INTENSIVE BEHAVIOR SUPPORTS (NPI# 1073960993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073960993 |
| Entity Type | Organization |
| Organization Name | INTENSIVE BEHAVIOR SUPPORTS |
| Practice Address |
90 Citrus Ct Palm Harbor FL 34683-3702 |
| Practice Telephone | 7277449829 |
| Mailing Telephone | 7277449829 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |
| Authorized Official Name | TAMARA NENNI (OWNER) |
| Authorized Official Telephone | 7277449829 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1000169 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAID WAIVER | 011132200 | 01 |
| Street Address |
90 CITRUS CT |
| City | PALM HARBOR |
| State | FL |
| Zip Code | 34683-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184071094 | Tamara Nenni | Behavioral Analyst | 90 Citrus Ct, Palm Harbor, FL 34683-3702 | 2016-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659939338 | Douglas W Webster | Social Worker | 3023 Us 19 Alternate, Suite 102, Palm Harbor, FL 34683 | 2019-05-29 |
| 1043774003 | Edward G Mackay, Md and Associates, LLC | Phlebology | 2863 Alternate 19 North, Palm Harbor, FL 34683 | 2019-01-24 |
| 1386178739 | The Childrens Doctor of Tampabay, Jacquelin Eniebles Md, Pllc | Pediatrics | 14499 North Dale Mabry Hwy, Suite 180-s, Tampa, FL 34683 | 2017-04-12 |
| 1154785855 | David Blair | Nurse Anesthetist, Certified Registered | 492 Lakeview Dr, 40, Palm Harbor, FL 34683 | 2016-04-08 |
| 1043688773 | Counseling Options LLC | Counselor | 2706 Alternate 19 N, Suite 219, Palm Harbor, FL 34683 | 2015-09-11 |
| 1295144699 | Charisse Renee Diaz | Counselor | 2708 Alternate 19 North, Suite 507-6, Palm Harbor, FL 34683 | 2014-08-11 |
| 1295153658 | Family Private Care Inc | Home Health | 3060 Alternate Us 19, Suite B-15, Palm Harbor, FL 34683 | 2014-04-02 |
| 1649696360 | Aghapy Care LLC | Psychologist | 989 Skye Lane, Palm Harbor, FL 34683 | 2014-03-06 |
| 1225465164 | Angel R Reale | Counselor | 2311 Alternate 19 N, Suite 1, Palm Harbor, FL 34683 | 2013-10-10 |
| 1699010660 | Pamela Ann Mullenbruck | Physical Therapy Assistant | 2208 Andover Circle, Palm Harbor, FL 34683 | 2012-12-03 |
| Find all providers in zip 34683 | ||||
| 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 |
|---|---|---|---|---|
| 1831729748 | Keri Allison Mcdonald | Behavioral Analyst | 3025 Orchard Dr, Palm Harbor, FL 34684-1758 | 2020-01-20 |
| 1205391547 | Dianna Sabol | Behavioral Analyst | 2367 Maben Cir Apt P6, Palm Harbor, FL 34683-5162 | 2019-01-31 |
| 1396215794 | Yindra Castro | Behavioral Analyst | 3823 Lancaster Ct Apt 204, Palm Harbor, FL 34685-4116 | 2018-11-28 |
| 1700382132 | Monica Anestin | Behavioral Analyst | 1412 Seagull Dr Apt 306, Palm Harbor, FL 34685-3477 | 2018-04-04 |
| 1801395504 | Jocelyn Mitchell | Behavioral Analyst | 3823 Lancaster Ct Apt 203, Palm Harbor, FL 34685-4116 | 2018-02-08 |
| 1770993008 | Therese Evereth | Behavioral Analyst | 2350 Cypress Pond Rd, Apt 1606, Palm Harbor, FL 34683-1535 | 2014-05-08 |
| 1235425166 | Christina Gingras Sirico | Behavioral Analyst | 2424 Beacon Groves Blvd, Palm Harbor, FL 34683-3303 | 2011-06-20 |
| 1942505623 | Candace Nicole Thornburg | Behavioral Analyst | 1106 Mineola Cir, Palm Harbor, FL 34683-5516 | 2011-01-11 |
| 1295069748 | Shannan Nicole Smith | Behavioral Analyst | 1524 Kansas Ave, Palm Harbor, FL 34683-3639 | 2009-09-30 |
| 1962736132 | Matt Potak | Behavioral Analyst | 692 Greenglen Ln, Palm Harbor, FL 34684-3024 | 2009-09-21 |
| Find all providers in PALM HARBOR | ||||
| City | PALM HARBOR |
| Zip Code | 34683 |
Please comment or provide details below to improve the information on INTENSIVE BEHAVIOR SUPPORTS.
| 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.