STACEY GROCKE (NPI# 1003442542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003442542 |
| Entity Type | Individual |
| Full Name | STACEY GROCKE |
| Practice Address |
10014 N Dale Mabry Hwy Tampa FL 33618-4426 |
| Practice Telephone | 8003564049 |
| Mailing Telephone | 8003564049 |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
10014 N DALE MABRY HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33618-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063606184 | Tazia K. Stagg | Preventive Medicine | 10014 N Dale Mabry Hwy, Tampa, FL 33618-4426 | 2007-08-31 |
| 1427684976 | Derail Holcomb | Behavior Technician | 10014 N Dale Mabry Hwy, Tampa, FL 33618-4426 | 2020-03-17 |
| 1477189926 | Sarah Knox | Behavior Technician | 10014 N Dale Mabry Hwy, Tampa, FL 33618-4426 | 2020-03-17 |
| 1689230393 | Orinthea Decarish | Counselor | 10014 N Dale Mabry Hwy, Tampa, FL 33618-4426 | 2019-05-17 |
| 1770987505 | Jessica G. Rausch-medina, M.d. | Psychiatry & Neurology | 10014 N Dale Mabry Hwy, Suite 222, Tampa, FL 33618-4426 | 2014-10-22 |
| 1700178985 | Ribo & Associates | In Home Supportive Care | 10014 N Dale Mabry Hwy, Suite 101, Tampa, FL 33618-4426 | 2011-05-06 |
| 1679879100 | Jessica Sade Andrews | Behavioral Analyst | 10014 N Dale Mabry Hwy, Tampa, FL 33618-4426 | 2011-01-31 |
| 1396050894 | Progressus Therapy, LLC | Counselor | 10014 N Dale Mabry Hwy, Suite C-100, Tampa, FL 33618 | 2010-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714130 | Virgin Mary's Pharmacy | Pharmacy | 14606 N Dale Mabry, Tampa, FL 33618 | 2020-03-05 |
| 1801378252 | Leah Rae Petit | Nurse Practitioner | 3505, 11809 N Dale Mabry Hwy, Tampa, FL 33618 | 2018-09-02 |
| 1265921100 | Almighty Home Healthcare Services, Inc. | Home Health | 16614 N. Dale Mabry Hwy, Tampa, FL 33618 | 2018-05-07 |
| 1972016368 | Pepe C Mcneal | Specialist | 15241 North Dalemabry Ave, Sola Salons (studio #14, Tampa, FL 33618 | 2017-11-08 |
| 1760919179 | Sara Ashley Carr | Counselor | 10014 N Dale Mabry Hwy Ste 216, Tampa, FL 33618 | 2017-05-16 |
| 1073975231 | National Vision, Inc. | Technician/Technologist | 10934 N Dale Mabry Hwy, Carrollwood, FL 33618 | 2016-03-25 |
| 1003209792 | Tampa General Medical Group Inc | Internal Medicine | 3419 N Lakeview Dr, Tampa, FL 33618 | 2015-03-05 |
| 1114205648 | Liberty Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3653 Madaca Ln, Tampa, FL 33618 | 2011-08-02 |
| 1386938215 | David Leonardo Higuera | Pharmacist | 2901 W Bush Blvd, Suite 104, Tampa, FL 33618 | 2011-06-08 |
| 1922303973 | Kimberly Lynne Little | Social Worker | 3044 W. Bearss Avenue, Tampa, FL 33618 | 2011-01-24 |
| Find all providers in zip 33618 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| 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. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669892 | Yendria Not Daisson I | Behavior Technician | 2522 Auburn Ave W, Tampa, FL 33614-2802 | 2020-11-03 |
| 1154922581 | Eidis Lopez Roque | Behavior Technician | 8502 Rivershire Ct, Tampa, FL 33634-1114 | 2020-11-03 |
| 1558961862 | Yeney Martin Stevenson | Behavior Technician | 1105 Teakwood Ave, Tampa, FL 33613-1727 | 2020-10-27 |
| 1629677372 | Elaine A Peyno | Behavior Technician | 9042 Grateful Thomas Trl Apt 408, Tampa, FL 33626-1675 | 2020-10-23 |
| 1780283440 | Yissed Ortega Izquierdo | Behavior Technician | 4535 Castaway Dr Apt 1, Tampa, FL 33615-5181 | 2020-10-22 |
| 1790384600 | Thalia Arteaga Ferro | Behavior Technician | 18002 Richmond Place Dr Apt 2123, Tampa, FL 33647-1732 | 2020-10-21 |
| 1265030043 | Yaquelin Sanchez Gines | Behavior Technician | 6910 N Himes Ave, Tampa, FL 33614-4034 | 2020-10-13 |
| 1003414103 | Roman Anthony Pinheiro | Behavior Technician | 8001 Beaty Grove Dr Fl 33626, Tampa, FL 33626-1602 | 2020-10-12 |
| 1790382067 | Zuriam Alonso | Behavior Technician | 4850 Foxshire Cir, Tampa, FL 33624-4316 | 2020-10-08 |
| 1912504606 | Erica Peckens O'connor | Behavior Technician | 15216 Alexis Dr, Tampa, FL 33624-2347 | 2020-10-06 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.