MORGAN T GMYTRUK (NPI# 1417455999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417455999 |
| Entity Type | Individual |
| Full Name | MORGAN T GMYTRUK |
| Practice Address |
3217 S Macdill Ave Tampa FL 33629-1719 |
| Mailing Address |
1321 Murfreesboro Pike Ste 702 Nashville TN 37217-2679 |
| Practice Telephone | 8132847941 |
| Practice Fax Number | 6155775654 |
| Mailing Telephone | 8443597629 |
| Mailing Fax Number | 6155775654 |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2020-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
3217 S MACDILL AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33629-1719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780827964 | Jamie Leigh Delaney | Behavioral Analyst | 3217 S Macdill Ave, Suite 102, Tampa, FL 33629-1719 | 2009-04-17 |
| 1215540083 | April K Mcdaniel | Behavior Technician | 3217 S Macdill Ave, Tampa, FL 33629-1719 | 2020-08-31 |
| 1215540752 | Julianne M Madera | Behavior Technician | 3217 S Macdill Ave, Tampa, FL 33629-1719 | 2020-08-25 |
| 1972113777 | Alissa Pena | Behavior Technician | 3217 S Macdill Ave, Tampa, FL 33629-1719 | 2020-08-06 |
| 1134737299 | Stacha N Morris | Behavior Technician | 3217 S Macdill Ave, Tampa, FL 33629-1719 | 2020-07-15 |
| 1780207589 | Brianna M Hevel | Behavior Technician | 3217 S Macdill Ave, Tampa, FL 33629-1719 | 2020-05-27 |
| 1427671460 | Jenna N Doyle | Behavior Technician | 3217 S Macdill Ave, Tampa, FL 33629-1719 | 2020-05-26 |
| 1902431588 | Jorge Ramirez | Behavior Technician | 3217 S Macdill Ave, Tampa, FL 33629-1719 | 2020-03-04 |
| 1073157566 | Christiana Gunn | Behavior Technician | 3217 S Macdill Ave, Tampa, FL 33629-1719 | 2019-10-29 |
| 1437792249 | Aurora Hevel | Behavior Technician | 3217 S Macdill Ave, Tampa, FL 33629-1719 | 2019-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689162612 | Jake Morris | Counselor | 4003 W Morrison Ave, Tampa, FL 33629 | 2018-04-25 |
| 1689192411 | Madalyn Turner | Chiropractor | 3409 W Bay To Bay Blvd Ste B, Tampa, FL 33629 | 2017-08-31 |
| 1063865673 | South Tampa Dental Studio | Dentist | 4306 West Kensington Ave., Tampa, FL 33629 | 2016-07-19 |
| 1093198160 | Mi Ae Kwon | Dentist | 3739 W. Neptune St., Tampa, FL 33629 | 2015-07-07 |
| 1013394568 | Etairos Health, Inc | In Home Supportive Care | 2301 W Palm Ave, Tampa, FL 33629 | 2015-05-05 |
| 1053702589 | Kantilal N. Bhadja, Md | Internal Medicine | 4223 W. El Prado Blvd, Tampa, FL 33629 | 2015-02-05 |
| 1801174016 | Wang & Cortes Dental | Dentist | 1008 South Clearview Avenue, Tampa, FL 33629 | 2011-07-22 |
| 1174826176 | Jada Rae Danielle Traub | Behavioral Analyst | 3271 S. Macdill Ave, Tampa, FL 33629 | 2010-12-13 |
| 1275849846 | Kara Dawson | Physical Therapy Assistant | 3614 South Dale Mabry, Tampa, FL 33629 | 2010-08-20 |
| 1225350580 | Monteleone & Kessler, P.l. | Dentist | 4014 W. Estrella St., Suite B, Tampa, FL 33629 | 2010-02-26 |
| Find all providers in zip 33629 | ||||
| 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 |
|---|---|---|---|---|
| 1093312647 | Rody Blanco | Assistant Behavior Analyst | 18512 Field Club Way, Tampa, FL 33647-1823 | 2020-10-07 |
| 1710593991 | Odalis De Las Mercedes Marrero | Assistant Behavior Analyst | 6502 Blue Ribbon Ln Apt 301, Tampa, FL 33625-2480 | 2020-09-22 |
| 1962037648 | Shane M Edwards | Assistant Behavior Analyst | 8875 Hidden River Pkwy Ste 318, Tampa, FL 33637-1035 | 2020-03-03 |
| 1689238545 | Tashander Gwendolyn Austin | Assistant Behavior Analyst | 1001 N Dale Mabry Hwy Ste C-100, Tampa, FL 33607-4808 | 2019-04-26 |
| 1740777556 | Patterns Behavioral Services Florida, Inc | Assistant Behavior Analyst | 12000 N Dale Mabry Hwy Ste 112, Tampa, FL 33618-3311 | 2018-04-17 |
| 1396270260 | Ravin Nottingham | Assistant Behavior Analyst | 1701 Julian Lane Dr, Tampa, FL 33619-5549 | 2017-04-27 |
| 1275065856 | Laurencia Irish | Assistant Behavior Analyst | 19046 Bruce B Downs Blvd # 109, Tampa, FL 33647-2434 | 2017-04-01 |
| 1972049211 | Rossana Beytia Aguilar | Assistant Behavior Analyst | 4302 Gunn Hwy Apt 905, Tampa, FL 33618-8771 | 2017-01-10 |
| 1093250516 | Evana Abraham | Assistant Behavior Analyst | 2028 E New Orleans Ave, Tampa, FL 33610-5000 | 2016-12-20 |
| 1972047496 | Bryan Zimmerman | Assistant Behavior Analyst | 11811 Cypress Hill Cir, None, Tampa, FL 33626-3672 | 2016-12-19 |
| Find all providers in TAMPA | ||||
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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.