AERIEL BRENNER (NPI# 1104360445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104360445 |
| Entity Type | Individual |
| Full Name | AERIEL BRENNER |
| Credential | QASP |
| Practice Address |
10175 Fortune Pkwy Unit 903 Suite 903 Jacksonville FL 32256-6755 |
| Mailing Address |
1800 W Big Beaver Rd Ste 150 Troy MI 48084-3535 |
| Practice Telephone | 9045380713 |
| Practice Fax Number | 9045380714 |
| Mailing Telephone | 2489185600 |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2020-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-15-05021 | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10175 Fortune Pkwy Unit 903, Suite 903, Jacksonville, FL 322566755 | 9045380713 | 9045380714 |
| 1800 W Big Beaver Rd Ste 150, Troy, MI 480843535 | (248) 918-5600 |
| Street Address |
10175 FORTUNE PKWY UNIT 903 SUITE 903 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-6755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699743351 | Paul Eugene Napier | Psychologist | 10175 Fortune Pkwy Unit 903, Jacksonville, FL 32256-6755 | 2006-03-09 |
| 1386159515 | Jamie Cole | Behavioral Analyst | 10175 Fortune Pkwy Unit 903, Jacksonville, FL 32256-6755 | 2017-12-11 |
| 1669900353 | Kristen Goins | Behavioral Analyst | 10175 Fortune Pkwy Unit 903, Jacksonville, FL 32256-6755 | 2017-05-25 |
| 1649629601 | James Parker | Behavioral Analyst | 10175 Fortune Pkwy Unit 903, Jacksonville, FL 32256-6755 | 2016-06-09 |
| 1316379944 | Erica A Egnor | Behavioral Analyst | 10175 Fortune Pkwy Unit 903, Jacksonville, FL 32256-6755 | 2013-08-06 |
| 1245584879 | Lauren Russell | Behavioral Analyst | 10175 Fortune Pkwy Unit 903, Jacksonville, FL 32256-6755 | 2012-11-05 |
| 1366792814 | Paul Napier Behavioral Consultation Services - Doctors Lake, LLC | Behavioral Analyst | 10175 Fortune Pkwy Unit 903, Jacksonville, FL 32256-6755 | 2012-09-12 |
| 1023315371 | Anisia Jade Dawes | Behavioral Analyst | 10175 Fortune Pkwy Unit 903, Jacksonville, FL 32256-6755 | 2011-02-23 |
| 1487981411 | Melissa Danielle Cook | Behavioral Analyst | 10175 Fortune Pkwy Unit 903, Jacksonville, FL 32256-6755 | 2009-11-12 |
| 1457688483 | Elisha Gayle Landers | Counselor | 10175 Fortune Pkwy Unit 903, Jacksonville, FL 32256-6755 | 2009-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| 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 |
|---|---|---|---|---|
| 1215544424 | Brianna Rene Lavoie | Behavior Technician | 113g N Marine Blvd, Jacksonville, NC 28540-6508 | 2020-09-30 |
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1558977330 | Samantha Jo Gilmore | Behavior Technician | 2893 Post St Apt 4, Jacksonville, FL 32205-7447 | 2020-09-17 |
| 1639784135 | Rhianna Fiona Valencia | Behavior Technician | 7718 Tunica Ct, Jacksonville, FL 32244-8169 | 2020-09-11 |
| 1710590302 | Olivia Link | Behavior Technician | 2525 Dunn Ave Ste 2, Jacksonville, FL 32218-4680 | 2020-08-25 |
| 1821600768 | Emily Mary Ross | Behavior Technician | 2869 Post St, Jacksonville, FL 32205-7456 | 2020-08-21 |
| 1639789290 | April Elaine Crews | Behavior Technician | 9000 Southside Blvd, Jacksonville, FL 32256-0793 | 2020-08-07 |
| 1225656937 | Roxana Maldonado | Behavior Technician | 2425 Dunn Ave # Sre2, Jacksonville, FL 32218-4603 | 2020-07-09 |
| 1023639747 | Maaria Chehab | Behavior Technician | 7668 Saw Timber Ln, Jacksonville, FL 32256-2354 | 2020-05-05 |
| 1255966024 | Okeya Johnson | Behavior Technician | 7960 103rd St Apt 1205, Jacksonville, FL 32210-6659 | 2020-03-11 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
Please comment or provide details below to improve the information on AERIEL BRENNER.
| 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.