LIFE TRIBE LLC (NPI# 1295371896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295371896 |
| Entity Type | Organization |
| Organization Name | LIFE TRIBE LLC |
| Practice Address |
2529 Central Ave St Petersburg FL 33713-8721 |
| Mailing Address |
5940 Seabird Dr S Gulfport FL 33707-3936 |
| Practice Telephone | 7272012389 |
| Practice Fax Number | 8552244326 |
| Mailing Telephone | 7272012389 |
| Mailing Fax Number | 8552244326 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| Authorized Official Name | JENNIFER PHELPS (PRESIDENT/CEO) |
| Authorized Official Telephone | 7272012309 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528603578 | Life Tribe LLC | Behavioral Analyst | 1 W Court Sq Ste 750, Decatur, GA 30030-2545 | 2019-11-14 |
| 1811532310 | Life Tribe LLC | Behavioral Analyst | 2529 Central Ave, St Petersburg, FL 33713-8721 | 2019-11-08 |
| Street Address |
2529 CENTRAL AVE |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-8721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952767303 | Adelina Ferreira | Counselor | 2529 Central Ave, St Petersburg, FL 33713-8721 | 2016-01-14 |
| 1811532310 | Life Tribe LLC | Behavioral Analyst | 2529 Central Ave, St Petersburg, FL 33713-8721 | 2019-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| 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 |
|---|---|---|---|---|
| 1669966453 | Margaret Short | Behavioral Analyst | 5154 6th St N, St Petersburg, FL 33703-2936 | 2018-06-15 |
| 1760991335 | Nakaysha Pullen | Behavioral Analyst | 8950 Dr Martin Luther King St N Ste #190, St Petersburg, FL 33702 | 2017-09-26 |
| 1851800726 | Coastal Aba, LLC | Behavioral Analyst | 6001 41st Ave N, St Petersburg, FL 33709-5221 | 2017-09-23 |
| 1629590930 | Elizabeth Leigh Koehler | Behavioral Analyst | 551 12th Ave Ne Apt 2, St Petersburg, FL 33701-1331 | 2017-07-10 |
| 1962922195 | Emily Ann Markovich | Behavioral Analyst | 8950 Dr Martin Luther King St N Ste 170, St Petersburg, FL 33702-3001 | 2017-06-20 |
| 1295263556 | Andrea Marie Lewetag | Behavioral Analyst | 520 11th Ave N Apt 3, St Petersburg, FL 33701-1661 | 2017-05-31 |
| 1154868933 | Mary Margaret Barrett | Behavioral Analyst | 2600 Martin Luther King St N Ste 401, St Petersburg, FL 33704-2744 | 2017-01-31 |
| 1891232724 | Maura Reedy | Behavioral Analyst | 2600 Dr Martin Luther King Jr St N Ste 401, St Petersburg, FL 33704-2744 | 2017-01-30 |
| 1982141917 | Zoe Isabella Hay | Behavioral Analyst | 534 11th Ave N, St Petersburg, FL 33701-1610 | 2017-01-29 |
| 1841735784 | Lynn Zammit Wagner | Behavioral Analyst | 701 77th Ave N, Ste 56546, St Petersburg, FL 33702-5299 | 2017-01-02 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
Please comment or provide details below to improve the information on LIFE TRIBE LLC.
| 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.