JAZZMYN PROCTOR (NPI# 1881235018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881235018 |
| Entity Type | Individual |
| Full Name | JAZZMYN PROCTOR |
| Practice Address |
6318 Statum Rd Preston MD 21655-2011 |
| Practice Telephone | 3017898228 |
| Mailing Telephone | 3017898228 |
| Enumeration Date | 2019-09-29 |
| Last Update Date | 2019-09-29 |
| 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 |
| Street Address |
6318 STATUM RD |
| City | PRESTON |
| State | MD |
| Zip Code | 21655-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063696177 | Arlene Stevens | Nurse Practitioner | 136 Lednum Avenue, Suite 5, Preston, MD 21655 | 2007-12-26 |
| 1538196761 | Melinda Elizabeth Butler | Family Medicine | 136 Lednum Ave., Suite 5, Preston, MD 21655 | 2006-06-26 |
| 1558483149 | Preston Family Physicians | Family Medicine | 136 Lednum Ave., Suite 5, Preston, MD 21655 | 2007-04-04 |
| 1558397315 | Timothy John Sniezek | Family Medicine | 3683 Choptank Rd, Preston, MD 21655-1220 | 2006-06-24 |
| 1497104426 | Chelsea Cool Mcmaster | Physician Assistant | 225 Main St, Preston, MD 21655-2215 | 2016-06-09 |
| 1053778738 | Choptank Community Health System, Inc. | Clinic/Center | 225 Main St, Preston, MD 21655-2215 | 2016-01-26 |
| 1649679572 | Thrive Midshore, Inc | Clinic/Center | 239 Main St, Preston, MD 21655-2215 | 2014-08-15 |
| 1700828324 | Mulvey's Preston Pharmacy Inc. | Pharmacist | 243 Main St, Box 129, Preston, MD 21655-2215 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667417 | Tracy L Rosiene | Massage Therapist | 211 Route 164, Preston, CT 06365-8726 | 2020-10-21 |
| 1417599846 | David Frazer | Counselor | 12 Cider Mill Rd, Preston, CT 06365-8501 | 2019-10-17 |
| 1942856950 | Diane Jargo | Technician | 462 W. Degroat St., Preston, IA 52069 | 2019-08-15 |
| 1821640095 | Overcross Counseling and Equine Services LLC | Community/Behavioral Health | 9565 Highway 75, Preston, OK 74456-5600 | 2019-07-09 |
| 1225596737 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 136 Main St Sw, Preston, MN 55965 | 2019-03-05 |
| 1215494497 | Demi J Borgman | Occupational Therapy Assistant | 45307 17th St, Preston, IA 52069-9761 | 2019-02-25 |
| 1447735493 | Marie Luke | Massage Therapist | 8 South State, Preston, ID 83263 | 2018-09-26 |
| 1114468691 | Michael Walsh | Specialist/Technologist | 116 Brownsville St Ne, Preston, MN 55965-1127 | 2017-03-16 |
| 1184164048 | Catherine Johnson | Occupational Therapist | 333 N Simpson St, Preston, IA 52069-9742 | 2017-02-27 |
| 1225492804 | Nathan Burnett | Specialist/Technologist | 136 N 100 W, Preston, ID 83263-1062 | 2016-04-08 |
| Find all providers in PRESTON | ||||
| 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 |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1487254546 | Kenita Kayela Douglas | Behavior Technician | 8913 Matthews Ct, Laurel, MD 20708-2008 | 2020-10-28 |
| 1417556549 | Andrea Gadsby | Behavior Technician | 6225 Smith Ave Ste 100, Baltimore, MD 21209-3678 | 2020-10-20 |
| 1518565688 | Mark Schulze | Behavior Technician | 20620 Prathertown Rd., Gaithersburg, MD 20879 | 2020-10-12 |
| 1922605492 | Scott Miliman | Behavior Technician | 8207 Bendon Rd, Baltimore, MD 21208-1821 | 2020-10-07 |
| 1194322644 | Curtis Lee Knox | Behavior Technician | 31 Joyceton Way, Upper Marlboro, MD 20774-1442 | 2020-10-07 |
| 1649877176 | Mary Elizabeth Reznick | Behavior Technician | 352 Nicholson Rd, Baltimore, MD 21221-6608 | 2020-10-07 |
| 1750988283 | Nathaniel Carlton Fortier | Behavior Technician | 1203 Windemere Ave, Baltimore, MD 21218-3014 | 2020-10-07 |
| 1457958076 | Katherine Hughes | Behavior Technician | 727 W 40th St Apt 337, Baltimore, MD 21211-2341 | 2020-10-06 |
| 1477150159 | Leslie Bratcher-williams | Behavior Technician | 4402 28th Pl Apt 4, Mount Rainier, MD 20712-1539 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
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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.