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Cheyenne Jackson

Behavior Technician β€’ Maitland, FL

Active NPI 1336961317 Individual Practitioner Female Practitioner
Practice location in NPPES

414 Lake Howell Rd
Maitland, FL 32751

Call 4076372633 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

414 Lake Howell Rd

Maitland, FL 32751

Telephone 4076372633
Fax 4075583438
Organization at the Same NPPES Address or Phone
Change In Motion Facility NPI 1821469396

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Maitland and Florida

201 active clinicians are listed under Behavior Technician with a practice address in Maitland, FL (75,705 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Maitland

0% of these 201 clinicians have the CMS telehealth indicator.

0% of these 201 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-11-18
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2024

Behavior Technician

βœ…
NPI Profile Active October 30, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 30, 2024

Registered at 414 LAKE HOWELL RD, MAITLAND, FL 32751 (Tel: 4076372633)

πŸ“
Business Mailing Address (Initial Record) October 30, 2024

Registered at 414 LAKE HOWELL RD, MAITLAND, FL 32751 (Tel: 4076372633)

πŸ‘€
Provider Name / Credentials (Initial Record) October 30, 2024

Recorded as CHEYENNE JACKSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2024

Social Worker

🟒
Initial NPI Registration & Enumeration October 30, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1336961317
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2024
Last Update: November 18, 2024
Sole Proprietor: Yes

Mailing Address

414 Lake Howell Rd

Maitland, FL 32751

Phone: 4076372633

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.