COLLEEN DELVALLE (NPI# 1366811838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366811838 |
| Entity Type | Individual |
| Full Name | COLLEEN DELVALLE |
| Practice Address |
10850 S Us Highway 1 Ste 2 Port St Lucie FL 34952-6407 |
| Mailing Address |
4575 Se Dixie Hwy Stuart FL 34997-6826 |
| Practice Telephone | 7724630444 |
| Practice Fax Number | 7722191339 |
| Mailing Telephone | 8558326727 |
| Mailing Fax Number | 7726759100 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2020-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers | ||
| N | 106E00000X | Assistant Behavior Analyst | FL | Behavioral Health & Social Service Providers | |
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
10850 S US HIGHWAY 1 STE 2 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34952-6407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770779597 | Aliyah Longhurst | Marriage & Family Therapist | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2007-09-16 |
| 1154922268 | Fearona Samantha Dunkley | Behavior Technician | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2020-11-04 |
| 1881295111 | Amany Ahmad | Behavior Technician | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2020-11-03 |
| 1669072013 | Kandace Victoria Henley | Behavior Technician | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2020-10-27 |
| 1548869837 | Fabienne Fleuranvil Merise | Behavior Technician | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2020-10-19 |
| 1306460548 | Alexandria Marie Tardiff | Behavior Technician | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2020-06-03 |
| 1003438680 | Michaela Rose Gelbaugh | Behavior Technician | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2020-05-18 |
| 1356975577 | Shanede Raymond | Behavior Technician | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2020-02-26 |
| 1952935355 | Ginelle A Robinson | Behavior Technician | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2020-02-25 |
| 1538799424 | Marcela Hernandez | Behavior Technician | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2020-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1467963728 | Kristine Michelle Sedor | Assistant Behavior Analyst | 2291 Sw Mount Vernon St, Port St Lucie, FL 34953-2359 | 2017-10-13 |
| 1669906525 | Tammy-lee Connor | Assistant Behavior Analyst | 2449 Sw Vardon St, Port St Lucie, FL 34953-2445 | 2017-04-18 |
| 1780925727 | Brigitte Christensen | Assistant Behavior Analyst | 247 Sw Port St Lucie Blvd, Port St Lucie, FL 34984-5015 | 2013-03-14 |
| 1033602784 | Susan Smith | Assistant Behavior Analyst | 247 Sw Port St Lucie Blvd, Port St Lucie, FL 34984-5015 | 2018-06-07 |
| 1174042956 | Florida Autism Center | Assistant Behavior Analyst | 247 Sw Port St Lucie Blvd, Port St Lucie, FL 34984-5015 | 2017-09-13 |
| 1215452131 | Nellie Johnson | Assistant Behavior Analyst | 1850 Sw Mackenzie St, Port St Lucie, FL 34953-1329 | 2017-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305924 | Irialis Gonzalez Gutierrez | Assistant Behavior Analyst | 6261 W Flagler St Apt 22, Miami, FL 33144-3024 | 2020-10-28 |
| 1265031157 | Raquel Daetz Garcia | Assistant Behavior Analyst | 11262 Sw 230th Ter, Miami, FL 33170-7612 | 2020-10-21 |
| 1790383149 | Jorge L Hernandez Aguilar | Assistant Behavior Analyst | 14236 Sw 91st St, Miami, FL 33186-7802 | 2020-10-16 |
| 1114525839 | Stepping Stones Supports LLC | Assistant Behavior Analyst | 5221 Nw 81st Ter, Lauderhill, FL 33351-5050 | 2020-10-14 |
| 1912505884 | Maria Matilde Alonso Urquijo | Assistant Behavior Analyst | 7317 Sw 22nd St, Miami, FL 33155-1426 | 2020-10-13 |
| 1093312647 | Rody Blanco | Assistant Behavior Analyst | 18512 Field Club Way, Tampa, FL 33647-1823 | 2020-10-07 |
| 1699372870 | Karen Zhao | Assistant Behavior Analyst | 8303 Sw 107th Ave Apt A, Miami, FL 33173-3805 | 2020-10-01 |
| 1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
| 1689281453 | Betsy Escobar Lozada | Assistant Behavior Analyst | 601 Ludlam Dr Apt 1, Miami Springs, FL 33166-4971 | 2020-09-25 |
| 1710593991 | Odalis De Las Mercedes Marrero | Assistant Behavior Analyst | 6502 Blue Ribbon Ln Apt 301, Tampa, FL 33625-2480 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST LUCIE |
| Zip Code | 34952 |
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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.