MRS. MELISSA KAYE JACKSON (NPI# 1366049579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366049579 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA KAYE JACKSON |
| Practice Address |
16538 N May Ave Edmond OK 73012-9007 |
| Practice Telephone | 4052530071 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093298655 | Melissa Marie Jackson | Registered Nurse | 456 W 68th St, Kansas City, MO 64113-1919 | 2018-09-10 |
| 1891235933 | Melissa Jackson | Marriage & Family Therapist | 202 W Manchester Ave, Playa Del Rey, CA 90293-7710 | 2017-03-07 |
| 1881086577 | Melissa Jackson | Dentist | 2539 S Columbia Pl, Tulsa, OK 74114-3232 | 2015-03-04 |
| 1346645231 | Melissa Rene Jackson | Advanced Practice Midwife | 2744 Ewing Ave S, Minneapolis, MN 55416-4213 | 2014-11-04 |
| 1992048482 | Melissa Michelle Jackson | Speech-Language Pathologist | 707 Marie Ave, Ruston, LA 71270-2715 | 2013-04-03 |
| 1033471065 | Melissa Anne Jackson | Specialist | 3133 Broadway Apt 1, New York, NY 10027-4617 | 2012-06-14 |
| 1538439112 | Melissa Jackson | Spec/Tech, Pathology | 1820 California St Nw, 41, Washington, DC 20009-1824 | 2012-01-12 |
| 1609145184 | Melissa Rena Jackson | Counselor | 11541 Village Ave, Midwest City, OK 73130-8207 | 2011-12-29 |
| 1497064695 | Melissa Lousie Jackson | Neuromusculoskeletal Medicine, Sports Medicine | 4 Victory Ln, Scarborough, ME 04074-8486 | 2010-10-05 |
| 1528224219 | Melissa Jackson | Psychiatry & Neurology | 3250 Ne 1st Ave, Suite 317, Miami, FL 33137-4191 | 2008-08-01 |
| Street Address |
16538 N MAY AVE |
| City | EDMOND |
| State | OK |
| Zip Code | 73012-9007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740770676 | Sydney Lafleur | Behavioral Analyst | 16538 N May Ave, Edmond, OK 73012-9007 | 2018-05-16 |
| 1871193383 | Christine Malina Stephenson | Behavior Technician | 16538 N May Ave, Edmond, OK 73012-9007 | 2020-10-26 |
| 1699389916 | Jeremy Mccandor Arrisontz | Behavior Technician | 16538 N May Ave, Edmond, OK 73012-9007 | 2020-09-03 |
| 1295349934 | Erika Bryan | Behavior Technician | 16538 N May Ave, Edmond, OK 73012-9007 | 2020-09-01 |
| 1790398592 | Jessica S Landwehr | Behavior Technician | 16538 N May Ave, Edmond, OK 73012-9007 | 2020-08-31 |
| 1609487131 | Tatyana Sergeyevna Gubareva | Behavior Technician | 16538 N May Ave, Edmond, OK 73012-9007 | 2020-08-10 |
| 1902416514 | Sara L Smith | Behavior Technician | 16538 N May Ave, Edmond, OK 73012-9007 | 2020-08-07 |
| 1548884273 | Dilys Donohoo | Behavior Technician | 16538 N May Ave, Edmond, OK 73012-9007 | 2020-05-28 |
| 1326661091 | Katlyn Nicole, Grace Kuykendall | Behavior Technician | 16538 N May Ave, Edmond, OK 73012-9007 | 2020-05-28 |
| 1538781976 | Emily Jordan Entwistle | Behavior Technician | 16538 N May Ave, Edmond, OK 73012-9007 | 2020-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013912 | Ashley Lambert | Counselor | 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 | 2020-08-13 |
| 1699316083 | First Rate Eye Care Pllc | Optometrist | 1140 Nw 192nd St., Suite A, Edmond, OK 73012 | 2019-10-07 |
| 1659869881 | Brent Byers | Registered Nurse | 3040 Nw 179th Ct, Edmond, OK 73012 | 2018-04-24 |
| 1386173672 | John A Hale | Respiratory Therapist, Certified | 19100 Meadows Crossing Drive, Edmond, OK 73012 | 2017-06-08 |
| 1740715598 | Ryan Hays | Counselor | 620 Nw 178 St., Apt. 4c, Edmond, OK 73012 | 2017-04-28 |
| 1245691336 | Jessica Collins | Behavioral Analyst | 18217 Sandhurst Ct, Edmond, OK 73012 | 2016-03-16 |
| 1538545801 | Cynthia Ann Thompson | Case Manager/Care Coordinator | 1732 Kelly, Edmond, OK 73012 | 2015-08-10 |
| 1538564224 | Function Physical Therapy, LLC | Physical Therapist | 16502 N Pennsylvania Ave, Suite C, Edmond, OK 73012 | 2014-10-24 |
| 1003227414 | Deer Creek Family Healthcare and Wellness Clinic LLC | Clinic/Center | 19401 N. Portland, Edmond, OK 73012 | 2014-05-20 |
| 1316383649 | Ralphs Family Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Nw178th Street, Suite A, Edmond, OK 73012 | 2013-05-14 |
| Find all providers in zip 73012 | ||||
| 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 |
|---|---|---|---|---|
| 1295361996 | Bridget Rae Twedt | Behavior Technician | 1730 E 2nd St Apt 213, Edmond, OK 73034-6304 | 2020-03-14 |
| 1417508029 | Devon E Williams | Behavior Technician | 2409 Nw 163rd St, Edmond, OK 73013-1264 | 2019-09-25 |
| 1518523745 | Aba Coop | Behavior Technician | 409 S Fretz Ave Ste D, Edmond, OK 73003-5570 | 2019-05-13 |
| 1750873394 | Erin Healey | Behavior Technician | 425 S Fretz Ave Ste B, Edmond, OK 73003-5568 | 2018-05-30 |
| 1215538418 | Madison Sturgis | Behavior Technician | 600 Liberty Ln, Edmond, OK 73034-9432 | 2020-11-04 |
| 1871193383 | Christine Malina Stephenson | Behavior Technician | 16538 N May Ave, Edmond, OK 73012-9007 | 2020-10-26 |
| 1568061943 | Justin Stewart | Behavior Technician | 3517 Nw 164th Ter, Edmond, OK 73013-9471 | 2020-10-18 |
| 1003415480 | Zach Teague | Behavior Technician | 3517 Nw 164th Ter, Edmond, OK 73013-9471 | 2020-10-18 |
| 1558960930 | Aidan Lozano | Behavior Technician | 3517 Nw 164th Ter, Edmond, OK 73013-9471 | 2020-10-18 |
| 1912504465 | Amber Willett | Behavior Technician | 600 Liberty Ln, Edmond, OK 73034-9432 | 2020-10-07 |
| Find all providers in EDMOND | ||||
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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.