RENEE JACKSON (NPI# 1437681590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437681590 |
| Entity Type | Individual |
| Full Name | RENEE JACKSON |
| Practice Address |
329 E 149th St 4th Floor Bronx NY 10451-5601 |
| Practice Telephone | 7187692698 |
| Practice Fax Number | 3474028192 |
| Mailing Telephone | 7187692698 |
| Mailing Fax Number | 3474028192 |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |
| 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 |
|---|---|---|---|---|
| 1962979658 | Renee M Jackson | Counselor | 860 E 222nd St, Cleveland, OH 44123-3317 | 2018-10-31 |
| 1851888986 | Renee Jackson | Registered Nurse | 1603 Nandina Dr Apt 1424, Arlington, TX 76014-4244 | 2018-04-14 |
| 1417455502 | Renee Jackson | Technician | 3539 E Capitol St Se Apt 201, Washington, DC 20019-1212 | 2018-01-24 |
| 1275047524 | Renee Jackson | Massage Therapist | 9403 Rutherglen Dr, Dallas, TX 75227-4764 | 2017-11-24 |
| 1376163774 | Renee Jackson | Radiologic Technologist | 325 9th Ave, Seattle, WA 98104-2499 | 2020-04-26 |
| 1003392028 | Renee Camille Jackson | Behavioral Analyst | 6515 Holt Rd, Nashville, TN 37211-6903 | 2018-07-12 |
| 1376963280 | Renee Jackson | Registered Nurse | 305 College St Ne, Lacey, WA 98516-5390 | 2014-04-17 |
| 1154628741 | Renee E Jackson | Behavioral Analyst | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2011-02-17 |
| Street Address |
329 E 149TH ST 4TH FLOOR |
| City | BRONX |
| State | NY |
| Zip Code | 10451-5601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427114800 | John Williams | Social Worker | 329 E 149th St, Bronx, NY 10451 | 2006-12-29 |
| 1255966875 | Jeremy Andre Babb | Social Worker | 329 E 149th St, Bronx, NY 10451-5625 | 2020-03-04 |
| 1295385755 | Mariebeth Dickerson | Licensed Practical Nurse | 329 E 149th St, Bronx, NY 10451-5625 | 2019-09-17 |
| 1891340634 | Ida Spahiu | Social Worker | 329 E 149th St, Bronx, NY 10451-5625 | 2019-08-08 |
| 1255986295 | Georgeann Brown | Social Worker | 329 E 149th St, Bronx, NY 10451-5625 | 2019-08-06 |
| 1245883081 | Courtney Rosena Edwards | Social Worker | 329 E 149th St, Bronx, NY 10451-5625 | 2019-07-22 |
| 1568014801 | Crystal Martinez | Behavior Technician | 329 E 149th St, Bronx, NY 10451-5625 | 2019-07-16 |
| 1740847508 | Lisa Mendoza | Case Manager/Care Coordinator | 329 E 149th St, Bronx, NY 10451-5625 | 2019-05-28 |
| 1467017111 | Andre Carty Sr. | Social Worker | 329 E 149th St, Bronx, NY 10451-5625 | 2019-05-08 |
| 1710540059 | Paulette Walker | Social Worker | 329 E 149th St, Bronx, NY 10451-5625 | 2019-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221426 | Milena Boursiquot | Counselor | 240 Walton Ste 2n, Bronx, NY 10451 | 2020-10-08 |
| 1467065466 | Armghan Azhar Azhar Munir | Student in an Organized Health Care Education/Training Program | Lincoln Medical Center, 234 E149th St, New York City, NY 10451 | 2020-08-28 |
| 1013529486 | Ariane Tapang Yangco | Student in an Organized Health Care Education/Training Program | 234 East 149th St., Lincoln Medical and Mental Center, Internal Medicine De, New York, NY 10451 | 2020-08-18 |
| 1134730377 | Sherida N Edding | Student in an Organized Health Care Education/Training Program | 234 E 149th Street, Bronx, New York City, NY 10451 | 2020-08-12 |
| 1922617646 | Tian Fang Yu | Student in an Organized Health Care Education/Training Program | 234 E 149th St., The Bronx, NY 10451 | 2020-07-28 |
| 1659998037 | Amnah Khalid | Student in an Organized Health Care Education/Training Program | 234 East 149st, 820, Bronx, NY 10451 | 2020-07-01 |
| 1871116277 | Sebastian Andres Gandarillas Fraga | Student in an Organized Health Care Education/Training Program | 234 E. 149 Street, Suite 820, New York, NY 10451 | 2020-05-20 |
| 1285257642 | Javier Alejandro Castro Valenzuela | Student in an Organized Health Care Education/Training Program | 243 East 149th Street, Suite 4-20, The Bronx, NY 10451 | 2020-05-20 |
| 1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
| 1235761958 | Kellie Gevon Mcfarlane | Psychologist | Lincoln Hospital, Child Adolescent Psychiatric Services, 234 East 149th Street, Floor 4a, Room 4-83, Bronx, NY 10451 | 2020-02-11 |
| Find all providers in zip 10451 | ||||
| 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 |
|---|---|---|---|---|
| 1376141663 | Shenissa M Hyde | Behavior Technician | 2765 Matthews Ave Apt 5a, Bronx, NY 10467-8620 | 2020-10-09 |
| 1073126975 | Pashanna Birkbeck | Behavior Technician | 3406 Gunther Ave, Bronx, NY 10469-2730 | 2020-08-28 |
| 1922611409 | Alexandra Marie Funigiello | Behavior Technician | 1130 Pelham Pkwy S Apt 5a, Bronx, NY 10461-1030 | 2020-08-25 |
| 1124639380 | Karill Savery | Behavior Technician | 760 Grand Concourse Apt 2l, Bronx, NY 10451-3050 | 2020-08-12 |
| 1295353191 | Douglas Deguire Jr. | Behavior Technician | 816 E 218th St, Bronx, NY 10467-5806 | 2020-07-08 |
| 1366072258 | Irene Flores Caamano | Behavior Technician | 2912 Eastchester Rd, Bronx, NY 10469-3305 | 2020-01-20 |
| 1104467000 | Karen Guzman | Behavior Technician | 3165 Decatur Ave Apt 8e, Bronx, NY 10467-4535 | 2019-10-01 |
| 1255981486 | Angelica Cruz | Behavior Technician | 727 Morris Park Ave # 3653, Bronx, NY 10462 | 2019-09-19 |
| 1588217608 | Mildred M Burgos | Behavior Technician | 1020 Grand Concourse Apt 6o, Bronx, NY 10451-2606 | 2019-07-17 |
| 1164089744 | Nicola Baines | Behavior Technician | 1113 E 212th St Apt 4, Bronx, NY 10469-2461 | 2019-05-20 |
| Find all providers in BRONX | ||||
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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.