JAMAR HALL SR. (NPI# 1992293245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992293245 |
| Entity Type | Individual |
| Full Name | JAMAR HALL SR. |
| Practice Address |
2858 W Main St Leesburg FL 34748-4631 |
| Mailing Address |
1608 Hoofprint Ct Fruitland Park FL 34731-6570 |
| Practice Telephone | 8139578327 |
| Mailing Telephone | 3528743643 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022093700 | 05 |
| Street Address |
2858 W MAIN ST |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-4631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528594223 | Stefanie Henderson | Behavioral Analyst | 2858 W Main St, Leesburg, FL 34748-4631 | 2017-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
| 1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1184136145 | Infinite Support Services LLC | In Home Supportive Care | 129 Grove Ridge Circle, 104, Leesburg, FL 34748 | 2017-10-31 |
| 1619403037 | Massage and Wellness Care | Health Maintenance Organization | 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 | 2017-05-04 |
| 1497202675 | Prime Radiology of Leesburg Inc | Radiology | 600 N W Blvd, Suite E, Leesburg, FL 34748 | 2016-09-06 |
| 1023480332 | Juanita Elizabeth Simpson | Contractor | 1911 Harcourt Drive, Leesburg, FL 34748 | 2015-10-26 |
| 1467835900 | Serenity Choice Place, LLC | Community/Behavioral Health | 721 Balmoral Circle, Leesburg, FL 34748 | 2015-07-01 |
| 1356738397 | Touching Heart's Group Homes, LLC | Community/Behavioral Health | 31809 Sunpark Cir, Leesburg, FL 34748 | 2015-04-16 |
| 1386035269 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1103 N 14th Street, Leesburg, FL 34748 | 2015-02-12 |
| Find all providers in zip 34748 | ||||
| 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 |
|---|---|---|---|---|
| 1730792441 | Jennifer Marie Cambensy | Behavior Technician | 19416 Newton Pass Sq, Leesburg, VA 20176-6523 | 2020-08-24 |
| 1093358699 | Ashley Roundtree | Behavior Technician | 2336 Olivet Ave, Leesburg, FL 34748-3758 | 2019-10-26 |
| 1598320400 | Kimberly Rodriguez | Behavior Technician | 35435 Orange Grove Ln, Leesburg, FL 34788-2988 | 2019-05-06 |
| 1326509035 | Dericka Nicole Jones | Behavior Technician | 139 Attwater Ct, Leesburg, GA 31763-5564 | 2019-03-26 |
| 1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
| 1497227664 | Kendra Gosha | Behavior Technician | 926 Willow Dr, Leesburg, FL 34748-6490 | 2018-12-27 |
| 1821533860 | Lindsay Campbell | Behavior Technician | 32939 Merrill Rd, Leesburg, FL 34788-8848 | 2016-12-29 |
| 1356957872 | Randi Alexis Connelly | Behavior Technician | 1650 W Main St Ste 1, Leesburg, FL 34748-2842 | 2020-09-21 |
| 1013452051 | Lindsay Campbell | Behavior Technician | 32939 Merrill Rd, Leesburg, FL 34788-8848 | 2016-12-29 |
| 1003157439 | Marlee Wier | Behavior Technician | 801 Childrens Center Rd Sw, Leesburg, VA 20175-2545 | 2013-03-11 |
| Find all providers in LEESBURG | ||||
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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.