MR. DEMETRIUS ISOM (NPI# 1205293305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205293305 |
| Entity Type | Individual |
| Full Name | MR. DEMETRIUS ISOM |
| Practice Address |
12623 Lake Denise Blvd Clermont FL 34711-7510 |
| Practice Telephone | 3524322230 |
| Practice Fax Number | 3524322230 |
| Mailing Telephone | 3524322230 |
| Mailing Fax Number | 3524322230 |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
12623 LAKE DENISE BLVD |
| City | CLERMONT |
| State | FL |
| Zip Code | 34711-7510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
| 1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
| 1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
| 1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
| 1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
| 1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
| 1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
| 1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
| 1306353842 | Center of Change Inc. | General Practice | 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 | 2018-01-05 |
| 1003328642 | Clermont Radiology LLC | Clinic/Center | 3725 South Highway 27, Suite 104, Clermont, FL 34711 | 2017-11-03 |
| Find all providers in zip 34711 | ||||
| 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 |
|---|---|---|---|---|
| 1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
| 1437682341 | Breanna Briggs | Behavioral Analyst | 17335 Pagonia Rd Ste 109, Clermont, FL 34711-6011 | 2017-04-07 |
| 1285179770 | Chelsea Parkhurst | Behavioral Analyst | 10726 Libby No 3 Rd., Clermont, FL 34715-3475 | 2016-12-20 |
| 1477009694 | Alyx Mckinney | Behavioral Analyst | 365 Citrus Tower Blvd Ste 116, Clermont, FL 34711-6532 | 2016-08-28 |
| 1144680323 | Rebecca Aviles | Behavioral Analyst | 3815 Breckinridge Ln, Clermont, FL 34711-9003 | 2016-03-01 |
| 1750755062 | Emily Strzelczyk | Behavioral Analyst | 1480 Hammock Ridge Rd Apt 12204, Clermont, FL 34711-6391 | 2015-11-24 |
| 1952777856 | Clearstone Group, LLC | Behavioral Analyst | 4497 Powderhorn Place Dr, Clermont, FL 34711-8929 | 2015-08-13 |
| 1114301702 | Whitney Gray | Behavioral Analyst | 355 Citrus Tower Blvd Ste 116, Clermont, FL 34711-6501 | 2015-07-14 |
| 1922487313 | Janet Laub | Behavioral Analyst | 12726 Piney Woods Way, Clermont, FL 34711-7118 | 2015-05-19 |
| 1912305962 | Elia Maria Santos | Behavioral Analyst | 3214 Fiddlewood Ct, Clermont, FL 34711-9567 | 2014-12-08 |
| Find all providers in CLERMONT | ||||
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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.