JESSICA JACKSON


Address: 3361 36th St Se, Kentwood, MI 49512-2809
Phone: 6163018000

JESSICA JACKSON (NPI# 1770119208) 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) 1770119208
Entity Type Individual
Full Name JESSICA JACKSON
Practice Address 3361 36th St Se
Kentwood
MI 49512-2809
Practice Telephone 6163018000
Enumeration Date 2020-03-16
Last Update Date 2020-03-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Other Providers JESSICA JACKSON

NPI Name Taxonomy Address Enumeration
1437759594 Jessica Ashley Jackson Social Worker 310 W Mckinley Ave, Mishawaka, IN 46545-5600 2020-10-28
1396387361 Jessica Leeann Jackson In Home Supportive Care 2643 Portsmouth Pl, Hephzibah, GA 30815-6434 2019-10-11
1720638018 Jessica Jackson Registered Nurse 1600 Pine Tree Rd Apt 415, Longview, TX 75604-3244 2019-09-18
1386106326 Jessica Marie Jackson Specialist/Technologist 120 Main St Apt 217, Saco, ME 04072-3528 2019-04-01
1205335916 Jessica Berdette Jackson Licensed Practical Nurse 376 Owego Rd, Candor, NY 13743-1645 2018-02-08
1023553187 Jessica Elise Jackson Physician Assistant 2109 S Santa Fe Ave, Moore, OK 73160-2807 2016-12-28
1982151130 Jessica Jackson Licensed Practical Nurse 25 Green Knolls Dr Apt D, Rochester, NY 14620-4777 2016-09-06
1770940975 Jessica Jackson Technician, Other 24024 Evergreen Rd Apt 108a, Southfield, MI 48075-5517 2016-01-20
1710344007 Jessica Jackson Social Worker 4 Tufts Trl, Hopatcong, NJ 07843-1013 2016-01-18
1336572726 Jessica L Jackson Health Educator 492 Naughright Rd, Long Valley, NJ 07853-3807 2013-08-20

Office Location

Street Address 3361 36TH ST SE
City KENTWOOD
State MI
Zip Code 49512-2809

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962003137 Jacquie Dominguez Behavior Technician 3361 36th St Se, Kentwood, MI 49512-2809 2020-11-04
1306446331 Sarah Elisabeth Olson Behavior Technician 3361 36th St Se, Kentwood, MI 49512-2809 2020-10-28
1528674207 Samantha Joy Riihimaa Behavior Technician 3361 36th St Se, Kentwood, MI 49512-2809 2020-09-18
1649885278 Tyler Marcus Behavior Technician 3361 36th St Se, Kentwood, MI 49512-2809 2020-09-10
1427660117 Cierra Jackson Behavior Technician 3361 36th St Se, Kentwood, MI 49512-2809 2020-08-23
1750991808 Paige Feehery Behavior Technician 3361 36th St Se, Kentwood, MI 49512-2809 2020-08-04
1750990040 Danielle Wilde Behavior Technician 3361 36th St Se, Kentwood, MI 49512-2809 2020-07-23
1689282949 Brian Schmidt Haynes Behavior Technician 3361 36th St Se, Kentwood, MI 49512-2809 2020-07-22
1972111342 Kayla Muyskens Behavior Technician 3361 36th St Se, Kentwood, MI 49512-2809 2020-07-21
1144852641 Jennifer Lynn Owens Behavior Technician 3361 36th St Se, Kentwood, MI 49512-2809 2020-02-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649757071 St. Lukes Primary Care Family Medicine 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 2018-07-27
1013493733 Pharmascript of Michigan Gr LLC Pharmacy 2661 29th St. Se Suite A, Grand Rapids, MI 49512 2018-07-16
1245736040 Cassandra Slater Technician, Other 2925 Breton Rd Se, Grand Rapids, MI 49512 2018-04-02
1235632704 John Mitchell Tanja Occupational Therapist 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 2018-03-12
1952829855 Sarah Harlow Physical Therapist 2951 44th St Se, Kentwood, MI 49512 2017-08-31
1194248815 Melinda Huizenga Registered Nurse 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 2017-07-25
1659812931 Frantzie Pierre Counselor 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 2017-03-20
1104128602 Hope Network Behavioral Health Services Psychiatry & Neurology 3361 36th Street, Grand Rapids, MI 49512 2010-12-03
1518282631 Melanie Anne Hogeterp Social Worker 3180 East Paris Se, Kentwood, MI 49512 2010-03-31
1013147495 Ardean Beth Brock-vanderwall Counselor 2828 Kraft Ave., Grand Rapids, MI 49512 2009-07-20
Find all providers in zip 49512

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
1386294643 Diep- Kimberly Ngoc Nguyen Behavior Technician 5338 Wyndtree Ln Se, Kentwood, MI 49548-0836 2019-09-18
1326556838 Araceli Contreras-hernandez Behavior Technician 3566 Eastern Ave. Se, Kentwood, MI 49508 2018-01-18
1215470539 Kathryn Fisher Behavior Technician 5366 Eastern Ave Se, Kentwood, MI 49508-6018 2016-11-19
1134676976 Vahe Grigoryan Behavior Technician 1458 Brookmark St Se, Kentwood, MI 49508-6117 2016-09-09
1962003137 Jacquie Dominguez Behavior Technician 3361 36th St Se, Kentwood, MI 49512-2809 2020-11-04
1306446331 Sarah Elisabeth Olson Behavior Technician 3361 36th St Se, Kentwood, MI 49512-2809 2020-10-28
1528674207 Samantha Joy Riihimaa Behavior Technician 3361 36th St Se, Kentwood, MI 49512-2809 2020-09-18
1649885278 Tyler Marcus Behavior Technician 3361 36th St Se, Kentwood, MI 49512-2809 2020-09-10
1427660117 Cierra Jackson Behavior Technician 3361 36th St Se, Kentwood, MI 49512-2809 2020-08-23
1750991808 Paige Feehery Behavior Technician 3361 36th St Se, Kentwood, MI 49512-2809 2020-08-04
Find all providers in KENTWOOD

Competitor

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City KENTWOOD
Zip Code 49512

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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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