic/Center | 5318 Laura Koppe St, Houston, TX 77016 | 2018-08-17 |
| 1538648019 | Lois Hardy | Licensed Vocational Nurse | 7306 Caddo St., Houston, TX 77016 | 2018-08-07 |
| 1124520960 | Complete Plus Healthcare Inc | Clinic/Center | 6235 Laura Koppe Rd Ste B, Houston, TX 77016 | 2018-03-07 |
| 1790220481 | Premier Diagnostic Center | Point of Service | 10311 Homestead Road, Houston, TX 77016 | 2017-01-04 |
| 1902274178 | Established Transportation | Non-emergency Medical Transport (VAN) | 6314 Heath, Houston, TX 77016 | 2015-09-04 |
| 1780096412 | Launch Point Cdc Inc. | Preferred Provider Organization | 9723 Homestead, Houston, TX 77016 | 2014-05-29 |
| Find all providers in zip 77016 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516673 | Stephanie Carolina Lopez | Behavioral Analyst | 40 Cypress Creek Pkwy # 234, Houston, TX 77090-3530 | 2020-10-23 |
| 1609481548 | Donald Haywood | Behavioral Analyst | 9850 Meadowglen Ln Apt 38, Houston, TX 77042-4345 | 2020-09-08 |
| 1336769991 | Wonder Kids Therapy and Wellness Services | Behavioral Analyst | 5600 Nw Central Dr Ste 213, Houston, TX 77092-2078 | 2020-04-23 |
| 1760016315 | Susan Moira Catlett | Behavioral Analyst | 4724 Post Oak Timber Dr Unit 64, Houston, TX 77056-2226 | 2020-02-22 |
| 1700416559 | Jonathan Allan Mcclure | Behavioral Analyst | 5000 Caroline St, Houston, TX 77004-5704 | 2020-01-21 |
| 1770120719 | Amazing & Creative Therapy On The Spectrum LLC | Behavioral Analyst | 14058 Memorial Dr, Houston, TX 77079-6848 | 2019-12-10 |
| 1174169718 | Learning Continuum, LLC | Behavioral Analyst | 810 Highway 6 S Ste 214, Houston, TX 77079-4025 | 2019-11-19 |
| 1174164032 | Mariah Alexis Menendez | Behavioral Analyst | 14743 Loxley Meadows Dr, Houston, TX 77082-1289 | 2019-10-02 |
| 1407407307 | Britnee Sarah Gilmer | Behavioral Analyst | 3000 Weslayan St Ste 105, Houston, TX 77027-5700 | 2019-09-23 |
| 1740849421 | Danielle Gordon | Behavioral Analyst | 8006 Albin Ln, Houston, TX 77071-2007 | 2019-06-06 |
| Find all providers in HOUSTON | ||||
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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.