KENTRELL F JACKSON (NPI# 1366094120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366094120 |
Entity Type | Individual |
Full Name | KENTRELL F JACKSON |
Practice Address |
733 Dante St # A New Orleans LA 70118-1013 |
Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
Practice Telephone | 5045171711 |
Mailing Telephone | 8183452345 |
Enumeration Date | 2019-07-11 |
Last Update Date | 2019-07-11 |
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 |
Street Address |
733 DANTE ST # A |
City | NEW ORLEANS |
State | LA |
Zip Code | 70118-1013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730791831 | The Administrators of The Tulane Educational Fund | Clinic/Center | 200 Broadway Avenue, Suite 108, New Orleans, LA 70118 | 2020-08-19 |
1730674557 | Louisiana Department of Health, Department of Health and Hospitals | Skilled Nursing Facility | 612 Henry Clay Ave., New Orleans, LA 70118 | 2018-06-25 |
1588153167 | Kimberly Felicia Fields | Behavior Technician | 733 Dante St., New Orleans, LA 70118 | 2018-05-09 |
1275033029 | Antonia Jennice Hollins | Behavior Technician | 733 Dante, New Orleans, LA 70118 | 2018-02-19 |
1922521467 | Amy Mcdonald | Specialist/Technologist | 2950 Ben Weiner Dr., Tulane Univ., Athletic Training Rm, 1st Floor, New Orleans, LA 70118 | 2017-07-17 |
1760910848 | Tyler Tunnell | Specialist/Technologist | James Wilson Center, 333 Ben Weiner Drive, New Orleans, LA 70118 | 2017-06-01 |
1538692801 | Shneitha Beasley | Counselor | 2619 Leonidas St, New Orleans, LA 70118 | 2017-04-04 |
1467826966 | Ethan Alan Solger | Specialist/Technologist | 333 James W Wilson Jr Center, New Orleans, LA 70118 | 2015-11-20 |
1225402878 | Heather Ravner | Student in an Organized Health Care Education/Training Program | Ben Weiner Drive, James W. Wilson Jr. Center, New Orleans, LA 70118 | 2015-11-19 |
1558735142 | Albert Charles Lindon IIi | Specialist/Technologist | 333 Ben Weiner Dr, New Orleans, LA 70118 | 2015-11-19 |
Find all providers in zip 70118 |
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 |
---|---|---|---|---|
1275151029 | Nicole Corrine Hewitt | Behavior Technician | 5131 Bundy Rd Apt K21, New Orleans, LA 70127-5360 | 2020-07-08 |
1255995791 | Merrick Moore | Behavior Technician | 1516 Odeon St, New Orleans, LA 70114-3235 | 2019-04-30 |
1881166288 | Ariane Marie Miller | Behavior Technician | 4648 Laine Ave, New Orleans, LA 70126-4426 | 2018-12-23 |
1043706591 | Leanna Madison | Behavior Technician | 3410 Bacchus Dr, New Orleans, LA 70131-2114 | 2018-07-09 |
1467944231 | Cheryl Mckay | Behavior Technician | 10141 Brookfield Dr, New Orleans, LA 70127-2302 | 2018-06-06 |
1063904431 | Zera Johnson | Behavior Technician | 3601 Coliseum St Fl 6, New Orleans, LA 70115-3606 | 2018-06-01 |
1588153167 | Kimberly Felicia Fields | Behavior Technician | 733 Dante St., New Orleans, LA 70118 | 2018-05-09 |
1275033029 | Antonia Jennice Hollins | Behavior Technician | 733 Dante, New Orleans, LA 70118 | 2018-02-19 |
1013430610 | Tempest Jane Jackson | Behavior Technician | 4640 South Carrollton Ave, New Orleans, LA 70116 | 2017-07-25 |
1457885022 | Ethan Jury | Behavior Technician | 806 N Broad St, New Orleans, LA 70119-4209 | 2017-04-20 |
Find all providers in NEW ORLEANS |
City | NEW ORLEANS |
Zip Code | 70118 |
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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.