EVALEONOR TIFFANY TAYLOR (NPI# 1053918581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053918581 |
| Entity Type | Individual |
| Full Name | EVALEONOR TIFFANY TAYLOR |
| Practice Address |
3415 W Lake Mary Blvd # 4045 Lake Mary FL 32795-7501 |
| Practice Telephone | 4079956106 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
3415 W LAKE MARY BLVD # 4045 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32795-7501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750847463 | Thomas Dylan Butler | Behavior Technician | 3415 W Lake Mary Blvd # 4045, Lake Mary, FL 32795-7501 | 2019-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407473424 | Yesenia Hernandez | Behavior Technician | 3451 W Lake Mary Blvd, Lake Mary, FL 32795 | 2020-06-26 |
| 1518097633 | Robert Saxman Cunningham Jr. | Chiropractor | 149 Estates Circle, Lake Mary, FL 32795 | 2007-03-07 |
| 1346622180 | Michael Saint Antonio Augustine | Pharmacist | 3415 W Lake Mary Blvd, Box 951261, Lake Mary, FL 32795-7501 | 2015-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436680 | Richard Ta | Pharmacist | 3687 Farm Bell Pl, Lake Mary, FL 32746-4107 | 2020-10-27 |
| 1710586102 | Holleigh Lynette Walker | Behavior Technician | 300 International Parkway Suite 200, 300 International Parkway Suite 200, Lake Mary, FL 32746-3625 | 2020-10-18 |
| 1194332288 | Karen H Cloninger | Counselor | 122 N 4th St Ste 2006, Lake Mary, FL 32746-2944 | 2020-09-23 |
| 1083227102 | Caroline Celine Miller | Nurse Practitioner | 517 Pickfair Ter, Lake Mary, FL 32746-5814 | 2020-08-28 |
| 1104436492 | Caretinuum Health | Clinic/Center | 3208 W Lake Mary Blvd Ste 1710, Lake Mary, FL 32746-3467 | 2020-08-03 |
| 1407473424 | Yesenia Hernandez | Behavior Technician | 3451 W Lake Mary Blvd, Lake Mary, FL 32795 | 2020-06-26 |
| 1902422090 | Eric Dustin Brisbon | Behavior Technician | 200 Waymont Ct Ste 122, Lake Mary, FL 32746-3413 | 2020-06-24 |
| 1710503495 | Stefanie Allison Quinones | Registered Nurse | 199 Main Rd, Lake Mary, FL 32746-3996 | 2020-06-18 |
| 1629693965 | Danielle Silva | Nurse Practitioner | 725 Primera Blvd Ste 140, Lake Mary, FL 32746-2130 | 2020-06-12 |
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| Find all providers in LAKE MARY | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205493954 | Arise Autism Center LLC | Behavioral Analyst | 200 Waymont Ct Ste 122-124, Lake Mary, FL 32746-3413 | 2019-05-28 |
| 1275988412 | Behavior Blossoms LLC | Behavioral Analyst | 580 Holbrook Cir, Lake Mary, FL 32746-6332 | 2016-04-25 |
| 1184080988 | Brittany Monington | Behavioral Analyst | 300 International Pkwy Ste 200, Lake Mary, FL 32746-5028 | 2016-01-08 |
| 1437409026 | Carmen Mcguinness | Behavioral Analyst | 1301 S International Pkwy Ste 1005, Lake Mary, FL 32746-1410 | 2012-09-11 |
| 1710207477 | Venesa Rose Balis | Behavioral Analyst | 708 Alto Pl, Lake Mary, FL 32746-2341 | 2010-06-04 |
| 1457966350 | Yamile Velazquez | Behavioral Analyst | 200 Waymont Ct Ste 122, Lake Mary, FL 32746-3413 | 2020-09-09 |
| 1669080347 | Robert Mosley | Behavioral Analyst | 300 International Pkwy Ste 200, Lake Mary, FL 32746-5028 | 2020-07-17 |
| 1538787759 | Katie Giewont | Behavioral Analyst | 200 Waymont Ct Ste 122-124, Lake Mary, FL 32746-3413 | 2020-07-14 |
| 1497373476 | Andrew Kevin Manderson | Behavioral Analyst | 300 International Pkwy Ste 200, Lake Mary, FL 32746-5028 | 2020-07-07 |
| 1336774090 | Marley Alexandra Burke | Behavioral Analyst | 791 Rinehart Rd, Lake Mary, FL 32746-4876 | 2020-03-03 |
| Find all providers in LAKE MARY | ||||
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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.