FLORIDA AUTISM CENTER (NPI# 1134469075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134469075 |
| Entity Type | Organization |
| Organization Name | FLORIDA AUTISM CENTER |
| Practice Address |
2013 Miccosukee Rd Tallahassee FL 32308-5307 |
| Practice Telephone | 8503916060 |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |
| Authorized Official Name | TODD BULLOCK (FINANCE MANAGER) |
| Authorized Official Telephone | 8503916060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-13-12813 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862119 | Florida Autism Center | Assistant Behavior Analyst | 105 Grand Central Blvd Ste 101, Pooler, GA 31322-4146 | 2020-02-10 |
| 1265071955 | Florida Autism Center | Assistant Behavior Analyst | 3850 Holcomb Bridge Rd Ste 180, Norcross, GA 30092-5223 | 2019-12-30 |
| 1093358541 | Florida Autism Center | Assistant Behavior Analyst | 1220 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2019-10-28 |
| 1457994907 | Florida Autism Center | Assistant Behavior Analyst | 5328 Lanier Islands Pkwy, Buford, GA 30518-9071 | 2019-10-28 |
| 1033751888 | Florida Autism Center | Behavior Technician | 6375 Mcginnis Ferry Rd Ste 202, Johns Creek, GA 30005-3617 | 2019-10-14 |
| 1912551730 | Florida Autism Center | Assistant Behavior Analyst | 115 N Park Trl Ste 123, Stockbridge, GA 30281-7373 | 2019-07-30 |
| 1245899574 | Florida Autism Center | Assistant Behavior Analyst | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2019-06-11 |
| 1497226559 | Florida Autism Center | Assistant Behavior Analyst | 100 Governors Trce Ste 100, Peachtree City, GA 30269-4856 | 2018-12-16 |
| 1396231411 | Florida Autism Center | Behavioral Analyst | 2389 Oak Myrtle Lane, Wesley Chapel, FL 33544 | 2018-07-02 |
| 1942743018 | Florida Autism Center | Assistant Behavior Analyst | 1563 Kingsley Ave, Suite 103, Orange Park, FL 32073-4503 | 2016-11-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FLORIDA AUTISM CENTER OF EXCELLENCE, INC. | 6310 E Sligh Ave, Tampa, FL 33617-9107 |
| Street Address |
2013 MICCOSUKEE RD |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-5307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051011 | Haley Skye Colclough | Behavior Technician | 2013 Miccosukee Rd, Tallahassee, FL 32308 | 2020-10-23 |
| 1003413832 | Andrea Jefferson | Behavior Technician | 2013 Miccosukee Rd, Tallahassee, FL 32308-5307 | 2020-10-05 |
| 1902412646 | Chante Moore | Behavior Technician | 2013 Miccosukee Rd, Tallahassee, FL 32308-5307 | 2020-09-18 |
| 1609486166 | Chelsea Ann Marie Ramsey | Behavior Technician | 2013 Miccosukee Rd, Tallahassee, FL 32308-5307 | 2020-08-08 |
| 1144853268 | Ashley Paige Forker | Behavior Technician | 2013 Miccosukee Rd, Tallahassee, FL 32308-5307 | 2020-02-17 |
| 1134775836 | Destiny Michelle Marin | Behavior Technician | 2013 Miccosukee Rd, Tallahassee, FL 32308-5307 | 2019-08-18 |
| 1184270175 | Torie Danielle Ladendorf | Behavior Technician | 2013 Miccosukee Rd, Tallahassee, FL 32308-5307 | 2019-08-14 |
| 1972157592 | Kimberly Watts | Behavior Technician | 2013 Miccosukee Rd, Tallahassee, FL 32308-5307 | 2019-07-31 |
| 1396304192 | Patricia Maclean Gill | Behavior Technician | 2013 Miccosukee Rd, Tallahassee, FL 32308-5307 | 2019-06-06 |
| 1588228613 | Rebecca Holcombe | Behavior Technician | 2013 Miccosukee Rd, Tallahassee, FL 32308-5307 | 2019-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686835 | All Florida Autism Center for Aba Therapy | Behavioral Analyst | 743 E Tennessee St, Tallahassee, FL 32308-4913 | 2020-10-12 |
| 1114572575 | Abby Lauren Bertagnolli Dunn | Behavioral Analyst | 751 Rhoden Cove Rd, Tallahassee, FL 32312-1013 | 2019-08-02 |
| 1275008245 | Katelyn Bretz | Behavioral Analyst | 115 N Calhoun St Ste 4, Tallahassee, FL 32301-1568 | 2018-10-05 |
| 1316428055 | Ashleigh Dodd | Behavioral Analyst | 1339 E Tennessee St, Tallahassee, FL 32308-5107 | 2018-08-21 |
| 1710482237 | Gregory Taylor | Behavioral Analyst | 5520 Split Oak Ct, Tallahassee, FL 32303-6743 | 2018-03-27 |
| 1952831562 | Francklen Celestin | Behavioral Analyst | 2218 Mahan Drive, Tallahassee, FL 32308 | 2017-06-15 |
| 1164952859 | Carlton J Williams | Behavioral Analyst | 1846 Meriadoc Ct, Tallahassee, FL 32303-3351 | 2017-06-14 |
| 1821539115 | Samantha Jean Vollertsen | Behavioral Analyst | 2331 Hansen Court, Tallahassee, FL 32301 | 2017-03-20 |
| 1962948711 | Hope Mcnally | Behavioral Analyst | 113 S Monroe St Fl 1, Tallahassee, FL 32301-1529 | 2017-01-17 |
| 1912450446 | Jordyn Paige Elliott | Behavioral Analyst | 1842 Jaclif Ct Ste A, Tallahassee, FL 32308 | 2016-08-02 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on FLORIDA AUTISM CENTER.
| 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.