JATAI JACKSON (NPI# 1962909259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962909259 |
| Entity Type | Individual |
| Full Name | JATAI JACKSON |
| Practice Address |
3101 Chesapeake Dr Apt 201 Dumfries VA 22026-2733 |
| Practice Telephone | 5714779196 |
| Mailing Telephone | 5714779196 |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 153116228051 | 05 |
| Street Address |
3101 CHESAPEAKE DR APT 201 |
| City | DUMFRIES |
| State | VA |
| Zip Code | 22026-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646142 | Gilead Healthcare Services, LLC | Home Health | 17378 Sligo Loop, Dumfries, VA 22026 | 2020-10-14 |
| 1083220172 | Ariella Yvonne Ramirez | Behavior Technician | 2860 Myrtlewood Drive, Dumfries, VA 22026 | 2020-09-23 |
| 1619481819 | Yousuf Raza | Driver | 3000 Myrtlewood Drive, Dumfries, VA 22026 | 2017-11-27 |
| 1790146710 | Bisme | Nursing Care | 3169 Antrim Circle, Dumfries, VA 22026 | 2016-03-18 |
| 1659781268 | Alysia J Doyle | Doula | 4355 Dry Powder Circle 104, Dumfries, VA 22026 | 2014-05-05 |
| 1669891909 | Alonna Donovan Makinson | Counselor | 18336 Possum Point Rd., Dumfries, VA 22026 | 2014-04-15 |
| 1356770945 | Kimberly Anne Tyborowski | Physical Therapist | 17453 Jefferson Davis Hwy., Dumfries, VA 22026 | 2013-11-05 |
| 1205132396 | Arshia Shingler Dds and Rhea Davis Dds Plc | Dentist | 16708 Jefferson Davis Highway, Suite #115, Dumfries, VA 22026 | 2011-02-07 |
| 1972766434 | Lisa Briggs Napier | Advanced Practice Midwife | 18059 Triangle Plaza, Dumfries, VA 22026 | 2008-07-04 |
| 1245428416 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 16712 Jefferson Davis Hwy, Dumfries, VA 22026 | 2007-10-12 |
| Find all providers in zip 22026 | ||||
| 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 |
|---|---|---|---|---|
| 1083220172 | Ariella Yvonne Ramirez | Behavior Technician | 2860 Myrtlewood Drive, Dumfries, VA 22026 | 2020-09-23 |
| 1821697236 | 1st Aid LLC | Behavior Technician | 4562 Rincon Pl, Dumfries, VA 22025-1044 | 2020-10-19 |
| 1306332093 | Ebony Houze | Behavior Technician | 2236 Fort Pickens Ct, Dumfries, VA 22026-2508 | 2018-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699745 | Stepanie Rush | Behavior Technician | 602 Battle Ave, Winchester, VA 22601-5629 | 2020-11-06 |
| 1356942775 | Khalina Boyce | Behavior Technician | 8000 Towers Crescent Drive, 13th Floor, Vienna, VA 22182 | 2020-11-03 |
| 1982203139 | Cenata Alexandria Jackson | Behavior Technician | 7353 Whitepine Rd Bldg G, Richmond, VA 23237-2260 | 2020-10-20 |
| 1639776289 | Georgia Elizabeth Healy | Behavior Technician | 4740 Berrywood Rd, Virginia Beach, VA 23464-5868 | 2020-10-07 |
| 1245847607 | Olando Wayne Fuller | Behavior Technician | 2605 Eagle Rock Ct, Chester, VA 23831-7051 | 2020-09-29 |
| 1124634084 | Jennifer Wheeler | Behavior Technician | 325 Woodards Ford Rd, Chesapeake, VA 23322-4348 | 2020-09-16 |
| 1992311955 | Sara Homer | Behavior Technician | 348 Southport Cir Ste 101, Virginia Beach, VA 23452-1181 | 2020-09-16 |
| 1578178877 | Jacqueline Villatoro | Behavior Technician | 124 Township Ct, Stephens City, VA 22655-2964 | 2020-09-14 |
| 1447865696 | Aminata Banya Koroma | Behavior Technician | 6180 Grovedale Ct Ste 2006180, Alexandria, VA 22310-2552 | 2020-09-14 |
| 1801400304 | Harleigh Delayni Warren | Behavior Technician | 3029 Peters Creek Rd Nw Ste C, Roanoke, VA 24019-2757 | 2020-09-02 |
| 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.