NICOLE RAE GRANNIE (NPI# 1285132902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285132902 |
| Entity Type | Individual |
| Full Name | NICOLE RAE GRANNIE |
| Practice Address |
1116 Nikki View Dr Brandon FL 33511-4868 |
| Mailing Address |
18001 Richmond Place Dr Apt 435 Tampa FL 33647-1754 |
| Practice Telephone | 8558326727 |
| Mailing Telephone | 9544644876 |
| Enumeration Date | 2018-01-28 |
| Last Update Date | 2018-01-28 |
| 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 |
1116 NIKKI VIEW DR |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-4868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457664260 | Jennifer Cataline | Counselor | 1116 Nikki View Dr, Brandon, FL 33511-4868 | 2010-07-21 |
| 1063010023 | Anthony Tucker Valdes | Behavior Technician | 1116 Nikki View Dr, Brandon, FL 33511-4868 | 2020-10-13 |
| 1013531433 | Camille Anne Custodio | Behavior Technician | 1116 Nikki View Dr, Brandon, FL 33511-4868 | 2020-06-01 |
| 1679040760 | Chris Paul Jurnak | Behavior Technician | 1116 Nikki View Dr, Brandon, FL 33511-4868 | 2018-10-27 |
| 1760966154 | Breanna E Crabtree | Behavior Technician | 1116 Nikki View Dr, Brandon, FL 33511-4868 | 2018-09-20 |
| 1467935403 | Benjamin Peoples | Technician, Other | 1116 Nikki View Dr, Brandon, FL 33511 | 2018-09-14 |
| 1396234415 | John Hyde | Behavior Technician | 1116 Nikki View Dr, Brandon, FL 33511-4868 | 2018-05-03 |
| 1912494543 | Tania Marie Gomez-rosario | Behavior Technician | 1116 Nikki View Dr, Brandon, FL 33511-4868 | 2018-04-19 |
| 1073010807 | Monica A De La Llave | Technician, Other | 1116 Nikki View Dr, Brandon, FL 33511-4868 | 2018-04-09 |
| 1053816165 | Rebecca Lee Fitzgerald Champion | Technician, Other | 1116 Nikki View Dr, Brandon, FL 33511-4868 | 2018-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| 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 |
|---|---|---|---|---|
| 1538773197 | Islanys Carballo Torres | Behavior Technician | 808 Heather Noel Ct Apt 302, Brandon, FL 33510-4552 | 2020-09-01 |
| 1033739008 | Bradley O'brien | Behavior Technician | 1124 Kyle Wood Ln, Brandon, FL 33511-4850 | 2020-04-20 |
| 1144858200 | Jessica Louise Shannon | Behavior Technician | 1813 Lake Chapman Dr Unit 201, Brandon, FL 33510-4158 | 2020-04-01 |
| 1407329725 | Patricia Concepcion Esperon | Behavior Technician | 2072 Sarah Louise Dr, Brandon, FL 33510-2058 | 2019-01-09 |
| 1235629858 | Fernando Palazio | Behavior Technician | 412 E Jersey Ave, Brandon, FL 33510-3425 | 2018-05-18 |
| 1881193993 | Mackenzie Dawn Mcfarland | Behavior Technician | 516 Corner Dr, Brandon, FL 33511-5717 | 2018-02-04 |
| 1427561901 | Rebecca Curry | Behavior Technician | 2208 Briana Dr, Brandon, FL 33511-6317 | 2017-11-07 |
| 1144730060 | Ashley Anne Lowe | Behavior Technician | 1563 Blue Magnolia Rd, Brandon, FL 33510-4029 | 2017-10-05 |
| 1558870584 | Julian Pittman | Behavior Technician | 1850 Providence Lakes Blvd. Apt# 709, Brandon, FL 33511 | 2017-09-21 |
| 1043738719 | Maria Eugenia Garcia-navarro | Behavior Technician | 2637 Oleander Lakes Dr, Brandon, FL 33511-1271 | 2017-09-01 |
| Find all providers in BRANDON | ||||
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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.