TIARA HUMPHREY (NPI# 1477035079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477035079 |
| Entity Type | Individual |
| Full Name | TIARA HUMPHREY |
| Practice Address |
4497 Powderhorn Place Dr Clermont FL 34711-8929 |
| Mailing Address |
663 N Endeavour Dr Winter Springs FL 32708-5164 |
| Practice Telephone | 3863616100 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |
| 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 |
4497 POWDERHORN PLACE DR |
| City | CLERMONT |
| State | FL |
| Zip Code | 34711-8929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952777856 | Clearstone Group, LLC | Behavioral Analyst | 4497 Powderhorn Place Dr, Clermont, FL 34711-8929 | 2015-08-13 |
| 1396232443 | Avalon Topaz Butler I | Behavior Technician | 4497 Powderhorn Place Dr, Clermont, FL 34711-8929 | 2018-04-15 |
| 1164929360 | Dufresne Michel | Behavior Technician | 4497 Powderhorn Place Dr, Clermont, FL 34711-8929 | 2018-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
| 1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
| 1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
| 1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
| 1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
| 1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
| 1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
| 1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
| 1306353842 | Center of Change Inc. | General Practice | 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 | 2018-01-05 |
| 1003328642 | Clermont Radiology LLC | Clinic/Center | 3725 South Highway 27, Suite 104, Clermont, FL 34711 | 2017-11-03 |
| Find all providers in zip 34711 | ||||
| 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 |
|---|---|---|---|---|
| 1811459886 | Dayanara Rivera | Behavior Technician | 11802 Highland Point Dr, Clermont, FL 34711-8503 | 2019-04-01 |
| 1619445541 | Anita Boykins-allen | Behavior Technician | 16437 Nelson Park Dr Apt 301, Clermont, FL 34714-5856 | 2018-11-08 |
| 1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
| 1730677634 | Kaydee Mae Matherly | Behavior Technician | 11154 Scenic Vista Dr, Clermont, FL 34711-8619 | 2018-04-25 |
| 1346746005 | Julitza Otano | Behavior Technician | 16815 Sarahs Pl Apt 301, Clermont, FL 34714-7038 | 2018-04-02 |
| 1346745361 | Danielle Scott | Behavior Technician | 1098 W Magnolia St, Clermont, FL 34711-2849 | 2018-03-30 |
| 1376043018 | Charles Richard Vogl IIi | Behavior Technician | 2243 Majestic Eagle Cir, Clermont, FL 34714-6146 | 2018-02-20 |
| 1548768443 | Bryan Patrick Robinson | Behavior Technician | 16448 Nelson Park Dr Apt 207, Clermont, FL 34714-5872 | 2018-01-25 |
| 1164931945 | Lisa Hernandez | Behavior Technician | 3232 Callerton Rd, Clermont, FL 34714 | 2017-09-25 |
| 1164948790 | Marissa Jo Weis | Behavior Technician | 10700 Versailles Blvd, Clermont, FL 34711-7342 | 2017-08-15 |
| Find all providers in CLERMONT | ||||
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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.