ELIZABETH KOLB-JACKSON


Address: 148 Wilshire Blvd, Orlando, Fl, 32707, Orlando, FL 32707
Phone: 3219724039

ELIZABETH KOLB-JACKSON (NPI# 1992940100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992940100
Entity Type Individual
Full Name ELIZABETH KOLB-JACKSON
Practice Address 148 Wilshire Blvd, Orlando, Fl, 32707
Orlando
FL 32707
Mailing Address 2531 Jereco Rd
Sumter
SC 29153-8102
Practice Telephone 3219724039
Mailing Telephone 8039724728
Enumeration Date 2008-12-03
Last Update Date 2020-07-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103K00000X Behavioral Analyst 0133000518 VA Behavioral Health & Social Service Providers
Y 103K00000X Behavioral Analyst 1-13-14939 Behavioral Health & Social Service Providers

Office Location

Street Address 148 WILSHIRE BLVD, ORLANDO, FL, 32707
City ORLANDO
State FL
Zip Code 32707

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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

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Competitor

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City ORLANDO
Zip Code 32707

Improve Information

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Dataset Information

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.

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