Cintorra Jackson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-248839 Issued in FL

Practice address

602 Tallman Ave
Donalsonville, GA 39845-1734

Phone

(850) 427-3079

NPI assigned

Dec 14, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behavioral and Life Connections

  • Behavior Analyst
  • Panama City Beach, FL
  • NPI 1457946238
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1235841990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5812",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324475812",
            "telephone_number": "850-427-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 TALLMAN AVE",
            "city": "DONALSONVILLE",
            "state": "GA",
            "postal_code": "398451734",
            "telephone_number": "850-427-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CINTORRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-248839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Neal Holley, MD
• Tukessa M Hopson, LPN
• Leslie Brooke Hornsby, PHARMD
• Mary M. Hunt, PHARMD.
• Richard Owen Hunt, PHARM D
• Jeffrey N Holley MD PC
• Ashton Pyle Jester
• Lasheika Jones, CPT
• Just a Friend LLC
• Vincent Kelley, CRNA

• Behavior Technician in Donalsonville, GA
• Providers in Donalsonville, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.