JERRY L DAVIS JR. (NPI# 1578046538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578046538 |
| Entity Type | Individual |
| Full Name | JERRY L DAVIS JR. |
| Credential | RBT |
| Practice Address |
4778 Overton Rd Birmingham AL 35210-3803 |
| Practice Telephone | 2059570294 |
| Practice Fax Number | 2059570298 |
| Mailing Telephone | 2059570294 |
| Mailing Fax Number | 2059570298 |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-18-65142 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821179003 | Jerry Thomas Davis | Family Medicine | 6302 A Jacksboro Hwy, Fort Worth, TX 76135-3602 | 2006-10-17 |
| 1356357495 | Jerry Wayne Davis | General Acute Care Hospital | 2715 Avenue N, Nederland, TX 77627-7814 | 2006-07-31 |
| 1457323560 | Jerry Davis | Counselor | 1530 Commerce Park West Drive, Greensburg, IN 47240 | 2006-02-02 |
| 1306298591 | Jerry Davis | Counselor | 3401 Eudora St, Denver, CO 80207-2500 | 2016-07-12 |
| 1699083436 | Jerry Heath Davis | Pharmacist | 120 Carbon City Rd, Morganton, NC 28655-4226 | 2010-09-15 |
| 1225365265 | Jerry Bernard Davis | Pharmacist | 6551 Forest Hill Dr, Forest Hill, TX 76140-1205 | 2009-11-12 |
| 1932300563 | Jerry Davis | Counselor | 348 13th St, Brooklyn, NY 11215-5004 | 2007-05-30 |
| 1912045683 | Jerry Davis | Pharmacist | 310 15th Ave E, Seattle, WA 98112-5103 | 2007-02-02 |
| 1639220684 | Jerry Carl Davis | Pharmacist | 110 W 2nd St, Kenly, NC 27542 | 2007-01-16 |
| 1114003597 | Jerry Robert Davis | Dentist | 494 S Emerson Ave, Suite K, Greenwood, IN 46143-1912 | 2006-10-28 |
| Street Address |
4778 OVERTON RD |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35210-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841393071 | Matthew Lee Remick | Psychologist | 4778 Overton Rd, Birmingham, AL 35210-3803 | 2006-09-06 |
| 1730794488 | Amanda Grace Fitzgerald | Behavior Technician | 4778 Overton Rd, Birmingham, AL 35210-3803 | 2020-09-10 |
| 1114540721 | Hannah Schneider | Behavior Technician | 4778 Overton Rd, Birmingham, AL 35210-3803 | 2020-05-19 |
| 1912529215 | Hannah Kate Vickers | Behavior Technician | 4778 Overton Rd, Birmingham, AL 35210-3803 | 2020-05-11 |
| 1083235287 | Lauren Comer | Occupational Therapist | 4778 Overton Rd, Birmingham, AL 35210-3803 | 2020-04-29 |
| 1861021461 | Ashley Watlz | Behavior Technician | 4778 Overton Rd, Birmingham, AL 35210-3803 | 2020-04-06 |
| 1629607452 | Virginia Hammond | Behavior Technician | 4778 Overton Rd, Birmingham, AL 35210-3803 | 2020-04-03 |
| 1073146775 | Reagan Leanne Edwards | Behavior Technician | 4778 Overton Rd, Birmingham, AL 35210-3803 | 2020-02-20 |
| 1770114761 | Dexter Richardson | Behavior Technician | 4778 Overton Rd, Birmingham, AL 35210-3803 | 2020-01-29 |
| 1205473527 | Jennifer Mayerhofer | Behavior Technician | 4778 Overton Rd, Birmingham, AL 35210-3803 | 2019-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639712581 | Jordan Leigh Jackson | Counselor | 1914 5th Ave S, Irondale, AL 35210 | 2019-10-23 |
| 1689147068 | Greater Birmingham Transportation Services | Taxi | 5804 Oporto Madrid Blvd S, Birmingham, AL 35210 | 2019-01-08 |
| 1053802009 | Konda Keebler | Nurse Practitioner | 7001 Crestwood Blvd/suite 804, Birmingham, AL 35210 | 2018-05-25 |
| 1841675865 | Kolbe Clinic LLC | Counselor | 1830 Montclair Rd Ste A, Irondale, AL 35210 | 2015-07-21 |
| 1609270826 | Patricia Abrahan Ocampo | Occupational Therapist | 5000 Grantswood Rd Ste 220, Irondale, AL 35210 | 2014-10-17 |
| 1154766905 | John Charles Hammond | Psychiatry & Neurology | 4984 Overton Rd, Birmingham, AL 35210 | 2013-05-07 |
| 1073807871 | Farah Yasmeen Ghori-javed | Internal Medicine | 4500 Montevallo Rd Ste B101, Irondale, AL 35210 | 2011-06-09 |
| 1134459084 | Hospice Advantage, LLC. | Hospice Care, Community Based | 2435 1st Avenue South, Irondale, AL 35210 | 2009-12-28 |
| 1902063555 | Robert Lumpkin | Dentist | 7970 Crestwood Blvd, Irondale, AL 35210 | 2008-05-21 |
| 1205920725 | Stacey Shipman | Speech-Language Pathologist | 4778 Overton Road, Birmingham, AL 35210 | 2006-10-02 |
| Find all providers in zip 35210 | ||||
| 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 |
|---|---|---|---|---|
| 1962986083 | Hannah Marie Colehower | Behavior Technician | 200 Cahaba Park Cir Ste 116, Birmingham, AL 35242-5041 | 2018-09-25 |
| 1063019818 | Maggie Anderson | Behavior Technician | 2233 Cahaba Valley Dr, Birmingham, AL 35242-2602 | 2020-10-05 |
| 1730794488 | Amanda Grace Fitzgerald | Behavior Technician | 4778 Overton Rd, Birmingham, AL 35210-3803 | 2020-09-10 |
| 1750909321 | Hannah Ann Sands | Behavior Technician | 200 Cahaba Park Cir Ste 116, Birmingham, AL 35242-5041 | 2020-07-10 |
| 1922623347 | Chloe Mae Graves | Behavior Technician | 2233 Cahaba Valley Dr, Birmingham, AL 35242-2602 | 2020-06-11 |
| 1639794399 | Christopher Graham | Behavior Technician | 2233 Cahaba Valley Dr, Birmingham, AL 35242-2602 | 2020-06-09 |
| 1336763200 | Raven Edwards | Behavior Technician | 2233 Cahaba Valley Dr, Birmingham, AL 35242-2602 | 2020-06-05 |
| 1114540721 | Hannah Schneider | Behavior Technician | 4778 Overton Rd, Birmingham, AL 35210-3803 | 2020-05-19 |
| 1912529215 | Hannah Kate Vickers | Behavior Technician | 4778 Overton Rd, Birmingham, AL 35210-3803 | 2020-05-11 |
| 1912527417 | Candice Wilkerson | Behavior Technician | 2233 Cahaba Valley Dr, Birmingham, AL 35242-2602 | 2020-04-24 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35210 |
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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.