AMANDA NICOLE HOLLOWAY (NPI# 1053943662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053943662 |
| Entity Type | Individual |
| Full Name | AMANDA NICOLE HOLLOWAY |
| Practice Address |
4181 Sw High Meadows Ave Palm City FL 34990-3725 |
| Mailing Address |
4274 Sw Kazan St Port Saint Lucie FL 34953-7247 |
| Practice Telephone | 7722225560 |
| Practice Fax Number | 8446528088 |
| Mailing Telephone | 7728125225 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457985301 | Amanda Holloway | Specialist/Technologist, Other | 364 New Braintree Rd, Oakham, MA 01068-9792 | 2020-03-01 |
| 1649636028 | Amanda Natasha Holloway | Nurse Practitioner | 115 Lariat Court, Stephens City, VA 22655 | 2016-01-14 |
| 1700438280 | Amanda Holloway | Pharmacist | 700 19th St S, Birmingham, AL 35233-1927 | 2019-07-15 |
| 1487181640 | Amanda Holloway | Occupational Therapy Assistant | 250 N Bethlehem Pike, Ambler, PA 19002-3524 | 2017-05-18 |
| 1053847855 | Amanda Rae Holloway | Pediatrics | 1 Lower Navy Hill Road, Saipan, MP 96950 | 2017-05-11 |
| 1447784848 | Amanda Lynn Holloway | Family Medicine | 130 Hartford Rd, Manchester, CT 06040-5921 | 2017-04-12 |
| 1114385598 | Amanda Holloway | Counselor | 150 Medical Way, Riverdale, GA 30274-2533 | 2016-02-01 |
| 1164714473 | Amanda Holloway | Psychiatry & Neurology | 50 Irving St Nw, Mental Health, Washington, DC 20422-0001 | 2011-05-04 |
| Street Address |
4181 SW HIGH MEADOWS AVE |
| City | PALM CITY |
| State | FL |
| Zip Code | 34990-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700309713 | Jeisel Vazquez Rodriguez | Behavioral Analyst | 4181 Sw High Meadows Ave, Palm City, FL 34990-3725 | 2017-07-21 |
| 1154940468 | Sean Aidan O'brien | Behavior Technician | 4181 Sw High Meadows Ave, Palm City, FL 34990-3725 | 2020-04-16 |
| 1306472261 | Veronica Shayne Maranan Vergara | Behavior Technician | 4181 Sw High Meadows Ave, Palm City, FL 34990-3725 | 2020-03-22 |
| 1144853243 | Donald Luke Webb | Behavior Technician | 4181 Sw High Meadows Ave, Palm City, FL 34990-3725 | 2020-02-17 |
| 1295367498 | Hannah E Gunsalus | Behavior Technician | 4181 Sw High Meadows Ave, Palm City, FL 34990-3725 | 2020-02-06 |
| 1871152165 | Angela Elizabeth Mendel | Behavior Technician | 4181 Sw High Meadows Ave, Palm City, FL 34990-3725 | 2019-06-10 |
| 1316500598 | Karen Marie Christie | Behavior Technician | 4181 Sw High Meadows Ave, Palm City, FL 34990-3725 | 2019-04-15 |
| 1114488822 | Danielle Skye Martin | Behavior Technician | 4181 Sw High Meadows Ave, Palm City, FL 34990-3725 | 2019-03-26 |
| 1992260806 | Shawn Michael Phillips | Behavior Technician | 4181 Sw High Meadows Ave, Palm City, FL 34990-3725 | 2019-02-05 |
| 1699243121 | Amanda Mayher | Behavior Technician | 4181 Sw High Meadows Ave, Palm City, FL 34990-3725 | 2018-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065609 | Aaron Montgomery | Counselor | 337 Sw Corporate Pkwy, Palm City, FL 34990 | 2020-05-21 |
| 1154977981 | Cassie Farnsworth | Speech-Language Pathologist | 6471 Sw Key Deer Lane, Palm City, FL 34990 | 2019-08-16 |
| 1770053357 | Molly Kathryn Kearns | Behavior Technician | 1765 Sw Captains Place, Palm City, FL 34990 | 2018-11-27 |
| 1114433604 | Invision Diagnostics of Florida LLC | Clinic/Center | 1025 Sw Martin Downs Blvd Ste 201, Palm City, FL 34990 | 2017-12-19 |
| 1235651167 | Stephanie Boniewski | Nurse Practitioner | 1713 Sw 32nd Terrace, Palm City, FL 34990 | 2017-07-12 |
| 1851840383 | Cynthia Gale Dinenna | Physical Therapist | 3539 Sw Corporate Pkwy, Palm City, FL 34990 | 2016-09-26 |
| 1174910970 | Elizabeth Reynolds | Nurse Practitioner | 1603 Sw Thelma Street, Palm City, FL 34990 | 2015-04-20 |
| 1669867495 | The Laboratory Company | Clinical Medical Laboratory | 2340 Sw Poma Dr, Palm City, FL 34990 | 2015-03-30 |
| 1851724983 | Brittney Whelihan Irwin | Nurse Practitioner | 8409 N Military Trail, Suite 126, Palm Beach Gardens, FL 34990 | 2013-08-13 |
| 1366874216 | The Lukens Institute. LLC | Substance Abuse Rehabilitation Facility | 3587 Sw Corporate Parkway, Palm City, FL 34990 | 2013-08-02 |
| Find all providers in zip 34990 | ||||
| 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 |
|---|---|---|---|---|
| 1770053357 | Molly Kathryn Kearns | Behavior Technician | 1765 Sw Captains Place, Palm City, FL 34990 | 2018-11-27 |
| 1780181750 | Gabriela Gerson | Behavior Technician | 3502 Sw Coco Palm Dr, Palm City, FL 34990-3158 | 2018-04-06 |
| 1619588951 | Justin Simpson | Behavior Technician | 1765 Sw Captains Pl, Palm City, FL 34990-1747 | 2020-08-11 |
| 1336758259 | Nicole Cannella | Behavior Technician | 1765 Sw Captains Pl, Palm City, FL 34990-1747 | 2020-07-27 |
| 1487262150 | Carlot Francois | Behavior Technician | 1765 Sw Captains Pl, Palm City, FL 34990-1747 | 2020-07-20 |
| 1497363220 | Zoraida Aristizabal | Behavior Technician | 1765 Sw Captains Pl, Palm City, FL 34990-1747 | 2020-07-17 |
| 1629691407 | Alyssa S Catapano | Behavior Technician | 1765 Sw Captains Pl, Palm City, FL 34990-1747 | 2020-05-27 |
| 1356961965 | Annmarie Garman | Behavior Technician | 1765 Sw Captains Pl, Palm City, FL 34990-1747 | 2020-04-23 |
| 1154940468 | Sean Aidan O'brien | Behavior Technician | 4181 Sw High Meadows Ave, Palm City, FL 34990-3725 | 2020-04-16 |
| 1306472261 | Veronica Shayne Maranan Vergara | Behavior Technician | 4181 Sw High Meadows Ave, Palm City, FL 34990-3725 | 2020-03-22 |
| Find all providers in PALM CITY | ||||
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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.