ANDREA M JACKSON (NPI# 1568948479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568948479 |
| Entity Type | Individual |
| Full Name | ANDREA M JACKSON |
| Credential | BCBA |
| Practice Address |
2091 Business Center Dr Ste 150 Irvine CA 92612-1167 |
| Practice Telephone | 9492501101 |
| Practice Fax Number | 9492501103 |
| Mailing Telephone | 9492501101 |
| Mailing Fax Number | 9492501103 |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912411133 | Andrea Jackson | Licensed Practical Nurse | 52 Hillside Ave, Freeport, NY 11520-1726 | 2017-11-27 |
| 1437670114 | Andrea Jackson | Nurse Practitioner | 406 W S Jordan Pkwy, South Jordan, UT 84095-3965 | 2017-07-03 |
| 1679003099 | Andrea Jackson | Social Worker | 306 Popula Blvd, Wappingers Falls, NY 12590-5712 | 2017-06-18 |
| 1578927638 | Andrea Jackson | Licensed Practical Nurse | 1617 Woodbine Ave Se, Warren, OH 44484-4964 | 2016-04-05 |
| 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 |
| 1457622656 | Andrea Jasmine Jackson | Behavioral Analyst | 7715 Nw 48 St, Suite B360, Miami, FL 33166 | 2012-01-19 |
| 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 |
| Street Address |
2091 BUSINESS CENTER DR STE 150 |
| City | IRVINE |
| State | CA |
| Zip Code | 92612-1167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750941837 | Kristen Ann Godoy | Behavioral Analyst | 2091 Business Center Dr Ste 150, Irvine, CA 92612-1167 | 2019-06-19 |
| 1134782063 | Brianna Jaramillo | Behavior Technician | 2091 Business Center Dr Ste 150, Irvine, CA 92612-1167 | 2019-04-16 |
| 1194388025 | Jennifer Koger | Behavior Technician | 2091 Business Center Dr Ste 150, Irvine, CA 92612-1167 | 2019-04-16 |
| 1356904270 | Vanessa Borroel | Behavioral Analyst | 2091 Business Center Dr Ste 150, Irvine, CA 92612-1167 | 2019-04-16 |
| 1659934578 | Mark Avalos | Behavioral Analyst | 2091 Business Center Dr Ste 150, Irvine, CA 92612-1167 | 2019-04-16 |
| 1881257798 | Lisa Addis | Behavior Technician | 2091 Business Center Dr Ste 150, Irvine, CA 92612-1167 | 2019-04-16 |
| 1194388017 | Chelsea Barrera | Behavior Technician | 2091 Business Center Dr Ste 150, Irvine, CA 92612-1167 | 2019-04-16 |
| 1558924472 | Eva Blehm | Behavior Technician | 2091 Business Center Dr Ste 150, Irvine, CA 92612-1167 | 2019-04-16 |
| 1780247601 | Victoria Dumler | Behavior Technician | 2091 Business Center Dr Ste 150, Irvine, CA 92612-1167 | 2019-04-16 |
| 1780247619 | Cynthia Gaytan | Behavioral Analyst | 2091 Business Center Dr Ste 150, Irvine, CA 92612-1167 | 2019-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615984 | Sara Afsharpour | Marriage & Family Therapist | 2001 Business Center Dr, # 150, Irvine, CA 92612 | 2019-12-05 |
| 1952959207 | Dorothy Dawn Malsack | Dietitian, Registered | 20 Pergola, Irvine, CA 92612 | 2019-08-29 |
| 1992350508 | Masi Hashemian Dds Inc | Dentist | Park Place Dentistry, 2981 Michelson Dr., Suite #b, Irvine, CA 92612 | 2019-08-09 |
| 1518426907 | Linklan Logistics Inc | Transportation Broker | 19200 Von Karman Ave Ste 612, Irvine, CA 92612 | 2019-03-15 |
| 1598220535 | Dorise Hebenstreit | Marriage & Family Therapist | 2151 Michelson Dr Ste 286, Irvine, CA 92612 | 2019-02-04 |
| 1871033365 | Livhome, Inc. | In Home Supportive Care | 19762 Macarhtur Blvd, Suite 120, Irvine, CA 92612 | 2017-03-02 |
| 1073061511 | Susan Nguyen | Marriage & Family Therapist | 2081 Business Center Dr Ste 109, Irvine, CA 92612 | 2016-09-13 |
| 1043617574 | Jason Polhamus | Community Health Worker | 4885 Royce Rd, Irivne, CA 92612 | 2014-11-26 |
| 1013313386 | Marisa Lepore | Marriage & Family Therapist | 19742 Centerpointe Plaza, Suite #125, Irvine, CA 92612 | 2014-11-13 |
| 1558798462 | Fatima Manesh | Acupuncturist | 8 Palmento Way, Irvine, CA 92612 | 2013-10-09 |
| Find all providers in zip 92612 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003427204 | Janki Merai | Behavioral Analyst | 51 Dorado, Irvine, CA 92618-1318 | 2020-08-11 |
| 1326609918 | Jessica Ann Marines | Behavioral Analyst | 5200 Bonita Canyon Dr, Irvine, CA 92603-0165 | 2019-06-24 |
| 1881254035 | Kassandra De Jesus Aguilar | Behavioral Analyst | 562 Saint Vincent, Irvine, CA 92618-3933 | 2019-06-19 |
| 1851957476 | Brandon Reeder | Behavioral Analyst | 18008 Sky Park Cir Ste 100, Irvine, CA 92614-6434 | 2019-05-20 |
| 1083277172 | Reece Arthur | Behavioral Analyst | 16782 Von Karman Ave Ste 21, Irvine, CA 92606-2418 | 2019-04-15 |
| 1962976118 | Cameron Tyler Fateri | Behavioral Analyst | 47 Golden Eagle, Irvine, CA 92603-0308 | 2019-01-21 |
| 1326512575 | Paula Andrea Echeverry Sandoval | Behavioral Analyst | 93 Stepping Stone, Irvine, CA 92603-4207 | 2019-01-21 |
| 1053884049 | Darlene Varciag | Behavioral Analyst | 44 Kazan St, Irvine, CA 92604-2456 | 2019-01-02 |
| 1669956074 | Behavioral Education Skill Treatment Center | Behavioral Analyst | 17802 Sky Park Cir Ste 105, Irvine, CA 92614-6405 | 2018-09-20 |
| 1376032763 | Juan Eduardo Prado Camacho | Behavioral Analyst | 18 Technology Dr Ste 206, Irvine, CA 92618-2314 | 2018-05-02 |
| Find all providers in IRVINE | ||||
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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.