ELTON DE JESUS PEREZ (NPI# 1265032734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265032734 |
| Entity Type | Individual |
| Full Name | ELTON DE JESUS PEREZ |
| Practice Address |
17815 Hunting Bow Cir Lutz FL 33558-5401 |
| Mailing Address |
300 International Pkwy Ste 200 Lake Mary FL 32746-5028 |
| Practice Telephone | 8134914425 |
| Mailing Telephone | 8666100580 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
17815 HUNTING BOW CIR |
| City | LUTZ |
| State | FL |
| Zip Code | 33558-5401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508153701 | Marilyn Prcic | Behavioral Analyst | 17815 Hunting Bow Cir, Lutz, FL 33558-5401 | 2011-07-08 |
| 1326648106 | Alexander Clayton Dabbs | Behavior Technician | 17815 Hunting Bow Cir, Lutz, FL 33558-5401 | 2020-10-29 |
| 1033717244 | Alexa Sofia Gonzalez | Behavior Technician | 17815 Hunting Bow Cir, Lutz, FL 33558-5401 | 2020-10-12 |
| 1801401674 | Alisha Cherian Arattuculam | Behavior Technician | 17815 Hunting Bow Cir, Lutz, FL 33558-5401 | 2020-09-09 |
| 1376156141 | Lauren Victoria Evans | Behavior Technician | 17815 Hunting Bow Cir, Lutz, FL 33558-5401 | 2020-08-31 |
| 1427676477 | Ashlyn Stevens | Behavioral Analyst | 17815 Hunting Bow Cir, Lutz, FL 33558-5401 | 2020-07-07 |
| 1922625508 | Sammantha Rose Pelletier | Behavior Technician | 17815 Hunting Bow Cir, Lutz, FL 33558-5401 | 2020-06-30 |
| 1619501095 | Katelyn Ann Duvall | Behavior Technician | 17815 Hunting Bow Cir, Lutz, FL 33558-5401 | 2020-02-25 |
| 1275165722 | Khalil Rigaud | Behavior Technician | 17815 Hunting Bow Cir, Lutz, FL 33558-5401 | 2020-02-12 |
| 1992341093 | Whitney Gilbert | Behavior Technician | 17815 Hunting Bow Cir, Lutz, FL 33558-5401 | 2019-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1780175273 | Elder Services of Central Florida, Inc | Home Health | 17901 Hunting Bow Cir Ste 101, Lutz, FL 33558 | 2018-05-21 |
| 1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
| 1376905851 | Michelle Renee Story | Contractor | 20921 Haulover Cv. #f6, Lutz, FL 33558 | 2016-03-24 |
| 1992192223 | Melissa Sonia Giblin | Specialist/Technologist, Other | 17535 Darby Ln, Lutz, FL 33558 | 2015-04-24 |
| 1396177739 | Zoe Scripts Laboratory Services LLC | Clinical Medical Laboratory | 4969 Van Dyke Rd., Lutz, FL 33558 | 2013-08-08 |
| 1649617705 | Suzanne Marie Newby | Physician Assistant | 16541 Pointe Village Dr Ste 209, Lutz, FL 33558 | 2013-05-30 |
| 1073889572 | Julie J. Mckean, Lmhc, Ncc, LLC | Counselor | 4929 Van Dyke Road, Lutz, FL 33558 | 2012-03-29 |
| 1750524864 | Sheetal Suryawanshi | Dentist | 17735 Hunting Bow Circle, Lutz, Florida, FL 33558 | 2009-04-20 |
| 1063675478 | Juan J Egas | Physical Medicine & Rehabilitation | 17807 Hunting Bow Cir, Lutz, FL 33558 | 2008-07-07 |
| Find all providers in zip 33558 | ||||
| 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 |
|---|---|---|---|---|
| 1699335794 | Michaela C Elza | Behavior Technician | 18288 Us-41 S, Lutz, FL 33549 | 2019-06-19 |
| 1295233666 | Issac M Arroyo | Behavior Technician | 18288 Us 41, Lutz, FL 33548 | 2018-01-31 |
| 1437667573 | Jennifer Jones | Behavior Technician | 2501 Chateau Dr, Lutz, FL 33559-4006 | 2018-01-10 |
| 1609391432 | Kristi Faye Steuber | Behavior Technician | 24021 Timberset Court, Lutz, FL 33559 | 2017-08-14 |
| 1619402187 | Derrick Michael Kugel | Behavior Technician | 15004 Turtle Lake Ct, Lutz, FL 33559-7728 | 2017-04-21 |
| 1558807420 | Marlon Montero | Behavior Technician | 4612 Scott Rd, Lutz, FL 33558-4843 | 2017-01-16 |
| 1326648106 | Alexander Clayton Dabbs | Behavior Technician | 17815 Hunting Bow Cir, Lutz, FL 33558-5401 | 2020-10-29 |
| 1528668555 | Nyemba Musemuna | Behavior Technician | 18288 N Us Highway 41, Lutz, FL 33549-4400 | 2020-10-28 |
| 1033717244 | Alexa Sofia Gonzalez | Behavior Technician | 17815 Hunting Bow Cir, Lutz, FL 33558-5401 | 2020-10-12 |
| 1295341725 | Alexandra E Gingras | Behavior Technician | 18288 N Us Hwy 41, Lutz, FL 33549-4400 | 2020-09-21 |
| Find all providers in LUTZ | ||||
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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.