JERRY AUSTIN CRAFT (NPI# 1629609458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629609458 |
| Entity Type | Individual |
| Full Name | JERRY AUSTIN CRAFT |
| Practice Address |
2981 Kanell Blvd Poplar Bluff MO 63901-4008 |
| Practice Telephone | 5737122902 |
| Mailing Telephone | 5737122902 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320727 | Jerry Craft | Counselor | 14572 Us Highway 23, Waverly, OH 45690-9373 | 2020-03-11 |
| Street Address |
2981 KANELL BLVD |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962465658 | Ryan R Pretz | Physical Therapist | 2981 Kanell Blvd, Poplar Bluff, MO 63901 | 2006-04-11 |
| 1316553183 | Megan Nikole Jackson | Case Manager/Care Coordinator | 2981 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2020-09-17 |
| 1578174108 | Aaron Micahael Lucas | Case Manager/Care Coordinator | 2981 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2020-08-17 |
| 1144830399 | Amelia Salvora Austin | Behavior Technician | 2981 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2020-08-03 |
| 1922618156 | Austin L Lucas | Behavior Technician | 2981 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2020-08-03 |
| 1881214880 | Kila Champaign Smith | Community Health Worker | 2981 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2020-04-20 |
| 1114551512 | Ashley Renee Hamilton | Case Manager/Care Coordinator | 2981 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2020-02-25 |
| 1831739648 | Kaycee Mashelle Jones | Behavior Technician | 2981 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2020-01-09 |
| 1043850159 | Anna Nicole Berger | Behavior Technician | 2981 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2020-01-07 |
| 1669019642 | Tori Cheyann Deprow | Case Manager/Care Coordinator | 2981 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2019-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| 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 |
|---|---|---|---|---|
| 1144830399 | Amelia Salvora Austin | Behavior Technician | 2981 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2020-08-03 |
| 1922618156 | Austin L Lucas | Behavior Technician | 2981 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2020-08-03 |
| 1275141921 | Matthew Owens | Behavior Technician | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-07-20 |
| 1922628510 | Jennifer Lee Taylor | Behavior Technician | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-04-23 |
| 1205462678 | Bryan Coty Miles | Behavior Technician | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-03-18 |
| 1831739648 | Kaycee Mashelle Jones | Behavior Technician | 2981 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2020-01-09 |
| 1043850159 | Anna Nicole Berger | Behavior Technician | 2981 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2020-01-07 |
| 1437790011 | Andrew Charles Faulkner | Behavior Technician | 2981 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2019-10-04 |
| 1467093252 | Suzann Kay Lady | Behavior Technician | 2981 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2019-10-02 |
| 1740821792 | Stacy Lynn Gordon | Behavior Technician | 2981 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2019-10-01 |
| Find all providers in POPLAR BLUFF | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
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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.