TYLER BOLVIN (NPI# 1043826431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043826431 |
| Entity Type | Individual |
| Full Name | TYLER BOLVIN |
| Credential | RBT |
| Practice Address |
823 Dunlawton Ave Port Orange FL 32127-4220 |
| Mailing Address |
1824 Touby Pike Ste B Kokomo IN 46901-2573 |
| Practice Telephone | 8778234283 |
| Practice Fax Number | 3523328589 |
| Mailing Telephone | 7656287400 |
| Mailing Fax Number | 8559400177 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
823 DUNLAWTON AVE |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32127-4220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164442695 | I Warren Hersch | Dentist | 823 Dunlawton Ave, Suite E, Port Orange, FL 32127-4220 | 2006-07-20 |
| 1437756871 | Caitlin Anderson | Behavior Technician | 823 Dunlawton Ave, Port Orange, FL 32127-4220 | 2020-10-08 |
| 1225635717 | Kailey Mireles | Behavior Technician | 823 Dunlawton Ave, Port Orange, FL 32127-4220 | 2020-10-07 |
| 1790392017 | Suheir Aljundi | Behavior Technician | 823 Dunlawton Ave, Port Orange, FL 32127-4220 | 2020-09-30 |
| 1770199879 | Brandi Brooks | Behavior Technician | 823 Dunlawton Ave, Port Orange, FL 32127-4220 | 2020-09-23 |
| 1134735657 | Amrik Dhaliwal | Behavior Technician | 823 Dunlawton Ave, Port Orange, FL 32127-4220 | 2020-09-21 |
| 1588279541 | Devaughn Edwards | Behavior Technician | 823 Dunlawton Ave, Port Orange, FL 32127-4220 | 2020-09-15 |
| 1891300307 | Breanna Davis | Behavior Technician | 823 Dunlawton Ave, Port Orange, FL 32127-4220 | 2020-09-11 |
| 1427663327 | Danielle Kehoe | Behavior Technician | 823 Dunlawton Ave, Port Orange, FL 32127-4220 | 2020-09-09 |
| 1194338582 | Morgan Wallingford | Behavior Technician | 823 Dunlawton Ave, Port Orange, FL 32127-4220 | 2020-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918179 | Karen Lugo Morales | Massage Therapist | 1394 Dunlawton Ave, Apartment 505, Port Orange, FL 32127 | 2020-09-30 |
| 1265952568 | Compass Nutrition LLC | Dietitian, Registered | 840 Angelina Court, Port Orange, FL 32127 | 2017-06-27 |
| 1942730544 | Ambili Gopinathan Nair | Nurse Anesthetist, Certified Registered | 6216 Morning Drive, Port Orange, FL 32127 | 2017-06-15 |
| 1649707993 | Jill Lynn Sheldon | Social Worker | 3959 South Nova Road, Suiteb15, Port Orange, FL 32127 | 2017-05-17 |
| 1003350620 | Irene A Zachry | Interpreter | 6239 Yellowstone Dr. Port Orange Fl, Port Orange, FL 32127 | 2016-12-16 |
| 1427460328 | Jonathan Ivan Rodriguez Arocho | Chiropractor | 940 Village Trail, Unit 4-105, Port Orange, FL 32127 | 2014-05-27 |
| 1982015913 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1208 Dunlawton Ave, Port Orange, FL 32127 | 2014-05-13 |
| 1699105288 | Counseling & Consultation, Corp. | Early Intervention Provider Agency | 3959 S. Nova Rd., Suite 14, Port Orange, FL 32127 | 2013-11-18 |
| 1427484773 | Usv Optical Inc. | Technician/Technologist | 1800 Dunlawton Ave., Port Orange, FL 32127 | 2013-09-18 |
| 1104194018 | Jinny E Ruhlman | Marriage & Family Therapist | 4725 Dixie Dr, Ponce Inlet, FL 32127 | 2011-12-06 |
| Find all providers in zip 32127 | ||||
| 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 |
|---|---|---|---|---|
| 1548814536 | Shea Alexis Mclean-reshen | Behavior Technician | 3781 Grove View Ln, Port Orange, FL 32129-8602 | 2019-07-28 |
| 1538625231 | Liana Divoky Tomei | Behavior Technician | 11 Royal Palm Cir, Port Orange, FL 32127-5307 | 2019-02-18 |
| 1942772868 | Jared R Pagan | Behavior Technician | 4647 Clyde Morris Blvd, Port Orange, FL 32129-3000 | 2018-12-18 |
| 1760919468 | Makayla Earl | Behavior Technician | 1557 Town Park Dr., Port Orange, FL 32129 | 2017-05-12 |
| 1083214092 | Stephanie Valdes | Behavior Technician | 4647 Clyde Morris Blvd, Port Orange, FL 32129-3000 | 2020-10-28 |
| 1265031298 | Tracy A Smith | Behavior Technician | 4647 Clyde Morris Blvd Unit 501, Port Orange, FL 32129-3001 | 2020-10-21 |
| 1437756871 | Caitlin Anderson | Behavior Technician | 823 Dunlawton Ave, Port Orange, FL 32127-4220 | 2020-10-08 |
| 1225635717 | Kailey Mireles | Behavior Technician | 823 Dunlawton Ave, Port Orange, FL 32127-4220 | 2020-10-07 |
| 1790392017 | Suheir Aljundi | Behavior Technician | 823 Dunlawton Ave, Port Orange, FL 32127-4220 | 2020-09-30 |
| 1770199879 | Brandi Brooks | Behavior Technician | 823 Dunlawton Ave, Port Orange, FL 32127-4220 | 2020-09-23 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32127 |
Please comment or provide details below to improve the information on TYLER BOLVIN.
| 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.