MIRANDA JADE LACEY (NPI# 1427698091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427698091 |
| Entity Type | Individual |
| Full Name | MIRANDA JADE LACEY |
| Credential | RBT |
| Practice Address |
2073 Graden St Titusville FL 32796 |
| Practice Telephone | 3218883032 |
| Mailing Telephone | 3218883032 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
2073 GRADEN ST |
| City | TITUSVILLE |
| State | FL |
| Zip Code | 32796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588183818 | Charles Hopkins Jr. | Behavior Technician | 2073 Garden St., Titusville, FL 32796 | 2017-09-19 |
| 1962924456 | Robin Marie Ahlgren | Social Worker | 503 South Palm Ave, Titusville, FL 32796 | 2017-07-17 |
| 1669994158 | New Creation Counseling | Social Worker | 503 South Palm Ave., Titusville, FL 32796 | 2017-07-17 |
| 1255719506 | Daniel Joseph Spagnoli | Dentist | 55 N Carpenter Rd, Titusville, FL 32796 | 2015-05-07 |
| 1033511415 | Imran Rashid Md Pa | Internal Medicine | 3300 Dairy Road, Titusville, FL 32796 | 2014-09-17 |
| 1639425432 | William Henry Ruppert Jr. | Dietitian, Registered | 2191 Garden Street, Titusville, FL 32796 | 2012-07-30 |
| 1437410230 | Betsy Cooduvalli | Dermatology | 500 N Washington Ave Ste 109, Titusville, FL 32796 | 2012-06-07 |
| 1134403108 | Titusville Chiropractic & Injury Center, Inc. | Chiropractor | 850 Century Medical Drive, Titusville, FL 32796 | 2011-10-07 |
| 1992095152 | Jennifer Eleanor Koffman | Occupational Therapy Assistant | 140 N Hilltop Drive, Titusville, FL 32796 | 2011-04-08 |
| 1356575427 | Jl Gran Services, Inc | Clinic/Center | 3435 Westwood Dr, Titusville, FL 32796 | 2009-05-05 |
| Find all providers in zip 32796 | ||||
| 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 |
|---|---|---|---|---|
| 1356808331 | Shanay Bentley | Behavior Technician | 2063 Garden St, Titusville, FL 32796-3243 | 2019-02-26 |
| 1730699885 | Elizabeth Rodriguez | Behavior Technician | 5070 Volusia Ave, Titusville, FL 32780-6830 | 2017-10-03 |
| 1588183818 | Charles Hopkins Jr. | Behavior Technician | 2073 Garden St., Titusville, FL 32796 | 2017-09-19 |
| 1043739378 | Latresa Joseph | Behavior Technician | 2765 Winstead Dr, Titusville, FL 32796-1937 | 2017-09-19 |
| 1134663669 | Laura Starks | Behavior Technician | 1000 Tree Lane Apt H, Titusville, FL 32780 | 2016-12-19 |
| 1861023418 | Kaitlyn Grace Murphy-jones | Behavior Technician | 2073 Garden St, Titusville, FL 32796-3243 | 2020-02-03 |
| 1154951655 | Kendra Lorraine Mcmanus | Behavior Technician | 2073 Garden St, Titusville, FL 32796-3243 | 2020-01-23 |
| 1881224418 | Brianna Brookshier | Behavior Technician | 2073 Garden St, Titusville, FL 32796-3243 | 2020-01-23 |
| 1104456730 | Jenna Nicole Ross | Behavior Technician | 2073 Garden St, Titusville, FL 32796-3243 | 2020-01-23 |
| 1770113300 | Ashleigh Mcbryde | Behavior Technician | 2063 Garden St, Titusville, FL 32796-3243 | 2020-01-23 |
| Find all providers in TITUSVILLE | ||||
| City | TITUSVILLE |
| Zip Code | 32796 |
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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.