ABIGAIL IRENE DUDEK (NPI# 1093332942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093332942 |
| Entity Type | Individual |
| Full Name | ABIGAIL IRENE DUDEK |
| Practice Address |
6800 West Us-98 Pensacola FL 32506 |
| Mailing Address |
3771 Stefani Rd Cantonment FL 32533-7795 |
| Practice Telephone | 8506076910 |
| Practice Fax Number | 8506076932 |
| Mailing Telephone | 8506076910 |
| Mailing Fax Number | 8506076932 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
6800 WEST US-98 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053957274 | Melissa Marie Swango | Technician | 3 Usher Cir, Pensacola, FL 32506 | 2019-11-22 |
| 1215479506 | Kerry Jo Pham | Advanced Practice Midwife | 225 N New Warrington Rd, Pensacola, FL 32506 | 2016-11-17 |
| 1750761375 | Congleton Eye Care, LLC | Optometrist | 4600 Mobile Hwy, Suite 122, Pensacola, FL 32506 | 2015-06-09 |
| 1033312293 | Rogelio Tridanio Martinez Sr. | Pain Medicine | 4806 Mobile Highway, Suite D, Pensacola, FL 32506 | 2007-06-06 |
| 1215023726 | Martha Goff | Pharmacist | 50 S. Blue Angel Parkway, Pensacola, FL 32506 | 2006-10-04 |
| 1881703635 | John Daniel Hodge | Dentist | 4800 W Fairfield Dr, Pensacola, FL 32506 | 2006-08-29 |
| 1417066275 | Fairfield Dental Center | Dentist | 4800 W. Fairfield Drive, Pensacola, FL 32506 | 2006-08-29 |
| 1942277793 | Phillip Martine Drlicka | Dentist | 901 N Warrington Rd, Pensocola, FL 32506 | 2006-03-01 |
| 1083694186 | Lester Shawn Bowling | Internal Medicine | 321 South Fairfield Dr, Pensacola, FL 32506 | 2006-01-17 |
| 1114433166 | Stephanie E Hattaway | Nurse Practitioner | 4929 Mobile Hwy, Pensacola, FL 32506 | 2017-12-28 |
| Find all providers in zip 32506 | ||||
| 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 |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1538655303 | Jessica Mooningham | Behavior Technician | 1003 Vernon St, Pensacola, FL 32504-7055 | 2018-07-05 |
| 1780191254 | Briana Jackson | Behavior Technician | 6800 W Highway 98, Pensacola, FL 32506-8969 | 2018-01-05 |
| 1699282210 | Paul Villaruel | Behavior Technician | 2431 Creighton Rd, Pensacola, FL 32504-7337 | 2018-01-04 |
| 1861905481 | Kendra Leah Garrett | Behavior Technician | 2500 Gulf Breeze Ave, Pensacola, FL 32507-2655 | 2017-11-06 |
| 1386184760 | Jessica Evans | Behavior Technician | 2500 Gulf Beach Hwy, Pensacola, FL 32507-2831 | 2017-03-03 |
| 1487251252 | Kandia Latai Cooper | Behavior Technician | 2431 Creighton Rd, Pensacola, FL 32504-7337 | 2020-10-05 |
| 1558976225 | Madison Posey | Behavior Technician | 1100 Airport Blvd Ste B, Pensacola, FL 32504-8622 | 2020-09-10 |
| 1447864715 | Patrick B Arrigo | Behavior Technician | 6800 W Highway 98, Pensacola, FL 32506-8969 | 2020-09-03 |
| 1700409604 | Jasmine Moronta | Behavior Technician | 2431 Creighton Rd, Pensacola, FL 32504-7337 | 2020-05-26 |
| Find all providers in PENSACOLA | ||||
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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.