JESSICA SMITH (NPI# 1396378543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396378543 |
| Entity Type | Individual |
| Full Name | JESSICA SMITH |
| Credential | RBT. BBA |
| Practice Address |
6201 Colleyville Blvd Ste 100 Colleyville TX 76034-6236 |
| Practice Telephone | 8179528917 |
| Mailing Telephone | 8179528917 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-17-43884 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TRICARE | RBT-17-43884 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454705 | Jessica Elaine Smith | Technician | 1255 Mckinney Cave Rd, Reedsville, WV 26547-7211 | 2020-10-09 |
| 1639781412 | Jessica Marie Smith | Physical Therapist | 10 Village West Dr Ste A, Senoia, GA 30276-3549 | 2020-08-21 |
| 1063037695 | Jessica Hanne Smith | Doula | 1580 Nw 17th St, Corvallis, OR 97330-2532 | 2020-06-09 |
| 1124642442 | Jessica Annmarie Smith | Technician, Cardiology | 6612 Anthony Ave, Garden Grove, CA 92845-2208 | 2020-06-02 |
| 1700410263 | Jessica Smith | Technician | 4112 Sugar Maple Ln, Little Rock, AR 72223-2161 | 2020-02-24 |
| 1033755442 | Jessica Smith | Registered Nurse | 8416 Avon St, Jamaica, NY 11432-2302 | 2019-11-20 |
| 1366088981 | Jessica Ann Smith | Registered Nurse | 26716 Kingswood Dr, Olmsted Twp, OH 44138-2135 | 2019-11-19 |
| 1891340584 | Jessica Lynn Smith | Nurse Practitioner | 3009 Sw Moore St, Blue Springs, MO 64015-3309 | 2019-08-08 |
| 1881248995 | Jessica Marie Smith | Genetic Counselor, MS | 1301 Palm Ave Ste 7a004, Jacksonville, FL 32207-8432 | 2019-07-26 |
| 1053965459 | Jessica Lynn Smith | Homemaker | 257 Sw Vann Ct, Lake City, FL 32024-3893 | 2019-07-25 |
| Street Address |
6201 COLLEYVILLE BLVD STE 100 |
| City | COLLEYVILLE |
| State | TX |
| Zip Code | 76034-6236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992356810 | Kaylee Ann Bowers | Behavior Technician | 6201 Colleyville Blvd Ste 100, Colleyville, TX 76034-6236 | 2019-09-23 |
| 1164029633 | Joshua Hanes | Behavior Technician | 6201 Colleyville Blvd Ste 100, Colleyville, TX 76034-6236 | 2020-10-07 |
| 1073110557 | Ryleigh Stiles | Behavior Technician | 6201 Colleyville Blvd Ste 100, Colleyville, TX 76034-6236 | 2020-10-07 |
| 1942817432 | Lasheka L Eddens | Behavioral Analyst | 6201 Colleyville Blvd Ste 100, Colleyville, TX 76034-6236 | 2020-09-28 |
| 1184231938 | Michael Alvarez | Behavior Technician | 6201 Colleyville Blvd Ste 100, Colleyville, TX 76034-6236 | 2020-09-25 |
| 1467075382 | Ivory Jones | Behavior Technician | 6201 Colleyville Blvd Ste 100, Colleyville, TX 76034-6236 | 2020-05-27 |
| 1861023111 | Candace Cortez | Behavior Technician | 6201 Colleyville Blvd Ste 100, Colleyville, TX 76034-6236 | 2020-01-27 |
| 1528609419 | Kari Davisson | Behavior Technician | 6201 Colleyville Blvd Ste 100, Colleyville, TX 76034-6236 | 2019-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967283 | Lumi Eye Care | Optometrist | 3855 Glade Road, Colleyville, TX 76034 | 2020-09-17 |
| 1528552718 | Dental Sc, Pllc | Dentist | 6700 Colleyville Blvd, Colleyville, TX 76034 | 2018-06-20 |
| 1447763503 | Pekam Takusi | Pharmacist | 704 Strauss, Colleyville, TX 76034 | 2017-11-13 |
| 1982128484 | Van Beljon LLC | Chiropractor | 1124 Glade Rd, Suite 140, Colleyville, TX 76034 | 2017-07-27 |
| 1871031120 | Gena Willams | Occupational Therapist | 4113 Gateway Dr #200, Colleyville, TX 76034 | 2017-02-07 |
| 1700255486 | Village Lane Apothecary | Pharmacy | 60 Village Ln, Suite 130, Colleyville, TX 76034 | 2015-09-23 |
| 1679968333 | Amber Robinson | Counselor | 5209 Heritage Ave #210, Colleyville, TX 76034 | 2015-03-31 |
| 1013305978 | Stat Sleep of Colleyville, LLP | Clinic/Center | 6407 Colleyville Blvd Ste B, Colleyville, TX 76034 | 2014-12-30 |
| 1528468717 | Colverse Iom LLC | Neurological Surgery | 1308 Somerset Ct, Colleyville, TX 76034 | 2014-08-26 |
| 1356752703 | Ideal Dental of Colleyville, Pllc | Dentist | 4712 Colleyville Blvd, Suite 110, Colleyville, TX 76034 | 2014-05-19 |
| Find all providers in zip 76034 | ||||
| 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 |
|---|---|---|---|---|
| 1669092763 | Derrick Foster | Behavior Technician | 6201 Colleyville Blvd Ste 1oo, Colleyville, TX 76034-6236 | 2020-04-20 |
| 1548809015 | Kacie Jamaya Turner | Behavior Technician | 6201 Colleyville Blvd, Colleyville, TX 76034-6236 | 2020-01-02 |
| 1992356810 | Kaylee Ann Bowers | Behavior Technician | 6201 Colleyville Blvd Ste 100, Colleyville, TX 76034-6236 | 2019-09-23 |
| 1114406360 | Sanika Neurgaonkar | Behavior Technician | 6100 Colleyville Blvd, Colleyville, TX 76034-8020 | 2018-08-08 |
| 1558869388 | Victoria Love | Behavior Technician | 6100 Colleyville Blvd Ste 135, Colleyville, TX 76034-8038 | 2018-01-26 |
| 1164029633 | Joshua Hanes | Behavior Technician | 6201 Colleyville Blvd Ste 100, Colleyville, TX 76034-6236 | 2020-10-07 |
| 1073110557 | Ryleigh Stiles | Behavior Technician | 6201 Colleyville Blvd Ste 100, Colleyville, TX 76034-6236 | 2020-10-07 |
| 1184231938 | Michael Alvarez | Behavior Technician | 6201 Colleyville Blvd Ste 100, Colleyville, TX 76034-6236 | 2020-09-25 |
| 1467075382 | Ivory Jones | Behavior Technician | 6201 Colleyville Blvd Ste 100, Colleyville, TX 76034-6236 | 2020-05-27 |
| 1861023111 | Candace Cortez | Behavior Technician | 6201 Colleyville Blvd Ste 100, Colleyville, TX 76034-6236 | 2020-01-27 |
| Find all providers in COLLEYVILLE | ||||
| City | COLLEYVILLE |
| Zip Code | 76034 |
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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.