JESSICA LEIGH SMITH (NPI# 1407408842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407408842 |
| Entity Type | Individual |
| Full Name | JESSICA LEIGH SMITH |
| Practice Address |
124 Capulet Dr Ste 102 St Augustine FL 32092-4538 |
| Mailing Address |
300 International Pkwy Ste 200 Lake Mary FL 32746-5028 |
| Practice Telephone | 9044293859 |
| Mailing Telephone | 8666100580 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |
| 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 |
|---|---|---|---|---|
| 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 |
124 CAPULET DR STE 102 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32092-4538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972029452 | Lori Ann Gahles | Behavior Technician | 124 Capulet Dr Ste 102, St Augustine, FL 32092-4538 | 2017-08-16 |
| 1326653353 | Sarah Ashley Lewis | Behavior Technician | 124 Capulet Dr Ste 102, St Augustine, FL 32092-4538 | 2020-09-15 |
| 1952914210 | Sara Foreman | Behavior Technician | 124 Capulet Dr Ste 102, St Augustine, FL 32092-4538 | 2020-08-26 |
| 1386261394 | Alexandra Lindsay Hahn | Behavior Technician | 124 Capulet Dr Ste 102, St Augustine, FL 32092-4538 | 2020-06-26 |
| 1578189403 | Zuzana Paskay | Behavior Technician | 124 Capulet Dr Ste 102, St Augustine, FL 32092-4538 | 2020-06-16 |
| 1902421068 | Morgan Vidrine | Behavior Technician | 124 Capulet Dr Ste 102, St Augustine, FL 32092-4538 | 2020-06-14 |
| 1295366821 | Sabrina Latanya Gibbons | Behavior Technician | 124 Capulet Dr Ste 102, St Augustine, FL 32092-4538 | 2020-02-02 |
| 1457981094 | Karen E. Laman | Behavior Technician | 124 Capulet Dr Ste 102, St Augustine, FL 32092-4538 | 2020-01-23 |
| 1134769144 | Abigail Coulson | Behavior Technician | 124 Capulet Dr Ste 102, St Augustine, FL 32092-4538 | 2020-01-08 |
| 1154975142 | Caitlin Lee | Behavior Technician | 124 Capulet Dr Ste 102, St Augustine, FL 32092-4538 | 2019-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670146 | Kaitlyn Thomas | Speech-Language Pathologist | 111 Nature Walk Pkwy # B101, Saint Augustine, FL 32092 | 2019-07-10 |
| 1386168359 | Westminster Pines, Inc. | Skilled Nursing Facility | 235 Towerview Drive, St. Augustine, FL 32092 | 2017-08-01 |
| 1255852471 | St Vincent's Urgent Care Inc | Clinic/Center | 2001 Country Road 210 West, St Augustine, FL 32092 | 2017-06-28 |
| 1649702291 | Leonard Volpe | Physician Assistant | 745 Porta Rosa Cir, St Augustine, FL 32092 | 2017-04-03 |
| 1740630425 | Sierra Danielle Shultz | Behavioral Analyst | 2590 C H Arnold Rd, Saint Augustine, FL 32092 | 2016-06-14 |
| 1023467347 | Marylin Palackel James | Family Medicine | 110 Hampton Point Dr, St Augustine, FL 32092 | 2016-06-07 |
| 1790146462 | Florida Autism Center | Community/Behavioral Health | 124 Capulet Drive, St Augustine, FL 32092 | 2016-03-09 |
| 1174901458 | Kaylan Brady | Pediatrics | 70 Turin Terrace, Suite 220, St Augustine, FL 32092 | 2015-05-07 |
| 1245620368 | Angela Sanchez | Physician Assistant | 229 Adelanto Ave, St Augustine, FL 32092 | 2015-01-27 |
| 1053723700 | David Hamilton | Dentist | 149 Tuscan Way, St. Augustine, FL 32092 | 2014-05-29 |
| Find all providers in zip 32092 | ||||
| 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 |
|---|---|---|---|---|
| 1639782022 | Cathleen Cotton | Behavior Technician | 3440 Us Highway 1 S Ste 202, St Augustine, FL 32086-6363 | 2020-08-26 |
| 1821607235 | Teresa Lynn Rodriguez | Behavior Technician | 581 Porta Rosa Cir, St Augustine, FL 32092-4765 | 2020-07-31 |
| 1366083743 | Olivia Hernandez | Behavior Technician | 3440 Us 1 S Ste 201, St Augustine, FL 32086-6363 | 2019-10-07 |
| 1821575549 | Haley Mundy | Behavior Technician | 3440 Us 1 S Ste 202, St Augustine, FL 32086-6363 | 2018-07-25 |
| 1972029452 | Lori Ann Gahles | Behavior Technician | 124 Capulet Dr Ste 102, St Augustine, FL 32092-4538 | 2017-08-16 |
| 1588101109 | Kelly Marie Hankins | Behavior Technician | 200 Summer Breeze Way, Apartment 113, St Augustine, FL 32086-1834 | 2017-01-20 |
| 1275134827 | Erin Holtz | Behavior Technician | 124 Capulet Dr, St Augustine, FL 32092-4537 | 2020-11-02 |
| 1326653353 | Sarah Ashley Lewis | Behavior Technician | 124 Capulet Dr Ste 102, St Augustine, FL 32092-4538 | 2020-09-15 |
| 1952914210 | Sara Foreman | Behavior Technician | 124 Capulet Dr Ste 102, St Augustine, FL 32092-4538 | 2020-08-26 |
| 1386261394 | Alexandra Lindsay Hahn | Behavior Technician | 124 Capulet Dr Ste 102, St Augustine, FL 32092-4538 | 2020-06-26 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32092 |
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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.