LOREN COLLARILE (NPI# 1295108520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295108520 |
| Entity Type | Individual |
| Full Name | LOREN COLLARILE |
| Practice Address |
305 East Dr Suite L Melbourne FL 32904-1033 |
| Practice Telephone | 3213450861 |
| Practice Fax Number | 3217656434 |
| Mailing Telephone | 3213450861 |
| Mailing Fax Number | 3217656434 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | RBT-15-03737 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RBT | RBT-15-03737 | 01 |
| Street Address |
305 EAST DR SUITE L |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32904-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497128706 | Giselle Campuzano | Behavioral Analyst | 305 East Dr, Suite L, Melbourne, FL 32904-1033 | 2015-11-09 |
| 1932572252 | Kristen Caldwell | Behavioral Analyst | 305 East Dr, Suite L, Melbourne, FL 32904-1033 | 2015-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687686 | Athena Behavior Analysis, LLC | Behavioral Analyst | 1230 Fargo Dr, Melbourne, FL 32940-6901 | 2020-07-27 |
| 1336788611 | Paloma Academy Inc | Behavioral Analyst | 2740 N Harbor City Blvd, Melbourne, FL 32935-6291 | 2020-01-03 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1902461155 | Robert Moraleda II | Behavioral Analyst | 635 Autumn Glen Dr, Melbourne, FL 32940-6405 | 2019-05-03 |
| 1497240303 | Sonshine Behavior Services Bcba, LLC | Behavioral Analyst | 1984 Madison Ave, Melbourne, FL 32935-4048 | 2018-06-25 |
| 1124511795 | Lisett Irina Wilson | Behavioral Analyst | 1728 Pinewood Rd, Melbourne, FL 32934-9022 | 2018-06-08 |
| 1215427638 | Abracadabra Aba Pllc | Behavioral Analyst | 1737 Croghan Dr, Melbourne, FL 32940-6014 | 2018-05-10 |
| 1770007833 | Ame Lemon | Behavioral Analyst | 4100 Lake Washington Rd, Melbourne, FL 32934-7669 | 2017-07-31 |
| 1750819520 | Priscilla Baer Schimkus | Behavioral Analyst | 1051 Eber Blvd Ste 108, Melbourne, FL 32904-8768 | 2017-05-24 |
| 1083088025 | Jenna Conn | Behavioral Analyst | 305 East Dr Ste L, Melbourne, FL 32904-1033 | 2015-11-13 |
| Find all providers in MELBOURNE | ||||
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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.