MIRIAM NINETH FUENTES SANDOVAL (NPI# 1235745589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235745589 |
| Entity Type | Individual |
| Full Name | MIRIAM NINETH FUENTES SANDOVAL |
| Practice Address |
207 Waterway Village Ct Greenacres FL 33413-2163 |
| Practice Telephone | 5617277042 |
| Mailing Telephone | 5617277042 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT20121128 | FL | Behavioral Health & Social Service Providers |
| Street Address |
207 WATERWAY VILLAGE CT |
| City | GREENACRES |
| State | FL |
| Zip Code | 33413-2163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790287282 | Ellicia Brown | Behavior Technician | 5826 Gypsum Place, West Palm Beach, FL 33413 | 2018-03-01 |
| 1417499492 | Francesca Derius | Nurse Practitioner | 5730 Souchak Dr, West Palm Beach, FL 33413 | 2016-11-08 |
| 1184084170 | Yokavi Cruz Marrero | Technician, Other | 1015 Waterway Village Ct, Greenacres, FL 33413 | 2016-03-03 |
| 1952559957 | Trans America Live Solutions,inc. | Family Medicine | 6742 Forest Hill Blvd, #215, West Palm Beach, FL 33413 | 2008-09-03 |
| 1235331810 | John P Ogrady Jr. | Dentist | 6772 Forest Hill Blvd, Greenacres, FL 33413 | 2007-06-05 |
| 1235623901 | Sharpe Concierge Healthcare LLC | Nursing Care | 302 Harbour Pointe Way, Greenacres, FL 33413 | 2018-06-18 |
| 1881119121 | Catherine Blanco | Pharmacist | 6591 Forest Hill Blvd, Greenacres, FL 33413 | 2017-08-08 |
| 1699290882 | Claire Llanura | Nurse Practitioner | 852 Quartz Ter, West Palm Beach, FL 33413 | 2017-08-08 |
| 1750696944 | Galaxy Meds, Inc. | Pharmacy | 6742 Forest Hill Blvd, 272, West Palm Beach, FL 33413 | 2010-08-11 |
| 1508068198 | Donald J Smarinsky | Dentist | 6772 Forest Hill Blvd, Greenacres, FL 33413 | 2007-06-05 |
| Find all providers in zip 33413 | ||||
| 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 |
|---|---|---|---|---|
| 1780281626 | Gabriela Patricia Contreras Padron | Behavior Technician | 1217 Olive Tree Cir, Greenacres, FL 33413-3059 | 2020-10-05 |
| 1669974002 | Hal Nader | Behavior Technician | 903 Waterway Village Ct, Greenacres, FL 33413-2170 | 2018-03-01 |
| 1053811497 | Esther Dieujuste | Behavior Technician | 3773 Mil Lake Ct, Greenacres, FL 33463-3435 | 2018-02-12 |
| 1528576683 | Aidelan Ramos Rodriguez | Behavior Technician | 4660 Oak Terrace Dr, Greenacres, FL 33463-3731 | 2018-01-11 |
| 1275048233 | Myrlande Pierre Louis | Behavior Technician | 4675 Big Ben Ln, Greenacres, FL 33463-6612 | 2017-12-12 |
| 1285143065 | Carlos Joseph | Behavior Technician | 112 Lake Pine Cir Apt D-1, Greenacres, FL 33463-5105 | 2017-09-25 |
| 1902329634 | Sherley Dorsainvil | Behavior Technician | 5514 Baja Terrace, Greenacres, FL 33463 | 2017-07-25 |
| 1871015800 | Maidely Diaz Caro | Behavior Technician | 3800 S 55th Ave, Greenacres, FL 33463-3243 | 2017-07-11 |
| 1801337340 | Penny Michele Polokoff-kreps | Behavior Technician | 5028 Nautica Lake Cir, Greenacres, FL 33463-5943 | 2017-03-16 |
| 1457894974 | Joshuami Diaz | Behavior Technician | 4541 Oak Terrace Dr, Greenacres, FL 33463-3719 | 2016-12-01 |
| Find all providers in GREENACRES | ||||
| City | GREENACRES |
| Zip Code | 33413 |
Please comment or provide details below to improve the information on MIRIAM NINETH FUENTES SANDOVAL.
| 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.