BERTHA MARIA PETERSON (NPI# 1083122840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083122840 |
| Entity Type | Individual |
| Full Name | BERTHA MARIA PETERSON |
| Practice Address |
415 Hibiscus Blvd Merritt Island FL 32952-5070 |
| Mailing Address |
4940 Somerville Dr Rockledge FL 32955-6716 |
| Practice Telephone | 3219617831 |
| Practice Fax Number | 4079603009 |
| Mailing Telephone | 4237078542 |
| Mailing Fax Number | 4079603009 |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-01-15 |
| 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 |
415 HIBISCUS BLVD |
| City | MERRITT ISLAND |
| State | FL |
| Zip Code | 32952-5070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831412733 | Marta T. Fiol | Behavioral Analyst | 415 Hibiscus Blvd, Merritt Island, FL 32952-5070 | 2010-03-05 |
| 1487122941 | Morgan Mccoy | Behavior Technician | 415 Hibiscus Blvd, Merritt Island, FL 32952-5070 | 2018-11-02 |
| 1992213151 | Melissa Susan Peterson | Behavioral Analyst | 415 Hibiscus Blvd, Merritt Island, FL 32952-5070 | 2018-01-22 |
| 1174031926 | Michael Hunter Butcher | Behavior Technician | 415 Hibiscus Blvd, Merritt Island, FL 32952-5070 | 2018-01-15 |
| 1780192542 | Amy Kathaleen Glover | Behavioral Analyst | 415 Hibiscus Blvd, Merritt Island, FL 32952-5070 | 2018-01-15 |
| 1528576345 | Michelle Greaves | Behavioral Analyst | 415 Hibiscus Blvd, Merritt Island, FL 32952-5070 | 2018-01-15 |
| 1528598448 | Valerie Minor | Behavioral Analyst | 415 Hibiscus Blvd, Merritt Island, FL 32952-5070 | 2017-06-13 |
| 1679006506 | Teaching Interventions Keeping Individuality, Inc | Behavioral Analyst | 415 Hibiscus Blvd, Merritt Island, FL 32952-5070 | 2017-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841761673 | Pushpa Daliya | Physical Medicine & Rehabilitation | 1200 S Courtenay Pkwy, Merritt Island, FL 32952 | 2018-12-05 |
| 1407335458 | Merritt Island Outpatient Surgery Center, LLC | Clinic/Center | 450 E Merritt Island Cswy Ste 400, Merritt Island, FL 32952 | 2018-08-10 |
| 1760903272 | Harold A Utt Jr. | Audiologist | 105 N. Banana River Drive, Merritt Island, FL 32952 | 2017-07-06 |
| 1942720982 | Cadiz Senior Care | Assisted Living Facility | 1970 Farrington Drive, Merritt Island, FL 32952 | 2017-06-21 |
| 1891230884 | Jessica Orcel | Behavioral Analyst | 1680 E. Central Avenue, Merritt Island, FL 32952 | 2016-12-29 |
| 1770039539 | Haley Haskins | Student in an Organized Health Care Education/Training Program | 1655 Yates Dr., Merritt Island, FL 32952 | 2016-08-31 |
| 1891150900 | Kristin Stevenson | Case Management | 262 Island Beach Blvd, Mirritt Island, FL 32952 | 2015-12-17 |
| 1568835080 | Brilliant Smiles Orthodontics | Health Maintenance Organization | 455 Magnolia Avenue, Merritt Island, FL 32952 | 2015-11-05 |
| 1184967184 | Roseann Judith Simone | Assisted Living Facility | 280 Bahama Dr, Angel Guardian, Cocoa Beach, FL 32952 | 2013-03-28 |
| 1942558861 | Daven H Patel | Dentist | 800 E. Merritt Island Causeway, Merritt Island, FL 32952 | 2012-08-27 |
| Find all providers in zip 32952 | ||||
| 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 |
|---|---|---|---|---|
| 1891230884 | Jessica Orcel | Behavioral Analyst | 1680 E. Central Avenue, Merritt Island, FL 32952 | 2016-12-29 |
| 1205378908 | Karla Larson | Behavioral Analyst | 225 Buccaneer Ave Apt 204, Merritt Island, FL 32952-2537 | 2016-11-11 |
| 1700251980 | Morgan Berry | Behavioral Analyst | 1690 Davis Dr, Merritt Island, FL 32952-5933 | 2015-12-14 |
| 1831412733 | Marta T. Fiol | Behavioral Analyst | 415 Hibiscus Blvd, Merritt Island, FL 32952-5070 | 2010-03-05 |
| 1821324690 | Olafia Vilhjalmsdottir Balo | Behavioral Analyst | 1680 E Central Ave, Merritt Island, FL 32952-5675 | 2009-10-28 |
| 1558911883 | Joseph Leith Anthony Lewis | Behavioral Analyst | 130 N Tropical Trl, Merritt Island, FL 32953-4737 | 2019-09-18 |
| 1417413055 | Choices Behavioral Health LLC | Behavioral Analyst | 2062 N Courtenay Pkwy, Merritt Island, FL 32953-4285 | 2019-02-19 |
| 1992213151 | Melissa Susan Peterson | Behavioral Analyst | 415 Hibiscus Blvd, Merritt Island, FL 32952-5070 | 2018-01-22 |
| 1780192542 | Amy Kathaleen Glover | Behavioral Analyst | 415 Hibiscus Blvd, Merritt Island, FL 32952-5070 | 2018-01-15 |
| 1528576345 | Michelle Greaves | Behavioral Analyst | 415 Hibiscus Blvd, Merritt Island, FL 32952-5070 | 2018-01-15 |
| Find all providers in MERRITT ISLAND | ||||
| City | MERRITT ISLAND |
| Zip Code | 32952 |
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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.