AUTUMN WILSON (NPI# 1134733983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134733983 |
| Entity Type | Individual |
| Full Name | AUTUMN WILSON |
| Practice Address |
151 W Church Ave Rm 4 Longwood FL 32750-4105 |
| Mailing Address |
1314 Northridge Dr Longwood FL 32750-4509 |
| Practice Telephone | 4073424220 |
| Mailing Telephone | 4073424220 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 106004800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669632840 | Autumn Simms Wilson | Counselor | 2965 Colonnade Dr Ste 100, Roanoke, VA 24018-3541 | 2008-06-11 |
| 1821644485 | Autumn Brooke Wilson | Licensed Practical Nurse | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2019-08-09 |
| 1760961924 | Autumn N Wilson | Behavior Technician | 114 E 25th St, Baltimore, MD 21218-5214 | 2018-08-08 |
| 1497293500 | Autumn Wilson | Counselor | 1035 N Keene Way Dr, Medford, OR 97504-6253 | 2017-02-09 |
| 1932339819 | Autumn Wilson | Counselor | 695 South St, Chardon, OH 44024-1474 | 2009-07-25 |
| Street Address |
151 W CHURCH AVE RM 4 |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32750-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467066217 | Daniela Del Pilar Cortes Rivera | Behavior Technician | 151 W Church Ave Rm 4, Longwood, FL 32750-4105 | 2020-08-31 |
| 1356955108 | Junivia Jeffers | Behavior Technician | 151 W Church Ave Rm 4, Longwood, FL 32750-4105 | 2020-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420920 | Prn Speech Pathologists | Speech-Language Pathologist | 1704 N. Ronald Reagan Blvd, Longwood, FL 32750 | 2020-06-05 |
| 1831743368 | Shamar Anthony Marston | Nurse Anesthetist, Certified Registered | 555 W Fl - 434, Longwood, FL 32750 | 2019-08-01 |
| 1538639125 | Omega Healthcare Solutions, LLC | Case Management | 160 W. Evergreen Avenue Suite 290, Longwood, FL 32750 | 2018-11-27 |
| 1013416080 | Samantha Jane Roberts | Specialist/Technologist, Other | 163 W Bay Ave, Longwood, FL 32750 | 2018-02-06 |
| 1508375874 | Cassandra Thompson-bailey | Nurse Practitioner | 600 N Us Hwy 17 92, Suite 124, Longwood, FL 32750 | 2017-09-29 |
| 1740799535 | Cornerstone Longwood Leasing, LLC | Assisted Living Facility | 480 E. Church Ave., Longwood, FL 32750 | 2017-09-25 |
| 1659890523 | Melissa Shoshana Vigerito | Marriage & Family Therapist | 978 Douglas Ave. Suite 100, Altamonte Springs, FL 32750 | 2017-09-12 |
| 1619498185 | Calm Relief, LLC | Massage Therapist | 1855 W State Road 434, Ste 253, Longwood, FL 32750 | 2017-07-05 |
| 1497145148 | Caitlin Rhea Hilligas | Counselor | 300 N Ronald Reagan Blvd Ste 302, Longwood, FL 32750 | 2015-02-03 |
| 1316344054 | James David Rawlins Jr. | Dentist | 1250 W.s.r 434 Ste. 1008, Longwood, FL 32750 | 2014-11-24 |
| Find all providers in zip 32750 | ||||
| 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 |
|---|---|---|---|---|
| 1568003895 | Jacqueline Marquez-duprey | Behavior Technician | 463 Sanford Ave, Longwood, FL 32750-6865 | 2019-10-08 |
| 1235642794 | Alexandra Sotomayor | Behavior Technician | 263 Palm Park Cir Apt 207, Longwood, FL 32779-6083 | 2017-11-07 |
| 1730780925 | Dalton Jacob James | Behavior Technician | 2135 W State Road 434, Longwood, FL 32779-4983 | 2020-11-04 |
| 1407460249 | Annelle Barse Balseca | Behavior Technician | 151 W Church Ave, Longwood, FL 32750-4105 | 2020-08-31 |
| 1952915704 | Savannah Nelson | Behavior Technician | 151 W Church Ave, Longwood, FL 32750-4105 | 2020-08-31 |
| 1396359147 | Sherleen Seary | Behavior Technician | 151 W Church Ave, Longwood, FL 32750-4105 | 2020-08-31 |
| 1467066217 | Daniela Del Pilar Cortes Rivera | Behavior Technician | 151 W Church Ave Rm 4, Longwood, FL 32750-4105 | 2020-08-31 |
| 1356955108 | Junivia Jeffers | Behavior Technician | 151 W Church Ave Rm 4, Longwood, FL 32750-4105 | 2020-08-31 |
| 1619581469 | Kimberly Smith | Behavior Technician | 151 W Church Ave, Longwood, FL 32750-4105 | 2020-08-31 |
| 1417561267 | Yurien Baez Grillo | Behavior Technician | 151 W Church Ave, Longwood, FL 32750-4105 | 2020-08-31 |
| Find all providers in LONGWOOD | ||||
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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.