HOLLY JEAN JACKSON


Address: 19800 Village Office Ct, Bend, OR 97702-1872
Phone: 5414802570

HOLLY JEAN JACKSON (NPI# 1548753700) 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) 1548753700
Entity Type Individual
Full Name HOLLY JEAN JACKSON
Practice Address 19800 Village Office Ct
Bend
OR 97702-1872
Mailing Address Po Box 1432
Bend
OR 97709-1432
Practice Telephone 5414802570
Mailing Telephone 5414802570
Enumeration Date 2018-06-12
Last Update Date 2018-06-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician ABA-IN-10192155 OR Behavioral Health & Social Service Providers

Other Providers HOLLY JACKSON

NPI Name Taxonomy Address Enumeration
1689275802 Holly Marie Jackson Technician 448 W Cooper St, Tipton, MO 65081-8217 2020-11-04
1689156721 Holly Alegro Jackson Non-emergency Medical Transport (VAN) 10550 Murat Dr, Saint Louis, MO 63136-4524 2018-09-05
1417351453 Holly Jean Jackson Licensed Practical Nurse 5a Lafayette Avenue, Canandaigua, NY 14424 2014-10-20
1013212711 Holly Jackson Social Worker 511 W 86th Ter, Kansas City, MO 64114-2822 2011-01-11
1083882278 Holly Jackson Licensed Practical Nurse 2040 Murray Holladay Rd Ste 205, Salt Lake City, UT 84117-5197 2008-02-11
1922596220 Holly Suzanne Jackson Counselor 1100 Walnut St, Owensboro, KY 42301-2956 2018-04-23
1720575392 Holly Jackson Nurse Anesthetist, Certified Registered 7601 Southcrest Pkwy, Southaven, MS 38671-4739 2018-04-18
1427576511 Holly M Jackson Nurse Practitioner 905 Dixie St, Carrollton, GA 30117-4417 2017-09-08
1427597301 Holly Jackson Registered Nurse 1109 Jones St, Kennett, MO 63857-3824 2017-02-13
1023551223 Holly V Jackson Advanced Practice Midwife 1900 S Tuttle Ave, Sarasota, FL 34239-3114 2016-11-21

Office Location

Street Address 19800 VILLAGE OFFICE CT
City BEND
State OR
Zip Code 97702-1872

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558781864 Eamon Campbell Behavioral Analyst 19800 Village Office Ct, 104, Bend, OR 97702-1872 2014-04-25
1619415700 Sharon Balsamo Counselor 19800 Village Office Ct, Suite 105, Bend, OR 97702-1872 2017-02-08
1932658101 Troy Forsyth Behavioral Analyst 19800 Village Office Ct, 104, Bend, OR 97702-1872 2016-09-28
1417300906 Erin Mcavoy Behavior Technician 19800 Village Office Ct, Suite 104, Bend, OR 97702-1872 2016-07-20
1164875563 Delaney Frye Behavioral Analyst 19800 Village Office Ct, Bend, OR 97702-1872 2016-07-20
1669830360 Kristin M Randy Behavior Technician 19800 Village Office Ct, Suite #104, Bend, OR 97702-1872 2016-02-09
1083090153 Taylor Grace Keenen Behavioral Analyst 19800 Village Office Ct, #104, Bend, OR 97702-1872 2015-07-30
1295123560 Tamra Caldwell Behavior Technician 19800 Village Office Ct, 104, Bend, OR 97702-1872 2015-01-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629676259 Amy Michelle Anderson Counselor 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 2020-10-15
1386259463 Jacob Rehder Counselor 19717 Mt Batchelor Dr, #226, Bend, OR 97702 2020-09-15
1497385215 Capacity Performance Therapy Physical Medicine & Rehabilitation 61125 Lodgepole Dr., Bend, OR 97702 2020-01-21
1962041707 Shift Bend Functional Medicine Family Medicine 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 2019-12-26
1609435049 Praxis Medical Group Inc Orthopaedic Surgery 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 2019-06-10
1013485754 Elana Leah Pesah Social Worker 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 2018-11-12
1104303239 Kyleigh Mcvey Massage Therapist 999 Sw Disk Dr, Bend, OR 97702 2018-07-21
1477042869 Siloe Castaneda Huerta Counselor 1340 Nw Wall, Bend, Or, Bend, OR 97702 2018-05-02
1164910808 Rebecca M Joyce Social Worker 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 2018-04-27
1093217978 Jennifer Bury Acupuncturist 296 Sw Columbia St Ste D1, Bend, OR 97702 2018-03-06
Find all providers in zip 97702

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467077628 Holly Brandt Behavior Technician 478 Ne Burnside Ave, Bend, OR 97701-5123 2020-06-13
1831730969 Caroline Arechiga Behavior Technician 1550 Ne Williamson Blvd Ste 12097703, Bend, OR 97701-6091 2019-09-30
1942861422 Marlon Galindo Behavior Technician 1550 Ne Williamson Blvd # 120, Bend, OR 97701-6071 2019-06-25
1366949562 Haley Alexandra Davis Behavior Technician 300 Se Reed Market Rd # 205, Bend, OR 97702-2237 2018-04-12
1881191047 Elizabeth Prieto Behavior Technician 19800 Village Office Ct # Cf104, Bend, OR 97702-1872 2018-04-12
1992211288 Julie Haskett Behavior Technician 300 Se Reed Market Rd Ste 205, Bend, OR 97702-2237 2017-12-21
1023615879 Gabrielle Johnson Behavior Technician 1550 Ne Williamson Blvd Ste 120, Bend, OR 97701-6091 2020-10-05
1821600651 Emilee Dawson Behavior Technician 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 2020-08-21
1245858851 Bethany Leeann Imus Behavior Technician 1550 Ne Williamson Blvd Ste 120, Bend, OR 97701-6091 2020-07-09
1487271979 Anthony Parker-hoang Behavior Technician 1550 Ne Williamson Blvd Ste 120, Bend, OR 97701-6091 2020-06-30
Find all providers in BEND

Competitor

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City BEND
Zip Code 97702

Improve Information

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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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