Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609619790 Individual Practitioner Female Practitioner

Jacqueline Barbara Gresham

Behavior Technician • Marlborough, GA

Professional Overview & Biography Verified Profile Summary

Jacqueline Gresham is a registered healthcare professional specializing in Behavior Technician in Marlborough, GA. Practice services are available at 225 CEDAR HILL STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

225 Cedar Hill Street
200

Marlborough, GA 30274

Telephone 6787600512

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Marlborough, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Marlborough, GA (12251 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-07
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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Malinda Cooke , LPN, BS, MS

Behavior Technician

NPI 1013593268

Licensed Practical Nurse, Bachelor of Science, Master of Science

Faith Moise

Behavior Technician

NPI 1356943682
Melissa Ringwood

Behavior Technician

NPI 1376231449
Arianna Gonzalez-Soto

Behavior Technician

NPI 1538757737
Marilyn Allinson , LICSW

Social Worker - Clinical

NPI 1558497339

Licensed Independent Clinical Social Worker

Kady Potter

Behavior Analyst

NPI 1619501012

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 17, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2024

Registered at 225 CEDAR HILL STREET, 200, MARLBOROUGH, GA 30274 (Tel: 6787600512)

📍
Updated Business Mailing Address June 17, 2024

Registered at 614 WYNTHROPE PL # 614, RIVERDALE, GA 302745127 (Tel: 6797600512)

👤
Provider Name / Credentials Updated June 17, 2024

Recorded as JACQUELINE GRESHAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2024

Behavior Technician

🟢
Initial NPI Registration & Enumeration June 17, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609619790
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2024
Last Update: June 17, 2024
Sole Proprietor: No

Mailing Address

614 Wynthrope Pl # 614

Riverdale, GA 302745127

Phone: 6797600512

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.