BLAYNE DEREK COCKRELL (NPI# 1245838515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245838515 |
| Entity Type | Individual |
| Full Name | BLAYNE DEREK COCKRELL |
| Credential | RBT |
| Practice Address |
644 Ferguson Dr Ste 200 Orlando FL 32805-1014 |
| Mailing Address |
6231 Marlberry Dr Orlando FL 32819-4155 |
| Practice Telephone | 4075744629 |
| Mailing Telephone | 4074896312 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-135319 | FL | Behavioral Health & Social Service Providers |
| Street Address |
644 FERGUSON DR STE 200 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32805-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932759388 | Grace Boatman | Behavior Technician | 644 Ferguson Dr Ste 200, Orlando, FL 32805-1014 | 2019-09-18 |
| 1811595911 | Meghan Riegler | Speech-Language Pathologist | 644 Ferguson Dr Ste 200, Orlando, FL 32805-1023 | 2020-10-12 |
| 1154929412 | Denise Ayala | Behavior Technician | 644 Ferguson Dr Ste 200, Orlando, FL 32805-1014 | 2020-10-09 |
| 1932716776 | Lauryn B Champion | Behavior Technician | 644 Ferguson Dr Ste 200, Orlando, FL 32805-1014 | 2020-09-25 |
| 1740897586 | Carrie Elizabeth Skaggs | Behavior Technician | 644 Ferguson Dr Ste 200, Orlando, FL 32805-1014 | 2020-09-25 |
| 1801402482 | Kara Hellweg | Behavior Technician | 644 Ferguson Dr Ste 200, Orlando, FL 32805-1014 | 2020-09-19 |
| 1588279053 | Antoine Johnson | Behavior Technician | 644 Ferguson Dr Ste 200, Orlando, FL 32805-1014 | 2020-09-11 |
| 1437760188 | Arlina Williams | Behavior Technician | 644 Ferguson Dr Ste 200, Orlando, FL 32805-1014 | 2020-08-14 |
| 1346851094 | Sierra Diane Costner | Behavior Technician | 644 Ferguson Dr Ste 200, Orlando, FL 32805-1014 | 2020-08-14 |
| 1164033817 | Dana Palmer | Behavior Technician | 644 Ferguson Dr Ste 200, Orlando, FL 32805-1014 | 2020-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797677 | Gerardo Carlos Dorado | Rehabilitation Hospital | 830 29th Street, Orlando, FL 32805 | 2019-12-18 |
| 1639731557 | Relyancecorp | Non-emergency Medical Transport (VAN) | 15 N Tanpa Ave, Orlando, FL 32805 | 2019-07-01 |
| 1518477231 | Evolution Insight Incorporated | Community/Behavioral Health | 1521 W Washington St, Orlando, FL 32805 | 2017-10-08 |
| 1366983140 | Medical Allied Nursing Academy, Inc. | Custodial Care Facility | 750 Plaza Orange Blossom Trail, Suite 264, Orlando, FL 32805 | 2017-03-14 |
| 1407238033 | Vickie Marie Ferguson | Social Worker | 3700 34th St Ste 100f, Orlando, FL 32805 | 2015-06-19 |
| 1508248287 | Compassionate Care Community Health Services LLC | In Home Supportive Care | 927 S. Goldwyn Ave, Suite 230, Orlando, FL 32805 | 2015-06-18 |
| 1750772612 | Rx Florida Pharmacy,llc | Pharmacist | 3615 Columbia St, Orlando, FL 32805 | 2015-02-13 |
| 1588053946 | Speech Steps | Speech-Language Pathologist | 2607 Windward Ct., Orlando, FL 32805 | 2015-01-22 |
| 1831597426 | Vonda White | Counselor | 1602 Crooms Ave., Orlando, FL 32805 | 2014-12-12 |
| 1558788653 | Laura F Lucas | Case Management | 750 S. Obt Suite 111, Orlando, FL 32805 | 2014-03-26 |
| Find all providers in zip 32805 | ||||
| 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 |
|---|---|---|---|---|
| 1639770860 | Kailye L Marsh | Behavior Technician | 768 E Michigan St Unit 75, Orlando, FL 32806-4682 | 2020-11-04 |
| 1740887397 | Sabrina Nicole Demski | Behavior Technician | 11476 S Apopka Vineland Rd Unit 118, Orlando, FL 32836-7006 | 2020-10-07 |
| 1609482728 | Maria Belen Bengolea | Behavior Technician | 10920 Moss Park Rd. Suite 130, Orlando, FL 32832 | 2020-09-23 |
| 1053927558 | Moesha Young | Behavior Technician | 907 Outer Rd Ste D, Orlando, FL 32814-6601 | 2020-09-20 |
| 1053926733 | Sylvia Marie Stecher | Behavior Technician | 6831 Slaven Dr, Orlando, FL 32819-4725 | 2020-09-10 |
| 1104430230 | Liliana M. Felipe | Behavior Technician | 12221 E Colonial Dr, Orlando, FL 32826-4718 | 2020-09-05 |
| 1952915696 | Thalia Corrales Pino | Behavior Technician | 5962 Village Cir # 5962, Orlando, FL 32822-4130 | 2020-09-01 |
| 1578175584 | Yansel Rosado Ocasio | Behavior Technician | 14001 Sanctuary Creek Way Unit 303, Orlando, FL 32832-6615 | 2020-08-20 |
| 1407467103 | Cayla Thomas | Behavior Technician | 1728 E Crystal Lake Ave, Orlando, FL 32806-4906 | 2020-08-14 |
| 1689284135 | Maria Isabel Primera | Behavior Technician | 8617 E Colonial Dr Ste 1600, Orlando, FL 32817-3937 | 2020-08-08 |
| Find all providers in ORLANDO | ||||
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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.