ANDREA JASMINE JACKSON


Address: 7715 Nw 48 St, Suite B360, Miami, FL 33166
Phone: 3058469807

ANDREA JASMINE JACKSON (NPI# 1457622656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457622656
Entity Type Individual
Full Name ANDREA JASMINE JACKSON
Practice Address 7715 Nw 48 St
Suite B360
Miami
FL 33166
Mailing Address P O Box 770173
Miami
FL 33177
Practice Telephone 3058469807
Practice Fax Number 3058469711
Mailing Telephone 3058469807
Mailing Fax Number 3058469711
Enumeration Date 2012-01-19
Last Update Date 2012-01-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

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1679003099 Andrea Jackson Social Worker 306 Popula Blvd, Wappingers Falls, NY 12590-5712 2017-06-18
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1649606617 Andrea Jeanine Jackson Social Worker 2036 Wood St, Muskegon, MI 49444-1153 2013-09-22
1225371651 Andrea Latrell Jackson Social Worker 10610 N 30th St, Apt. 46h, Tampa, FL 33612-6458 2013-04-04
1124383765 Andrea Luthelle Jackson Counselor 1501 Nw 34th St, Oklahoma City, OK 73118-3203 2012-07-10
1306140876 Andrea Bessie Jackson Case Manager/Care Coordinator 6030 S May Ave Apt 451, Oklahoma City, OK 73159-1410 2010-12-27
1578707204 Andrea Denise Jackson Dentist 6912 Wade Ave, Clinton, MD 20735-2743 2009-04-24

Office Location

Street Address 7715 NW 48 ST
SUITE B360
City MIAMI
State FL
Zip Code 33166

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285970905 Vanessa Diaz Behavioral Analyst 7715 Nw 48 St, Suite 350, Miami, FL 33166 2012-12-28
1275882227 Cristal Alyssa Haynes Behavioral Analyst 7715 Nw 48 St, Suite B360, Miami, FL 33166 2012-09-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407402027 Sfl Nutrition Nutritionist 3901 Nw 79th Ave. Suite 245, #312, Miami, FL 33166 2019-08-11
1629543590 Rosa Alina Alayo Nurse Practitioner 151 Fairway Dr Unit 2308, Miami Springs, FL 33166 2018-10-08
1518445618 Icare Behavior Services, LLC Behavior Technician 8180 Nw 36th St Ste 100l, Doral, FL 33166 2018-07-31
1871087684 Yohjan Suarez-martinez Nurse Practitioner 6221 Nw 36 Th St, Miami, FL 33166 2018-06-15
1639683709 Sonia Gloria Garcia Nurse Practitioner 7325 Nw 36th St, Miami, FL 33166 2017-11-27
1891214607 Jose Sanchez Early Intervention Provider Agency 1036 Quail Ave, Miami Springs, FL 33166 2017-09-12
1659893022 Yanelis Pineiro Behavioral Analyst 249 South Royal Poinciana Boulevard, Apto 202, Miami Springs, FL 33166 2017-07-07
1720509748 Roxana Rodriguez Behavior Technician 8359 Nw South River Dr, Medley, FL 33166 2017-06-29
1457881278 Dairene Gonzalez Ruiz Behavior Technician 6501 Nw 36th Street, Suite 411, Virginia Gardens, FL 33166 2017-06-14
1699204198 Oz Medical Center Inc Physical Medicine & Rehabilitation 3900 Nw 79 Ave., Suite 815, Miami, FL 33166 2017-06-08
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861092751 Lester Castillo Behavioral Analyst 9952 Sw 8th St, Miami, FL 33174-2878 2020-10-29
1447850540 Janellene Lopez Behavioral Analyst 14422 Sw 10th St, Miami, FL 33184-3113 2020-10-28
1497355663 Shirley Martinez Behavioral Analyst 15640 Sw 58th Ter, Miami, FL 33193-2818 2020-10-27
1730789934 Advanced Behavior Therapy LLC Behavioral Analyst 16201 Sw 95th Ave Ste 311, Miami, FL 33157-3401 2020-10-27
1730788258 Nnr Therapy Center Inc Behavioral Analyst 5201 Blue Lagoon Dr Fl 8, Miami, FL 33126-7050 2020-10-26
1003415274 Yunit Juantorena Alen Behavioral Analyst 15668 Sw 10th Ln, Miami, FL 33194-2755 2020-10-20
1154929966 Romy Fuentes De Leon Behavioral Analyst 3343 Sw 90th Ave, Miami, FL 33165-4254 2020-10-14
1366049710 Haydeelis Hernandez Behavioral Analyst 12240 Sw 128th Ct Ste 110, Miami, FL 33186-4782 2020-10-07
1326645243 Carla Estrada Behavioral Analyst 1610 Nw North River Dr Apt 201, Miami, FL 33125-2648 2020-10-04
1376150250 Kirenia Cabo Behavioral Analyst 5011 Nw 4th Ter, Miami, FL 33126-5111 2020-09-25
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Competitor

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City MIAMI
Zip Code 33166

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Dataset Information

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.

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