QUELSY MEDINA (NPI# 1104465301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104465301 |
| Entity Type | Individual |
| Full Name | QUELSY MEDINA |
| Practice Address |
1737 Veterans Memorial Hwy Islandia NY 11749-1529 |
| Practice Telephone | 6314792900 |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| 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 |
1737 VETERANS MEMORIAL HWY |
| City | ISLANDIA |
| State | NY |
| Zip Code | 11749-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104189554 | Stacey B Ratner | Specialist | 1737 Veterans Memorial Hwy, Islandia, NY 11749 | 2012-06-20 |
| 1750921706 | Lauren Marie Allocca | Behavior Technician | 1737 Veterans Memorial Hwy, Islandia, NY 11749-1529 | 2020-01-07 |
| 1861031064 | Raquel Angela Cunningham | Behavior Technician | 1737 Veterans Memorial Hwy, Islandia, NY 11749-1529 | 2020-01-06 |
| 1487293684 | Krista Marie Herz | Behavior Technician | 1737 Veterans Memorial Hwy, Islandia, NY 11749-1529 | 2020-01-06 |
| 1922647122 | Cierra Scott | Behavior Technician | 1737 Veterans Memorial Hwy, Islandia, NY 11749-1529 | 2020-01-06 |
| 1457990251 | Darian Sepulveda | Behavioral Analyst | 1737 Veterans Memorial Hwy, Islandia, NY 11749-1529 | 2019-12-27 |
| 1598303562 | Gabriella Carbonara | Behavior Technician | 1737 Veterans Memorial Hwy, Islandia, NY 11749-1529 | 2019-12-20 |
| 1588202865 | Darlene M Brandow | Behavior Technician | 1737 Veterans Memorial Hwy, Islandia, NY 11749-1529 | 2019-12-17 |
| 1164060588 | Jessica Morales | Behavior Technician | 1737 Veterans Memorial Hwy, Islandia, NY 11749-1529 | 2019-12-16 |
| 1265078653 | Douglas Fabian | Behavioral Analyst | 1737 Veterans Memorial Hwy, Islandia, NY 11749-1529 | 2019-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053949248 | All Island Medical Services. P.C. | Neurological Surgery | 1717 Veterans Memorial Highway, Suite 2, Islandia, NY 11749 | 2020-04-01 |
| 1184041030 | Sarah Tran | Obstetrics & Gynecology | 3001 Expressway Dr N Ste 116, Islandia, NY 11749 | 2014-03-27 |
| 1275966913 | Viney Mathews | Counselor | 208 Towne House Village, Islandia, NY 11749 | 2013-08-16 |
| 1295170223 | Lawrence Allen Weinberg | Dentist | 68 Sutton Pl, Islandia, NY 11749 | 2013-05-03 |
| 1548517394 | Patricia D Glick | Behavioral Analyst | 1737 Veterans Memorial Hwy Ste 1, Islandia, NY 11749 | 2012-08-11 |
| 1851665111 | Fashion Arcade Optics, Inc | Technician/Technologist | 1744 Veneran's Memorial Hwy, Islandia, NY 11749 | 2012-03-05 |
| 1689964132 | Maggie Jean Fils Inc | Physical Therapy Assistant | 84 Salebrush Lane, Islandia, NY 11749 | 2011-04-18 |
| 1174783914 | Deborah Duffy Adkins | Nurse Practitioner | 3001 Expressway Dr North, Suite 200b, Islandia, NY 11749 | 2008-06-16 |
| 1912103086 | Jaime Patricia Spencer | Occupational Therapist | 719 Townehouse, Vlg. Dr., Hauppauge, NY 11749 | 2007-06-25 |
| 1174731129 | The Optical Source | Optometrist | 1744 Veterans Memorial Highway, Islandia, NY 11749 | 2007-05-21 |
| Find all providers in zip 11749 | ||||
| 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 |
|---|---|---|---|---|
| 1750921706 | Lauren Marie Allocca | Behavior Technician | 1737 Veterans Memorial Hwy, Islandia, NY 11749-1529 | 2020-01-07 |
| 1861031064 | Raquel Angela Cunningham | Behavior Technician | 1737 Veterans Memorial Hwy, Islandia, NY 11749-1529 | 2020-01-06 |
| 1487293684 | Krista Marie Herz | Behavior Technician | 1737 Veterans Memorial Hwy, Islandia, NY 11749-1529 | 2020-01-06 |
| 1922647122 | Cierra Scott | Behavior Technician | 1737 Veterans Memorial Hwy, Islandia, NY 11749-1529 | 2020-01-06 |
| 1598303562 | Gabriella Carbonara | Behavior Technician | 1737 Veterans Memorial Hwy, Islandia, NY 11749-1529 | 2019-12-20 |
| 1588202865 | Darlene M Brandow | Behavior Technician | 1737 Veterans Memorial Hwy, Islandia, NY 11749-1529 | 2019-12-17 |
| 1164060588 | Jessica Morales | Behavior Technician | 1737 Veterans Memorial Hwy, Islandia, NY 11749-1529 | 2019-12-16 |
| 1710524582 | Jenna Polan | Behavior Technician | 1737 Veterans Memorial Hwy Ste 1, Islandia, NY 11749-1529 | 2019-11-29 |
| 1346885183 | Amanda Butcher | Behavior Technician | 1737 Veterans Memorial Hwy, Islandia, NY 11749-1529 | 2019-11-15 |
| 1205471943 | Elizabeth Herbst | Behavior Technician | 1737 Veterans Memorial Hwy, Islandia, NY 11749-1529 | 2019-11-15 |
| Find all providers in ISLANDIA | ||||
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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.