SAVANNAH FAIRCLOTH (NPI# 1235645342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235645342 |
| Entity Type | Individual |
| Full Name | SAVANNAH FAIRCLOTH |
| Practice Address |
445 Grace Ave Panama City FL 32401-2721 |
| Practice Telephone | 8508180095 |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
445 GRACE AVE |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32401-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063863231 | Focus On Behavior | Behavioral Analyst | 445 Grace Ave, Panama City, FL 32401-2721 | 2016-06-28 |
| 1538657051 | Sadie Noelle Wallace | Assistant Behavior Analyst | 445 Grace Ave, Panama City, FL 32401-2721 | 2018-04-30 |
| 1669989489 | Elizabeth Anderson | Behavior Technician | 445 Grace Ave, Panama City, FL 32401-2721 | 2018-01-02 |
| 1023524121 | Tami Hunter | Behavior Technician | 445 Grace Ave, Panama City, FL 32401-2721 | 2017-12-27 |
| 1639685738 | Malayna Martin | Behavior Technician | 445 Grace Ave, Panama City, FL 32401-2721 | 2017-12-27 |
| 1083120182 | Melissa Kunz | Behavior Technician | 445 Grace Ave, Panama City, FL 32401-2721 | 2017-12-27 |
| 1497108526 | Mary Somers | Behavioral Analyst | 445 Grace Ave, Panama City, FL 32401-2721 | 2016-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760946727 | Panama City Drugs | Pharmacy | 3127 East Bus 98, Panama City, FL 32401 | 2019-01-24 |
| 1154813418 | Karl Roger Metzger | Pharmacist | 306 S Macarthur Ave, Panama City, FL 32401 | 2018-06-03 |
| 1942703905 | Muhammad Eckhaus | Acupuncturist | 2401 West 15th Street, Panama City, FL 32401 | 2018-03-15 |
| 1922534171 | Wolford Family Practice Inc | Nurse Practitioner | 1027 E Business Hwy 98, Panama City, FL 32401 | 2017-05-10 |
| 1508397381 | Shoreline Medical Solutions & Dme, LLC | Durable Medical Equipment & Medical Supplies | 405 W Oak Ave Ste B, Panama City, FL 32401 | 2017-03-23 |
| 1679027189 | David Lawrence Angier | Behavioral Analyst | 904 Flower Ave, Panama City, FL 32401 | 2016-08-12 |
| 1427422369 | Kathy Purdessy | Nurse Practitioner | 801 E 6th St Ste 604, Panama City, FL 32401 | 2015-11-16 |
| 1881015154 | Anesthesia Unlimited Inc | Nurse Anesthetist, Certified Registered | 801 E 6th Stret, Ste 205, Panama City, FL 32401 | 2014-01-03 |
| 1598193765 | Lashunda Sherese Thomas | Social Worker | 2711 W. 15th St., Panama City, FL 32401 | 2013-10-24 |
| 1144654153 | Raymond Dretti Pacheco | Licensed Practical Nurse | 509 N Center Ave, Panama City, FL 32401 | 2013-08-27 |
| Find all providers in zip 32401 | ||||
| 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 |
|---|---|---|---|---|
| 1720697790 | Rashondra Rasberry-smith | Behavior Technician | 920 Greentree Rd, Panama City, FL 32401-5185 | 2020-07-27 |
| 1376152249 | Jade Astin | Behavior Technician | 2504 W 10th St Unit B, Panama City, FL 32401-1407 | 2020-07-27 |
| 1699300459 | Kayla Brooke Johnson | Behavior Technician | 1229 Airport Rd, Panama City, FL 32405-3527 | 2020-03-11 |
| 1568007383 | Latonya Shazier Shazier Lowery | Behavior Technician | 311 Brooke Ct, Panama City, FL 32404-7568 | 2019-11-15 |
| 1982165338 | Randi L Arney | Behavior Technician | 2404 Ruth Hentz Ave # C, Panama City, FL 32405-2258 | 2019-03-28 |
| 1376018283 | Chelsea Tucker | Behavior Technician | 208 S Macarthur Ave, Panama City, FL 32401-3943 | 2018-10-06 |
| 1124516463 | Chelsea Lauren Jones | Behavior Technician | 910 Harrison Ave, Panama City, FL 32401-2528 | 2018-04-23 |
| 1457864423 | Deborah Hartzog | Behavior Technician | 2115 Mound Ave, Panama City, FL 32405-1442 | 2017-11-13 |
| 1053851220 | Samuel Watts | Behavior Technician | 3337 Jenks Ave, Panama City, FL 32405-4246 | 2017-03-07 |
| 1114466844 | Rasha Thomas | Behavior Technician | 816 N Macarthur Ave, Panama City, FL 32401-3575 | 2017-02-14 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32401 |
Please comment or provide details below to improve the information on SAVANNAH FAIRCLOTH.
| 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.