DEJA JANAE JACKSON (NPI# 1649831850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649831850 |
| Entity Type | Individual |
| Full Name | DEJA JANAE JACKSON |
| Practice Address |
36 Oak Ln Mountain View CA 94040-2629 |
| Practice Telephone | 6509363800 |
| Mailing Telephone | 6509363800 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 36 Oak Ln, Mountain View, CA 940402629 | 6509363800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891149233 | Deja Jackson | Counselor | 1715 E. Cedar Suite 115, Olathe, KS 66062 | 2016-04-22 |
| 1699182279 | Deja Jackson | Nurse's Aide | 2529 Reeves Ave, F6, Lorain, OH 44052-4279 | 2014-07-16 |
| Street Address |
36 OAK LN |
| City | MOUNTAIN VIEW |
| State | CA |
| Zip Code | 94040-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710298500 | Therapeutic Learning Consultants, Inc. | Marriage & Family Therapist | 36 Oak Ln, Mountain View, CA 94040-2629 | 2010-06-25 |
| 1629679097 | Samantha H Maciel | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-11-03 |
| 1023618568 | Elise K Green | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-26 |
| 1841890381 | Daniel Julio Isais | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-26 |
| 1831799378 | Carissa A. Shurman | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-26 |
| 1093314924 | Erika Neftali Velazquez Trejo | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-21 |
| 1083212146 | Libni Yareth Gamez Suarez | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-12 |
| 1801494976 | Wendy Tran | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-12 |
| 1265030332 | Jenedith Gabriela Jacquez | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-12 |
| 1790382588 | Sydney Charisse Steger | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246696 | Peninsula Wellness Centre | Chiropractor | 2425 Callifornia St Ste E, Mountain View, CA 94040 | 2020-05-07 |
| 1225669674 | Mitera Inc. | Psychiatry & Neurology | 1049 El Monte Ave Ste C #633, Mountain View, CA 94040 | 2020-02-03 |
| 1144862343 | Lavon Hester Bobo | Marriage & Family Therapist | 836 W. El Camino, Mountain View, CA 94040 | 2019-10-09 |
| 1871141945 | Cindy Crystal Wong | Nurse Practitioner | 2630 West El Camino Real, Mountain View, CA 94040 | 2019-08-30 |
| 1003471129 | Jennifer Langsdorf Royer | Marriage & Family Therapist | 1059 El Monte Avenue, Suite B, Mountain View, CA 94040 | 2019-05-03 |
| 1255899332 | Joanna Lynn Quan | Social Worker | Palo Alto Medical Foundation, 701 E. El Camino Real, Mountain View, CA 94040 | 2019-03-07 |
| 1750861522 | Kelby Katz | Counselor | 575 S Rengstorff Ave Apt 80, Mountain View, CA 94040 | 2018-08-20 |
| 1861982472 | David Young Lee | Counselor | 870 E El Camino Real, Mountain View, CA 94040 | 2018-05-18 |
| 1740709260 | May Man Lowe | Pharmacist | 1517 Lloyd Way, Mountain View, CA 94040 | 2017-09-15 |
| 1134647753 | Ryan David Emery | Physical Therapist | 525 South Dr #211, Mountain View, CA 94040 | 2017-09-04 |
| Find all providers in zip 94040 | ||||
| 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 |
|---|---|---|---|---|
| 1609425123 | Yasaman Nourkhalaj | Behavior Technician | 229 Palo Alto Ave, Mountain View, CA 94041-1115 | 2019-09-06 |
| 1316416530 | Adriana Amaya | Behavior Technician | 1075 Space Park Way Spc 316, Mountain View, CA 94043-1414 | 2018-11-16 |
| 1629679097 | Samantha H Maciel | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-11-03 |
| 1023618568 | Elise K Green | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-26 |
| 1841890381 | Daniel Julio Isais | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-26 |
| 1831799378 | Carissa A. Shurman | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-26 |
| 1093314924 | Erika Neftali Velazquez Trejo | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-21 |
| 1083212146 | Libni Yareth Gamez Suarez | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-12 |
| 1801494976 | Wendy Tran | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-12 |
| 1265030332 | Jenedith Gabriela Jacquez | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-10-12 |
| Find all providers in MOUNTAIN VIEW | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 94040 |
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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.