GINA MARIA CLARK (NPI# 1265985956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265985956 |
| Entity Type | Individual |
| Full Name | GINA MARIA CLARK |
| Practice Address |
8212 Forest Oaks Blvd Spring Hill FL 34606-6839 |
| Practice Telephone | 3525846755 |
| Mailing Telephone | 3525846755 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2019-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| Y | 106S00000X | Behavior Technician | RBT-17-32892 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871732412 | Gina Marie Clark | Social Worker | 1008 W Avenue J10, Lancaster, CA 93534-4828 | 2009-02-05 |
| 1023151784 | Gina Clark | Counselor | 800 E 6th Ave Ste B, Stillwater, OK 74074-3732 | 2007-02-14 |
| 1124101332 | Gina K Clark | Nurse Practitioner | 990 Wilkinson Trce Ste 100, Bowling Green, KY 42103-3404 | 2006-10-23 |
| 1174912406 | Gina Clark | Nurse Practitioner | 4200 Gardiner View Ave, Louisville, KY 40213-1877 | 2015-01-09 |
| 1891119996 | Gina Clark | Social Worker | 1225 E Big Beaver Rd, Troy, MI 48083-1905 | 2014-02-10 |
| 1427470558 | Gina Clark | Physical Therapist | 551 Lone Pine Blvd, The Dalles, OR 97058-9403 | 2014-01-08 |
| 1790065399 | Gina Clark | Family Medicine | 1505 E Main St, Stigler, OK 74462-2913 | 2011-08-26 |
| 1992020887 | Gina M. Clark | Student in an Organized Health Care Education/Training Program | 275 W Macarthur, Oakland, CA 94611-5641 | 2010-04-02 |
| Street Address |
8212 FOREST OAKS BLVD |
| City | SPRING HILL |
| State | FL |
| Zip Code | 34606-6839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196877 | Ruth A Bertone | Developmental Therapist | 6835 Eastbrook Drive, Spring Hill, FL 34606 | 2020-05-21 |
| 1023508405 | Ambassador Health Services, Inc. | In Home Supportive Care | 4048 Deltona Blvd, Spring Hill, FL 34606 | 2018-05-11 |
| 1295233393 | Back To Health Chiropractic LLC | Chiropractor | 3479 Deltona Blvd, Spring Hill, FL 34606 | 2018-01-24 |
| 1831614080 | Florida Medical Pain Management | Anesthesiology | 5270 Applegate Drive, Spring Hill, FL 34606 | 2017-08-09 |
| 1639543200 | Green Leaf and Company, LLC | Point of Service | 7364 Lagood Rd, Spring Hill, FL 34606 | 2015-11-19 |
| 1578993200 | Deltona Home of Tlc Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1287 Deltona Blvd, Spring Hill, FL 34606 | 2013-11-15 |
| 1407289291 | Leslie Kaye Griffen | Nurse Practitioner | 8391 Omaha Circle, Spring Hill, FL 34606 | 2013-08-15 |
| 1508200213 | Nic 5 Forest Oaks Leasing LLC | Assisted Living Facility | 8055 Forest Oaks Blvd., Spring Hill, FL 34606 | 2013-04-24 |
| 1316278807 | Carmen Serrano | Massage Therapist | 8329 Nevada St, Springhill, FL 34606 | 2010-01-22 |
| 1427299700 | Jeanine Smith Mcneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7338 Spring Hill Dr, Spring Hill, FL 34606 | 2009-03-16 |
| Find all providers in zip 34606 | ||||
| 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 |
|---|---|---|---|---|
| 1265040679 | Rolando Humberto Betancourt Feria | Behavior Technician | 9414 Spring Hill Dr, Spring Hill, FL 34608-6466 | 2020-07-21 |
| 1962037994 | Johanna Goodman | Behavior Technician | 18325 Skinner Dr, Spring Hill, FL 34610-2175 | 2020-03-10 |
| 1982235552 | Natalie Washington | Behavior Technician | 9371 Swiss Rd, Spring Hill, FL 34606-1555 | 2020-01-31 |
| 1568002889 | Michelle Lee Hilkens | Behavior Technician | 12123 Rockford St, Spring Hill, FL 34608-2156 | 2020-01-15 |
| 1043840275 | John Gonzalez Jr. | Behavior Technician | 7388 Canterbury St, Spring Hill, FL 34606-4303 | 2020-01-15 |
| 1003461641 | Maria Krieg | Behavior Technician | 1384 Laurel Ave, Spring Hill, FL 34606-4021 | 2019-08-08 |
| 1700431970 | Joel Hernandez Jr. | Behavior Technician | 467 Aladdin Rd, Spring Hill, FL 34609-6402 | 2019-08-05 |
| 1134609936 | Laura Elizabeth Laven | Behavior Technician | 7309 Gates Cir, Spring Hill, FL 34606-6208 | 2018-08-21 |
| 1487159505 | Destiny Daniels | Behavior Technician | 403 Spring Haven Loop Apt 100, Spring Hill, FL 34608-9437 | 2018-03-29 |
| 1932604147 | Sasha Brooks | Behavior Technician | 4052 Commercial Way, Spring Hill, FL 34606-2398 | 2018-03-28 |
| Find all providers in SPRING HILL | ||||
| City | SPRING HILL |
| Zip Code | 34606 |
Please comment or provide details below to improve the information on GINA MARIA CLARK.
| 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.