Tracie Latrice Jackson is a Behavioral Analyst based in Las Vegas, CA. Tracie Latrice Jackson practices in Covina, CA. The NPI Number for Tracie Latrice Jackson is 1275181414 and holds a License No. (California).
The current practice location address for Tracie Latrice Jackson is 1274 Center Court Dr Ste 211, Covina, CA and can be reached out via phone at 909-231-5639.
Location: 1274 Center Court Dr Ste 211, Covina, CA, 89130-3154
Provider Profile Details
NPI Number
1275181414
Provider Name
Tracie Latrice Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1274 Center Court Dr Ste 211, Covina, CA, 89130-3154
Phone Number
909-231-5639
Fax Number
Provider Enumeration Date
08/30/2019
Last Update Date
04/13/2024
Provider Business Practice Location Address Details
Address
1274 Center Court Dr Ste 211
City
State
Zip
91724-3668
Phone Number
909-231-5639
Fax Number
Provider Business Mailing Address Details
Address
1274 Center Court Dr Ste 211
City
State
Zip
91724-3668
Phone Number
909-231-5639
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Analyst
Speciality
-
Taxonomy
License No.
(California)
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.
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Chore Provider
Speciality
-
Taxonomy
License No.
(Nevada)
Definition
An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
License No.
(Nevada)
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
Provider's Taxonomy Details 4
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
License No.
(Nevada)
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Provider's Taxonomy Details 5
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
License No.
(Nevada)
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Provider's Taxonomy Details 6
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
License No.
(Nevada)
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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