KIMBERLY MICHELLE GRAY (NPI# 1306353875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306353875 |
| Entity Type | Individual |
| Full Name | KIMBERLY MICHELLE GRAY |
| Practice Address |
3771 Stefani Rd Cantonment FL 32533-7795 |
| Practice Telephone | 8506076910 |
| Practice Fax Number | 8506076932 |
| Mailing Telephone | 8506076910 |
| Mailing Fax Number | 8506076932 |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-17-29042 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972067999 | Kimberly Thurman Gray | Social Worker | 6331 Germantown Ave # 2, Philadelphia, PA 19144-1907 | 2019-01-23 |
| 1871042820 | Kimberly Lee Gray | Behavior Technician | 2077 Kapok Tree Ln, Las Vegas, NV 89142-0789 | 2016-09-30 |
| 1407230667 | Kimberly M Gray | Student in an Organized Health Care Education/Training Program | 225 37th Ave Fl 3rf, San Mateo, CA 94403-4324 | 2015-07-16 |
| 1578828968 | Kimberly Kay Gray | Doula | 358 E Waterbury Rd, Indianapolis, IN 46227-2476 | 2012-07-11 |
| 1306113048 | Kimberly M Gray | Licensed Practical Nurse | 2577 35th St, Springfield, OR 97477-1889 | 2011-11-23 |
| 1619523727 | Kimberly Gray | Behavior Technician | 3702 Ruffin Rd Ste 100, San Diego, CA 92123-1893 | 2019-08-14 |
| 1780186213 | Kimberly Ann Gray | Nurse Practitioner | 2412 W Plaza Dr, Tallahassee, FL 32308-5325 | 2018-02-28 |
| 1255832150 | Kimberly Gray | Counselor | 1855 E Dublin Granville Rd, Columbus, OH 43229-3516 | 2018-02-26 |
| 1093255713 | Kimberly Gray | Massage Therapist | 2200 Broadway St, Suite C, Vancouver, WA 98663-3255 | 2017-02-28 |
| 1598123143 | Kimberly Gray | Counselor | 117 N B St, Lompoc, CA 93436-6901 | 2016-02-10 |
| Street Address |
3771 STEFANI RD |
| City | CANTONMENT |
| State | FL |
| Zip Code | 32533-7795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770875825 | Laura Leanne O'brien | Student in an Organized Health Care Education/Training Program | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2011-05-09 |
| 1649878083 | Brisyianna Nicole Robertson | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-10-16 |
| 1962000455 | Cory Miller | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-10-15 |
| 1851998355 | Casey James Coffey | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-10-07 |
| 1922605534 | Sara Lynne Wakai | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-10-06 |
| 1184221079 | Tracy Curry | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-10-05 |
| 1538776935 | Kendrick Douglas Rattray IIi | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-09-29 |
| 1588270763 | Jeremy Ruelos | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-09-22 |
| 1699381947 | Sheri Burgess | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-09-22 |
| 1114532421 | Briana Marie Diederichsen | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942778881 | Josie Reynolds | Behavior Technician | 3771 Stefani Road, Cantonment, FL 32533 | 2018-11-08 |
| 1013499441 | Self Haven LLC | Counselor | 1105 Carla Drive, Cantonment, FL 32533 | 2018-09-01 |
| 1104270974 | Tabitha Dugal | Nurse Practitioner | 2360 Us-29, Cantonment, FL 32533 | 2016-04-19 |
| 1912391335 | Gene Raymond Lachney Jr. | Pharmacist | 1550 S Hwy 29, Cantonment, FL 32533 | 2015-03-24 |
| 1902297922 | Sandra Darlene Nelson | Technician | 2524 Sourthern Oak Drive, Cantonment, FL 32533 | 2015-02-12 |
| 1023353695 | Laurelwood Alf | Clinic/Center | 1851 W. Ten Mile Rd, Cantonment, FL 32533 | 2012-12-07 |
| 1235409624 | Ingrid Wilson Huang | Psychologist | 2220 Parker Rd, Cantonment, FL 32533 | 2012-01-03 |
| 1104062850 | Linda Singleton | Adult Companion | 926 Booker St., Cantonment, FL 32533 | 2008-12-31 |
| 1215119193 | Cantonment Family Medicine Pa | Family Medicine | 2400 S. Hwy 29, Cantonment, FL 32533 | 2007-12-03 |
| 1386781342 | Pensacola Primary Care Inc | Family Medicine | 2360 U.S. Highway 29 South, Cantonment, FL 32533 | 2007-01-31 |
| Find all providers in zip 32533 | ||||
| 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 |
|---|---|---|---|---|
| 1033759907 | Ashley Renee Majors | Behavior Technician | 3771 Stefani Rd Fl 32533, Cantonment, FL 32533-7795 | 2020-01-08 |
| 1942778881 | Josie Reynolds | Behavior Technician | 3771 Stefani Road, Cantonment, FL 32533 | 2018-11-08 |
| 1649878083 | Brisyianna Nicole Robertson | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-10-16 |
| 1962000455 | Cory Miller | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-10-15 |
| 1851998355 | Casey James Coffey | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-10-07 |
| 1922605534 | Sara Lynne Wakai | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-10-06 |
| 1184221079 | Tracy Curry | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-10-05 |
| 1538776935 | Kendrick Douglas Rattray IIi | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-09-29 |
| 1588270763 | Jeremy Ruelos | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-09-22 |
| 1699381947 | Sheri Burgess | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-09-22 |
| Find all providers in CANTONMENT | ||||
| City | CANTONMENT |
| Zip Code | 32533 |
Please comment or provide details below to improve the information on KIMBERLY MICHELLE GRAY.
| 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.