CARLA JACKSON (NPI# 1427591429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427591429 |
| Entity Type | Individual |
| Full Name | CARLA JACKSON |
| Practice Address |
5816 Creedmoor Rd Suite 104 Raleigh NC 27612-2310 |
| Mailing Address |
5816 Creedmoor Rd Raleigh NC 27612-2310 |
| Practice Telephone | 9196654673 |
| Mailing Telephone | 9196654673 |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013555770 | Carla L Jackson | Social Worker | 3518 Tupelo Way, Knoxville, TN 37912-4885 | 2019-12-12 |
| 1053812180 | Carla Jackson | Chore Provider | 2500 Clayton St, N Las Vegas, NV 89032-3802 | 2018-02-23 |
| 1437573557 | Carla Jackson | Contractor | 3410 Cochran Dr # C, Colorado Springs, CO 80916 | 2014-02-10 |
| 1902159080 | Carla Yolanda Jackson | Counselor | 6108 Centennial Dr, Orlando, FL 32808-1842 | 2012-10-26 |
| 1558554055 | Carla Wood Jackson | Speech-Language Pathologist | 600 W College Ave, Fsu Speech & Hearing Clinic, Tallahassee, FL 32306-1058 | 2007-08-20 |
| 1063901411 | Carla Jackson | Counselor | 2140 Merced St, Fresno, CA 93721-1721 | 2018-05-01 |
| 1194142257 | Carla M. Michel Jackson | Nurse Practitioner | 1033 E Mount Pleasant Rd, Evansville, IN 47725-7149 | 2014-03-26 |
| Street Address |
5816 CREEDMOOR RD SUITE 104 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114923679 | Lee Ann Roberts | Obstetrics & Gynecology | 5816 Creedmoor Rd, Ste 209, Raleigh, NC 27612-2310 | 2005-06-21 |
| 1801414370 | William Gunter | Behavior Technician | 5816 Creedmoor Rd, Raleigh, NC 27612-2310 | 2020-07-10 |
| 1972121440 | Try'asia Becoats | Behavior Technician | 5816 Creedmoor Rd, Raleigh, NC 27612-2310 | 2020-07-10 |
| 1295269546 | Carmen Abreu-riley | Behavior Technician | 5816 Creedmoor Rd, Suite 104, Raleigh, NC 27612-2310 | 2017-04-13 |
| 1497286769 | Marian Morgan | Behavior Technician | 5816 Creedmoor Rd, Suite 104, Raleigh, NC 27612-2310 | 2017-03-27 |
| 1972034239 | Danielle Smith | Behavior Technician | 5816 Creedmoor Rd, Suite 104, Raleigh, NC 27612-2310 | 2017-03-27 |
| 1154862555 | Kevin Heath | Behavior Technician | 5816 Creedmoor Rd, Suite 104, Raleigh, NC 27612-2310 | 2017-03-17 |
| 1437693173 | Brieanna Byler | Behavior Technician | 5816 Creedmoor Rd, Suite 104, Raleigh, NC 27612-2310 | 2016-12-15 |
| 1235673278 | Kriscynthia Mcphail | Behavior Technician | 5816 Creedmoor Rd, Suite 104, Raleigh, NC 27612-2310 | 2016-12-09 |
| 1689118622 | Crystal Faison | Behavior Technician | 5816 Creedmoor Rd, Suite 104, Raleigh, NC 27612-2310 | 2016-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| 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 |
|---|---|---|---|---|
| 1629679584 | Shenita Covington | Behavior Technician | 1217 Ujamaa Dr, Raleigh, NC 27610-5767 | 2020-11-05 |
| 1629679675 | Katherine G. Brown | Behavior Technician | 5051 Amber Clay Ln, Raleigh, NC 27612-3069 | 2020-11-05 |
| 1174123061 | Sarah C Blankenship | Behavior Technician | 421 Fayette Street Suite 1100, Raleigh, NC 27601 | 2020-10-29 |
| 1356940035 | Kaitlyn Kinzer | Behavior Technician | 6240 Saint Regis Cir Apt 202, Raleigh, NC 27606-2286 | 2020-10-22 |
| 1700484797 | Kayla Daher | Behavior Technician | 5760 Willowblue Ln Apt 110, Raleigh, NC 27604-8317 | 2020-10-13 |
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1548885544 | Jessi Wright Topping | Behavior Technician | 119 Wind Chime Ct # 4, Raleigh, NC 27615-6433 | 2020-06-15 |
| 1164043725 | Ronald Faulkner | Behavior Technician | 5213 Fieldstone Dr, Raleigh, NC 27609-4709 | 2020-05-05 |
| 1700428513 | Amanda Sue Abner | Behavior Technician | 421 Fayetteville St. Suite 1100, Raleigh, NC 27601 | 2019-10-14 |
| 1720632680 | Courtney R Dickerson | Behavior Technician | 421 Fayettville St. Suite 1100, Raleigh, NC 27601 | 2019-07-30 |
| Find all providers in RALEIGH | ||||
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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.