MR. JULIO ROBERTO CASTELLANOS JR. (NPI# 1356900856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356900856 |
| Entity Type | Individual |
| Full Name | MR. JULIO ROBERTO CASTELLANOS JR. |
| Credential | RBT |
| Practice Address |
785 King George Blvd Ste 103 Savannah GA 31419 |
| Mailing Address |
930 Rushing St Richmond Hill GA 31324-6435 |
| Practice Telephone | 9123497146 |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |
| Gender Code | M |
| 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 |
|---|---|---|
| 785 King George Blvd Ste 103, Savannah, GA 31419 | 9123497146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
| 1699298273 | Julio Castellanos | Behavior Technician | 14411 Commerce Way Ste 310, Miami Lakes, FL 33016-1532 | 2017-07-25 |
| Street Address |
785 KING GEORGE BLVD STE 103 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083244669 | Henry Thomas Badon | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419-8376 | 2020-01-22 |
| 1861033805 | Logan Scott Lawalin | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419-8376 | 2019-10-01 |
| 1437701273 | Samantha Nicole Ryan | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419-8376 | 2019-07-11 |
| 1982266904 | Racheal Ann Ryan | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419-8376 | 2019-06-29 |
| 1144881947 | Ellen Lynn Avery-mcdaniel | Behavioral Analyst | 785 King George Blvd Ste 103, Savannah, GA 31419-8376 | 2019-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| 1851751754 | Rosemary Cross | Non-emergency Medical Transport (VAN) | 804 Tavern Road, Savannah, GA 31419 | 2016-03-04 |
| Find all providers in zip 31419 | ||||
| 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 |
|---|---|---|---|---|
| 1083224299 | Raquel-monet Tucker | Behavior Technician | 5710 Ogeechee Road, Suite 200 - 251, Savannah, GA 31405-9515 | 2020-08-03 |
| 1437771706 | Tahlia Leleka Price | Behavior Technician | 450 Al Henderson Blvd Unit 1202, Savannah, GA 31419-6048 | 2020-05-10 |
| 1942821483 | Taylor Depol | Behavior Technician | 9111 White Bluff Rd, Savannah, GA 31406-4606 | 2020-05-06 |
| 1356976419 | Alexandria Herrin | Behavior Technician | 613 Stephenson Ave Ste A, Savannah, GA 31405-5985 | 2020-03-10 |
| 1790317154 | Lisa Henderson | Behavior Technician | 31 Beaver Run Dr, Savannah, GA 31419-9528 | 2020-02-04 |
| 1639716350 | Brandi Dawn Blackwell | Behavior Technician | 125 Tibet Ave Apt 116a, Savannah, GA 31406-5550 | 2019-12-01 |
| 1417511379 | Erika Wallace | Behavior Technician | 8515 Lyn Ave, Savannah, GA 31406-6019 | 2019-04-26 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1457829335 | Kayla Glover | Behavior Technician | 210 Cromer St, Savannah, GA 31407-4829 | 2018-11-08 |
| 1861978132 | Praise Watkins | Behavior Technician | 315 Eugene St, Savannah, GA 31406-4921 | 2018-07-19 |
| Find all providers in SAVANNAH | ||||
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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.