CHACE ROBERTS (NPI# 1093217176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093217176 |
Entity Type | Individual |
Full Name | CHACE ROBERTS |
Practice Address |
851 N Donnelly St Ste 10 Mount Dora FL 32757-4835 |
Mailing Address |
Po Box 963 Mount Dora FL 32756-0963 |
Practice Telephone | 8446686222 |
Practice Fax Number | 8889750599 |
Mailing Telephone | 8446686222 |
Mailing Fax Number | 8889750599 |
Enumeration Date | 2018-03-05 |
Last Update Date | 2020-04-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
Street Address |
851 N DONNELLY ST STE 10 |
City | MOUNT DORA |
State | FL |
Zip Code | 32757-4835 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558549956 | Mark R Chambers | Behavioral Analyst | 851 N Donnelly St Ste 10, Mount Dora, FL 32757-4835 | 2008-02-07 |
1962048553 | Tiffany Mason | Behavior Technician | 851 N Donnelly St Ste 10, Mount Dora, FL 32757-4835 | 2019-11-19 |
1215571526 | Ginamarie Kenney | Behavior Technician | 851 N Donnelly St Ste 10, Mount Dora, FL 32757-4835 | 2019-10-30 |
1376104414 | Brandon Ortiz | Behavior Technician | 851 N Donnelly St Ste 10, Mount Dora, FL 32757-4835 | 2019-06-27 |
1538726740 | Arahy Delgado Gonzalez | Behavior Technician | 851 N Donnelly St Ste 10, Mount Dora, FL 32757-4835 | 2019-05-22 |
1558928762 | Heather Joyce | Behavior Technician | 851 N Donnelly St Ste 10, Mount Dora, FL 32757-4835 | 2019-05-22 |
1649759697 | Kaitlyn Rose Nelson | Behavior Technician | 851 N Donnelly St Ste 10, Mount Dora, FL 32757-4835 | 2018-08-10 |
1174020804 | Tiffany Reed | Behavior Technician | 851 N Donnelly St Ste 10, Mount Dora, FL 32757-4835 | 2018-04-10 |
1932601119 | Brittany Forbes | Behavioral Analyst | 851 N Donnelly St Ste 10, Mount Dora, FL 32757-4835 | 2018-03-05 |
1982113189 | David Robert Gaetz | Behavior Technician | 851 N Donnelly St Ste 10, Mount Dora, FL 32757-4835 | 2017-09-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093324824 | Cypress Grove Counseling Center LLC | Counselor | 6551 N Orange Blossom Trail Suite 209 #1005, Mount Dora, FL 32757 | 2020-07-28 |
1790327286 | Alisha Dawn Bateman | Nurse Practitioner | 7678 Lake Ola Dr., Mount Dora, FL 32757 | 2019-10-16 |
1306496153 | Carehere LLC | Family Medicine | Carehere Clinic- City of Mount Dora, Fl, 2110 North Donnelly Street, Mt Dora, FL 32757 | 2019-09-13 |
1871008680 | Sonya Quiroz | Behavior Technician | 21038 Niles Ave, Mount Dora, FL 32757 | 2017-12-04 |
1043737661 | Erin N Booth | Behavior Technician | 411 N. Donnelly St., Suite 307, Mount Dora, FL 32757 | 2017-08-24 |
1053850073 | Sunshine Recovery Network, Inc | Community/Behavioral Health | 632 E 5th Ave, Mount Dora, FL 32757 | 2017-02-23 |
1336684661 | Catherine Lim Panlilio | Physical Therapist | 300 Brookfield Avenue, Mount Dora, FL 32757 | 2016-12-22 |
1659815306 | Mount Dora Modern Dentistry, Pa | Dentist | 17365 Us Hwy 441, Eustis, FL 32757 | 2016-12-15 |
1447603303 | Lake County Adult Activity Center Inc | Respite Care | 1934 N Donnelly St, Suite B, Mount Dora, FL 32757 | 2016-07-15 |
1871955724 | Sagir Patel | Dentist | 17365 Us Highway 441, Mount Dora, FL 32757 | 2016-03-22 |
Find all providers in zip 32757 |
Taxonomy Code | 106E00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Assistant Behavior Analyst |
An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
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 |
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1992305924 | Irialis Gonzalez Gutierrez | Assistant Behavior Analyst | 6261 W Flagler St Apt 22, Miami, FL 33144-3024 | 2020-10-28 |
1265031157 | Raquel Daetz Garcia | Assistant Behavior Analyst | 11262 Sw 230th Ter, Miami, FL 33170-7612 | 2020-10-21 |
1790383149 | Jorge L Hernandez Aguilar | Assistant Behavior Analyst | 14236 Sw 91st St, Miami, FL 33186-7802 | 2020-10-16 |
1114525839 | Stepping Stones Supports LLC | Assistant Behavior Analyst | 5221 Nw 81st Ter, Lauderhill, FL 33351-5050 | 2020-10-14 |
1912505884 | Maria Matilde Alonso Urquijo | Assistant Behavior Analyst | 7317 Sw 22nd St, Miami, FL 33155-1426 | 2020-10-13 |
1093312647 | Rody Blanco | Assistant Behavior Analyst | 18512 Field Club Way, Tampa, FL 33647-1823 | 2020-10-07 |
1699372870 | Karen Zhao | Assistant Behavior Analyst | 8303 Sw 107th Ave Apt A, Miami, FL 33173-3805 | 2020-10-01 |
1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
1689281453 | Betsy Escobar Lozada | Assistant Behavior Analyst | 601 Ludlam Dr Apt 1, Miami Springs, FL 33166-4971 | 2020-09-25 |
1710593991 | Odalis De Las Mercedes Marrero | Assistant Behavior Analyst | 6502 Blue Ribbon Ln Apt 301, Tampa, FL 33625-2480 | 2020-09-22 |
Find all providers with the same taxonomy |
City | MOUNT DORA |
Zip Code | 32757 |
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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.