JESSICA ROTH (NPI# 1285136937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285136937 |
| Entity Type | Individual |
| Full Name | JESSICA ROTH |
| Practice Address |
3208 Gulf Breeze Pkwy Gulf Breeze FL 32563 |
| Mailing Address |
3208 Gulf Breeze Pkwy Gulf Breeze FL 32563-3350 |
| Practice Telephone | 8509328021 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3144 Beven Dr, Escondido, CA 920276229 | 5204030705 | |
| 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 8509328021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295183440 | Jessica Mary Roth | Pharmacist | 9 Stearns Lane Hughes Center South Gah, Danville, PA 17822-3121 | 2016-05-28 |
| 1851905632 | Jessica Roth | Speech-Language Pathologist | 209 Academy Rd, Pembroke, NH 03275-1345 | 2020-08-31 |
| 1407327224 | Jessica Ann Roth | Nurse Practitioner | 800 5th Ave Ste 404, Fort Worth, TX 76104-7305 | 2018-12-06 |
| 1205206554 | Jessica Lee Roth | Speech-Language Pathologist | 108 Education Dr, Schenectady, NY 12303-1297 | 2015-09-30 |
| 1184042368 | Jessica Caryn Roth | Internal Medicine | 8700 Beverly Blvd Ste B220, West Hollywood, CA 90048-1804 | 2014-04-03 |
| 1073876702 | Jessica Roth | Specialist | 435 4th St, Troy, NY 12180-5324 | 2012-06-18 |
| 1144392358 | Jessica R Roth | Pediatrics | 75 Bickford St, Jamaica Plain, MA 02130-1401 | 2006-11-14 |
| Street Address |
3208 GULF BREEZE PKWY |
| City | GULF BREEZE |
| State | FL |
| Zip Code | 32563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861830028 | Morgan Lacy Gawriluk | Behavioral Analyst | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2013-06-10 |
| 1689273575 | Angela Scheidt | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2020-10-21 |
| 1457967515 | Mary Alison Mcrae | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2020-09-23 |
| 1861019580 | Thaise Cuadros | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2020-06-29 |
| 1306470505 | Patricia Wheeler | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2020-02-26 |
| 1689206310 | Samantha Bass | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2020-02-11 |
| 1215582465 | Tiffany Morris | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2019-08-05 |
| 1568022937 | Lindsey Craig | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2019-06-18 |
| 1154989416 | Brandon Mcclelland | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2019-06-03 |
| 1912565409 | Ta'chara Burnside | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2019-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588180475 | Sacred Heart Health System, Inc. | Orthopaedic Surgery | 4033 Gulf Breeze Pkwy, Ste D, Gulf Breeze, FL 32563 | 2017-08-22 |
| 1881121457 | Jay Arnold | Dentist | 1480 Tiger Park Ln, Gulf Breeze, FL 32563 | 2017-05-15 |
| 1457506826 | Horace Lindsay Simpson | Surgery | 4435 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2008-11-26 |
| 1972795508 | Barbara Mary Ebel | Anesthesiology | 4435 Gulf Breeze Parkway, Good Samaritan Clinic, Gulf Breeze, FL 32563 | 2007-08-17 |
| 1275670374 | Karen Cann | Physical Therapist | 4657 Gulf Breeze Pkwy., Suites A & B, Gulf Breeze, FL 32563 | 2007-01-30 |
| 1356423719 | Cynthia Urmos | Chiropractor | 2870 Gulf Breeze Parkway, Gulf Breeze, FL 32563 | 2006-10-19 |
| 1538260690 | Donna Theresa Englehart | Counselor | 3463 Sycamore Lane, Gulf Breeze, FL 32563 | 2006-09-25 |
| 1932695475 | Lynette Hale | Nurse Practitioner | 3416 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2018-07-09 |
| 1821511544 | Samantha Monroe | Behavior Technician | 3182 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2017-07-25 |
| 1841658119 | Amber Baughn Tucei | Chiropractor | 5668 Gulf Breeze Pkwy, Unit 6, Gulf Breeze, FL 32563 | 2016-02-02 |
| Find all providers in zip 32563 | ||||
| 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 |
|---|---|---|---|---|
| 1689273575 | Angela Scheidt | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2020-10-21 |
| 1457967515 | Mary Alison Mcrae | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2020-09-23 |
| 1861019580 | Thaise Cuadros | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2020-06-29 |
| 1306470505 | Patricia Wheeler | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2020-02-26 |
| 1689206310 | Samantha Bass | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2020-02-11 |
| 1215582465 | Tiffany Morris | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2019-08-05 |
| 1568022937 | Lindsey Craig | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2019-06-18 |
| 1154989416 | Brandon Mcclelland | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2019-06-03 |
| 1912565409 | Ta'chara Burnside | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2019-05-30 |
| 1164990271 | Amanda Kage | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2018-11-06 |
| Find all providers in GULF BREEZE | ||||
| City | GULF BREEZE |
| Zip Code | 32563 |
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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.