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Active NPI 1871254631 Individual Practitioner Female Practitioner

Marry Emma Jackson , QMHS ASSOC

Behavior Technician • Moraine, OH

Professional Overview & Biography Verified Profile Summary

Marry Jackson, QMHS ASSOC is a registered healthcare professional specializing in Behavior Technician in Moraine, OH. Practice services are available at 5290 COBBLEGATE DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5290 Cobblegate Drive
7th Floor

Moraine, OH 454394540

Telephone 9372932510
Associated Practice Facility / Clinic
🏢 Places Incorporated Facility NPI 1326012360

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Moraine, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Moraine, OH (7577 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: 2022-01-04
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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0301947 (OH)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Donna Suiters

Behavior Technician

NPI 1316535156

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 04, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 04, 2022

Registered at 5290 COBBLEGATE DRIVE, 7TH FLOOR, MORAINE, OH 454394540 (Tel: 9372932510)

📍
Updated Business Mailing Address January 04, 2022

Registered at 11 W MONUMENT AVE FL 7, DAYTON, OH 454021274 (Tel: 9374614300)

👤
Provider Name / Credentials Updated January 04, 2022

Recorded as MARRY JACKSON, QMHS ASSOC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2022

Behavior Technician

🟢
Initial NPI Registration & Enumeration January 04, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1871254631
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2022
Last Update: January 04, 2022
Sole Proprietor: No

Mailing Address

11 W Monument Ave Fl 7

Dayton, OH 454021274

Phone: 9374614300

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.