VANESSA MARIE LARSON (NPI# 1467997247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467997247 |
| Entity Type | Individual |
| Full Name | VANESSA MARIE LARSON |
| Credential | BCABA |
| Practice Address |
1015 Nw 56th Ter Gainesville FL 32605-4481 |
| Mailing Address |
175 Middle St Suite 1201 Lake Mary FL 32746-3625 |
| Practice Telephone | 3528355520 |
| Practice Fax Number | 8666100580 |
| Mailing Telephone | 8666100580 |
| Mailing Fax Number | 8666100580 |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 0-11-4106 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 009093700 | 05 |
| Street Address |
1015 NW 56TH TER |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605-4481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053676270 | Lisa A. Guerrero | Behavioral Analyst | 1015 Nw 56th Ter, Gainesville, FL 32605-4481 | 2012-07-13 |
| 1336749951 | Brandon Colvin | Behavior Technician | 1015 Nw 56th Ter, Gainesville, FL 32605-4481 | 2020-11-01 |
| 1861099236 | Kerry Souverain | Behavior Technician | 1015 Nw 56th Ter, Gainesville, FL 32605-4481 | 2020-10-07 |
| 1356958961 | Kenisha Whitley | Behavior Technician | 1015 Nw 56th Ter, Gainesville, FL 32605-4481 | 2020-09-28 |
| 1083224554 | Katie Ann Alvarez | Behavior Technician | 1015 Nw 56th Ter, Gainesville, FL 32605-4481 | 2020-08-08 |
| 1861000663 | Haneen Jaber | Behavior Technician | 1015 Nw 56th Ter, Gainesville, FL 32605-4481 | 2020-07-17 |
| 1124636311 | Skylar Hoffert | Behavior Technician | 1015 Nw 56th Ter, Gainesville, FL 32605-4481 | 2020-07-14 |
| 1487288999 | Cedric Timol-george | Behavior Technician | 1015 Nw 56th Ter, Gainesville, FL 32605-4481 | 2020-02-24 |
| 1730711698 | Ariana Guadiamos | Behavior Technician | 1015 Nw 56th Ter, Gainesville, FL 32605-4481 | 2020-02-09 |
| 1831721760 | Ebony D Sherrod | Behavior Technician | 1015 Nw 56th Ter, Gainesville, FL 32605-4481 | 2020-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| 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 |
|---|---|---|---|---|
| 1093358541 | Florida Autism Center | Assistant Behavior Analyst | 1220 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2019-10-28 |
| 1265886139 | Steven Craig | Assistant Behavior Analyst | 1015 Nw 56th Terrace, Gainesville, FLORIDA 32605 | 2016-04-18 |
| 1477170454 | Kaci R Ellis | Assistant Behavior Analyst | 4907 Nw 43rd St Ste C, Gainesville, FL 32606-2007 | 2020-06-25 |
| 1275091399 | Fabian Reyes | Assistant Behavior Analyst | 1408 Nw 6th St, Gainesville, FL 32601-4020 | 2019-03-07 |
| 1801331723 | Samuel Lane Morris | Assistant Behavior Analyst | 1015 Nw 56th Ter, Gainesville, FL 32605-4481 | 2017-01-02 |
| 1932568557 | Janelle Kirstie Bacotti | Assistant Behavior Analyst | 1015 Nw 56th Ter, Gainesville, FL 32605-4481 | 2016-02-11 |
| 1972971372 | Florida Autism Center | Assistant Behavior Analyst | 1015 Nw 56th Ter, Gainesville, FL 32605-4481 | 2015-09-02 |
| 1992188593 | Daniel Conine | Assistant Behavior Analyst | 945 Center Dr, Gainesville, FL 32611-2026 | 2015-07-01 |
| 1457740896 | Amanda Sagarian | Assistant Behavior Analyst | 2035 Sw 75th St Ste B, Gainesville, FL 32607-3425 | 2015-01-22 |
| 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 | GAINESVILLE |
| Zip Code | 32605 |
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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.