EVELYN PENA (NPI# 1104489970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104489970 |
| Entity Type | Individual |
| Full Name | EVELYN PENA |
| Credential | BA |
| Practice Address |
4248 Town Ctr Blvd Ste 1 Orlando FL 32837-6107 |
| Mailing Address |
223 Vanneman Ave Swedesboro NJ 08085-1021 |
| Practice Telephone | 4073174159 |
| Mailing Telephone | 5684304760 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760545248 | Evelyn Pena | Dietitian, Registered | 201 Lyons Ave, Family Treatment Center G-3, Newark, NJ 07112-2027 | 2006-12-18 |
| Street Address |
4248 TOWN CTR BLVD STE 1 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32837-6107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194214684 | Advance Obgyn of Central Florida | Obstetrics & Gynecology | 4170 Town Ctr Blvd Ste 104, Orlando, FL 32837 | 2018-05-09 |
| 1881124543 | Shivonne Champatsingh | Respiratory Therapist, Registered | 2730 Rolling Broak Drive, Orlando, FL 32837 | 2017-06-15 |
| 1881133858 | Peter Connole | Specialist/Technologist | 11066 Crystal Glen Blvd, Orlando, FL 32837 | 2017-02-23 |
| 1154779023 | Lemille Ruiz | Case Manager/Care Coordinator | 12925 Lslamorada Dr, Orlando, FL 32837 | 2016-06-01 |
| 1952776650 | Maryolys Rojas | Case Management | 2875 Woodruff Dr, Orlando, FL 32837 | 2015-12-07 |
| 1407230998 | Isis Cancel | Case Manager/Care Coordinator | 1136 Courtney Chase Circle, Apt 711, Orlando, FL 32837 | 2015-07-14 |
| 1306242771 | Robin Mcdonough | Counselor | 11020 Regency Commons Ct, Orlando, FL 32837 | 2014-11-13 |
| 1952720484 | Monisha Louis | Physical Therapist | 4445 Gywndale Ct., Orlando, FL 32837 | 2014-04-11 |
| 1194141028 | Florida Em-i Medical Services, Pa | Physician Assistant | 12100 South John Young Parkway, Orlando, FL 32837 | 2014-03-17 |
| 1366871394 | Isse Song Pa | Dentist | 12554 S John Young Parkway, 104, Orlando Florida, FL 32837 | 2013-11-12 |
| Find all providers in zip 32837 | ||||
| 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 |
|---|---|---|---|---|
| 1356968648 | Cja Therapy & Beyond LLC | Assistant Behavior Analyst | 319 Dillon Cir, Orlando, FL 32822-6050 | 2020-07-02 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1811469257 | Yumisleydi Rodriguez - Valdes | Assistant Behavior Analyst | 3133 Bellingham Dr, Orlando, FL 32825-7149 | 2018-12-26 |
| 1194296293 | Anibal Roberto Cespedes | Assistant Behavior Analyst | 10625 Bresslyn Blvd, Orlando, FL 32825-6804 | 2018-12-16 |
| 1396242558 | Jacqueline Dubois | Assistant Behavior Analyst | 7547 Sand Lake Pointe Loop, Orlando, FL 32809-7219 | 2018-04-12 |
| 1407378995 | Maria Consuelo Galarza | Assistant Behavior Analyst | 3906 Chip Shot Ct Apt 923, Orlando, FL 32839-3288 | 2017-07-17 |
| 1366970808 | Destini Nicole Turkoski I | Assistant Behavior Analyst | 2215 Formosa Ave Apt B, Orlando, FL 32804-5021 | 2017-05-29 |
| 1386180156 | Khabir Sherald Sanchez | Assistant Behavior Analyst | 10044 Vista Laguna Dr Apt 206, Orlando, FL 32825-6156 | 2017-01-17 |
| 1457896599 | April Wright | Assistant Behavior Analyst | 8656 Elder Ln, Orlando, FL 32827-7173 | 2016-12-28 |
| 1669917720 | Lauren Frazzetto | Assistant Behavior Analyst | 1225 Park Lake St Apt 1, Orlando, FL 32803-4159 | 2016-12-28 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on EVELYN PENA.
| 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.