JACOB WHITE (NPI# 1790343382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790343382 |
| Entity Type | Individual |
| Full Name | JACOB WHITE |
| Practice Address |
1130 Tabb St Norfolk VA 23504-3434 |
| Practice Telephone | 8049212389 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |
| 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 |
|---|---|---|---|---|
| 1194289892 | Jacob White | Specialist/Technologist | 580 Commonwealth Ave Unit 501, Boston, MA 02215-2509 | 2019-01-27 |
| 1386969210 | Jacob White | Radiology | 1264 Saint Nicholas Ave, New York, NY 10033-7263 | 2010-04-04 |
| 1689217044 | Jacob White | Pharmacist | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2019-10-17 |
| 1295391944 | Jacob White IIi | Peer Specialist | 16 W Long St, Columbus, OH 43215-2815 | 2019-05-17 |
| 1548735079 | Jacob Vaughn White | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-10-11 |
| 1003304387 | Jacob Richard White | Student in an Organized Health Care Education/Training Program | 3420 Fifth Avenue, Pittsburgh, PA 15213 | 2018-04-23 |
| 1265818884 | Jacob Jonathan White | Physician Assistant | 5645 W Addison St, Chicago, IL 60634-4403 | 2015-08-05 |
| 1073909719 | Jacob Matthew White | Counselor | 213 W Monroe Ave, Suite Q, Lowell, AR 72745-9451 | 2015-04-09 |
| 1831506351 | Jacob Christopher White | Psychiatry & Neurology | 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 | 2014-07-16 |
| 1205118569 | Jacob Garrett White | Social Worker | 859 Willard St, Quincy, MA 02169 | 2011-09-13 |
| Street Address |
1130 TABB ST |
| City | NORFOLK |
| State | VA |
| Zip Code | 23504-3434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861989196 | Deanna Signor | Behavior Technician | 1130 Tabb St, Norfolk, VA 23504-3434 | 2018-04-23 |
| 1316419682 | Danielle E Anderson | Technician, Other | 1130 Tabb St, Norfolk, VA 23504-3434 | 2018-12-26 |
| 1659862118 | Haley Alyssa Young | Behavior Technician | 1130 Tabb St, Norfolk, VA 23504-3434 | 2018-05-21 |
| 1356831499 | Whittney Amber Hawkins | Behavior Technician | 1130 Tabb St, Norfolk, VA 23504-3434 | 2018-05-15 |
| 1871081836 | Briana Lynn Myers | Behavior Technician | 1130 Tabb St, Norfolk, VA 23504-3434 | 2018-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932766391 | Naketa Hayes | Nurse's Aide | 958 Saint Julian Ave, Norfolk, VA 23504 | 2019-05-21 |
| 1114581931 | Kathleen S Thomas | Specialist/Technologist | 700 Park Avenue Brc-110, Norfolk, VA 23504 | 2019-04-26 |
| 1770008831 | Michelle Denise Dunn | Home Health | 1015 Saint Julian Ave, Norfolk, VA 23504 | 2017-08-10 |
| 1235654294 | International Home Health Care | Home Health | 1015 Saint Julian Ave., Norfolk, VA 23504 | 2017-08-10 |
| 1528513835 | The Healthy Living Center Foundation C/o Primary Care Specialists, Inc | Preferred Provider Organization | 930 Majestic Avenue, Suite 110, Norfolk, VA 23504 | 2016-08-17 |
| 1619355922 | Healing Hands Massages | Health Maintenance Organization | 2581 Westminster Ave, Norfolk, VA 23504 | 2015-05-07 |
| 1790037554 | Briggs Home Health Agency | Home Health | 1751 Church St Suite A, Norfolk, VA 23504 | 2012-10-03 |
| 1336318179 | Freeman House, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2909 E Virginia Beach Blvd, Norfolk, VA 23504 | 2008-02-26 |
| 1720146087 | Norfolk Eye Physicians & Surgeons Ltd. | Ophthalmology | 1005 May Avenue, Norfolk, VA 23504 | 2006-12-05 |
| 1659441814 | Norfolk Community Health Center Inc | Family Medicine | 1401 Tidewater Drive, Ste 1, Norfolk, VA 23504 | 2006-11-08 |
| Find all providers in zip 23504 | ||||
| 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 |
|---|---|---|---|---|
| 1023650462 | Mckenzie Bryant | Behavior Technician | 3019 Saint Mihiel Ave, Norfolk, VA 23509-1839 | 2019-10-16 |
| 1144888728 | Jazmine Williams | Behavior Technician | 7911 Redmon Rd Apt D2, Norfolk, VA 23518-3404 | 2019-05-30 |
| 1871150466 | Melissa Anne Smetts | Behavior Technician | 5109 Beamon Rd, Norfolk, VA 23513-2309 | 2019-05-20 |
| 1356802920 | Parker Forrest Clay | Behavior Technician | 9411 Hickory St, Norfolk, VA 23503-3313 | 2019-03-27 |
| 1992276265 | Samantha R Szohr | Behavior Technician | 1130 Tabb St Ste E, Norfolk, VA 23504-3434 | 2018-12-16 |
| 1861989196 | Deanna Signor | Behavior Technician | 1130 Tabb St, Norfolk, VA 23504-3434 | 2018-04-23 |
| 1861900656 | Tia Shimaine Thomas | Behavior Technician | 1130 Tabb St Ste D, Norfolk, VA 23504-3434 | 2018-01-16 |
| 1063920064 | Emily Burgos | Behavior Technician | 5256 Janet Dr, Norfolk, VA 23513-1507 | 2018-01-12 |
| 1063928471 | Rebecca Anne Nickle | Behavior Technician | 501 Carl St, Norfolk, VA 23505-4205 | 2017-12-20 |
| 1295335008 | Claire Olson | Behavior Technician | 443 Kempsville Rd, Norfolk, VA 23502-4727 | 2020-10-30 |
| Find all providers in NORFOLK | ||||
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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.