JESSICA MONIQUE VEDAS (NPI# 1982219648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982219648 |
| Entity Type | Individual |
| Full Name | JESSICA MONIQUE VEDAS |
| Credential | RBT |
| Practice Address |
4931 Riverside Dr Ste 400a Macon GA 31210-1195 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 4782197626 |
| Practice Fax Number | 3175208200 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 3175208200 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-102890 | GA | Behavioral Health & Social Service Providers |
| Street Address |
4931 RIVERSIDE DR STE 400A |
| City | MACON |
| State | GA |
| Zip Code | 31210-1195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164049649 | Carson Anne Sabir | Behavior Technician | 4931 Riverside Dr Ste 400a, Macon, GA 31210-1195 | 2020-06-30 |
| 1023619004 | Courtney Nelson | Behavior Technician | 4931 Riverside Dr Ste 400a, Macon, GA 31210-1195 | 2020-11-05 |
| 1013514041 | Trenesha Iachelle Shelton | Behavior Technician | 4931 Riverside Dr Ste 400a, Macon, GA 31210-1195 | 2020-10-02 |
| 1023615119 | Michael Chandler Wheeler | Behavior Technician | 4931 Riverside Dr Ste 400a, Macon, GA 31210-1195 | 2020-10-02 |
| 1841897931 | Wisdom Cleopatra Roberts | Behavior Technician | 4931 Riverside Dr Ste 400a, Macon, GA 31210-1195 | 2020-10-02 |
| 1467059550 | Anya La'kia Williams | Behavior Technician | 4931 Riverside Dr Ste 400a, Macon, GA 31210-1195 | 2020-10-02 |
| 1982201059 | Jaquenna Lashay Smith | Behavior Technician | 4931 Riverside Dr Ste 400a, Macon, GA 31210-1195 | 2020-10-02 |
| 1083211296 | Jennifer Ruth Dougherty | Behavior Technician | 4931 Riverside Dr Ste 400a, Macon, GA 31210-1195 | 2020-10-01 |
| 1124635438 | Kayla Rose Mcdaniel | Behavior Technician | 4931 Riverside Dr Ste 400a, Macon, GA 31210-1195 | 2020-09-30 |
| 1629684493 | Sarah Elizabeth Newell | Behavior Technician | 4931 Riverside Dr Ste 400a, Macon, GA 31210-1195 | 2020-09-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
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| 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 |
|---|---|---|---|---|
| 1164049649 | Carson Anne Sabir | Behavior Technician | 4931 Riverside Dr Ste 400a, Macon, GA 31210-1195 | 2020-06-30 |
| 1114480647 | Kathryn O'quinn | Behavior Technician | 2001 Cutler Ct, Macon, GA 31216-4204 | 2019-04-11 |
| 1083118244 | Damika Buchanan | Behavior Technician | 1260 Bass Road, Macon, GA 31201-1061 | 2018-03-22 |
| 1023619004 | Courtney Nelson | Behavior Technician | 4931 Riverside Dr Ste 400a, Macon, GA 31210-1195 | 2020-11-05 |
| 1013514041 | Trenesha Iachelle Shelton | Behavior Technician | 4931 Riverside Dr Ste 400a, Macon, GA 31210-1195 | 2020-10-02 |
| 1023615119 | Michael Chandler Wheeler | Behavior Technician | 4931 Riverside Dr Ste 400a, Macon, GA 31210-1195 | 2020-10-02 |
| 1841897931 | Wisdom Cleopatra Roberts | Behavior Technician | 4931 Riverside Dr Ste 400a, Macon, GA 31210-1195 | 2020-10-02 |
| 1467059550 | Anya La'kia Williams | Behavior Technician | 4931 Riverside Dr Ste 400a, Macon, GA 31210-1195 | 2020-10-02 |
| 1982201059 | Jaquenna Lashay Smith | Behavior Technician | 4931 Riverside Dr Ste 400a, Macon, GA 31210-1195 | 2020-10-02 |
| 1083211296 | Jennifer Ruth Dougherty | Behavior Technician | 4931 Riverside Dr Ste 400a, Macon, GA 31210-1195 | 2020-10-01 |
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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.