MIYA JACKSON (NPI# 1477038727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477038727 |
| Entity Type | Individual |
| Full Name | MIYA JACKSON |
| Practice Address |
2308 Golden Gate Dr Apt G Greensboro NC 27405 |
| Practice Telephone | 7069574867 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | NC | Behavioral Health & Social Service Providers |
| Street Address |
2308 GOLDEN GATE DR APT G |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| 1497145346 | Nathan Kennedy | Pharmacist | 1250 Revolution Mill Dr, Suite 3, Greensboro, NC 27405 | 2015-01-30 |
| Find all providers in zip 27405 | ||||
| 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 |
|---|---|---|---|---|
| 1386250793 | Jordan Alexander Sapp | Behavior Technician | 5606 Bledsoe Dr, Greensboro, NC 27410-1904 | 2020-09-21 |
| 1396351029 | Lelia Harris | Behavior Technician | 111 Pomona Dr, Greensboro, NC 27407-1678 | 2020-09-17 |
| 1366055220 | Naima Tryman | Behavior Technician | 610 S Chapman St Apt F, Greensboro, NC 27403-2246 | 2020-08-28 |
| 1982217030 | Shakeera Taylor | Behavior Technician | 3520 Drawbridge Pkwy Apt 110d, Greensboro, NC 27410-8459 | 2020-08-28 |
| 1508479254 | Christian Lynn Wells | Behavior Technician | 3901 Battleground Ave Apt 101, Greensboro, NC 27410-9461 | 2020-08-24 |
| 1093326019 | Marie Louise Phillips | Behavior Technician | 111 Domona Dr, Unit 6, Greensboro, NC 27407 | 2020-08-13 |
| 1225649650 | Lauren Occhiogrosso | Behavior Technician | 111 Pomona Dr Ste G, Greensboro, NC 27407-1636 | 2020-08-10 |
| 1134738081 | Teressa Brown | Behavior Technician | 717 Green Valley Rd # 220, Greensboro, NC 27408-2155 | 2020-07-27 |
| 1801410394 | Rachel Lynn Harmon | Behavior Technician | 717 Green Valley Road, Suite 200, Greensboro, NC 27408 | 2020-06-01 |
| 1386286953 | Katheryn Aiken | Behavior Technician | 717 Green Valley Rd Ste 231, Greensboro, NC 27408-2155 | 2019-10-15 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
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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.