ANDREA HARRIS (NPI# 1477097475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477097475 |
| Entity Type | Individual |
| Full Name | ANDREA HARRIS |
| Practice Address |
2108 Lewis Turner Blvd Fort Walton Beach FL 32547-1316 |
| Practice Telephone | 8508642273 |
| Practice Fax Number | 8502004745 |
| Mailing Telephone | 8508642273 |
| Mailing Fax Number | 8502004745 |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447606652 | Andrea Harris | Counselor | 5500 Lancaster Ln, Commerce Township, MI 48382-2887 | 2016-05-05 |
| 1043619570 | Andrea Harris | Licensed Practical Nurse | 3820 Walker Ave, Cincinnati, OH 45213-2321 | 2014-08-20 |
| 1316297435 | Andrea Harris | Case Manager/Care Coordinator | 11006 Cloverland Pl, Tampa, FL 33624-4826 | 2012-09-17 |
| 1891946091 | Andrea Harris | Social Worker | 4670 Douglas Ave, Bronx, NY 10471-3518 | 2008-10-06 |
| 1912175258 | Andrea T. Harris | Counselor | Warren-yazoo Mental Health Service, 3444 Wisconsin Ave., Vicksburg, MS 39180 | 2008-02-20 |
| 1467076166 | Andrea P Harris | Speech-Language Pathologist | 142 Westchester Dr, Lafayette, LA 70506-6242 | 2020-05-29 |
| 1144851254 | Andrea Harris | Nutritionist | 4500 Spring Ave, Dallas, TX 75210-1350 | 2020-01-28 |
| 1649828070 | Andrea Harris | Physician Assistant | 2929 E Thomas Rd, Phoenix, AZ 85016-8034 | 2019-08-28 |
| 1306404744 | Andrea Nuckols Harris | Nurse Practitioner | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2019-05-31 |
| 1841783446 | Andrea M Harris | Dentist | 18130 W 119th St, Olathe, KS 66061-9532 | 2018-06-08 |
| Street Address |
2108 LEWIS TURNER BLVD |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-1316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255436416 | Lynn Oaks Lambert | Speech-Language Pathologist | 2108 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1316 | 2006-09-13 |
| 1912423955 | Dana Simon | Speech-Language Pathologist | 2108 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1316 | 2017-08-22 |
| 1114460763 | Alyssa Pointer | Behavior Technician | 2108 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1316 | 2016-11-30 |
| 1619289725 | Glynis Bealer | Speech-Language Pathologist | 2108 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1316 | 2010-07-06 |
| 1639496474 | Dorthea Carper | Developmental Therapist | 2108 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1316 | 2010-05-03 |
| 1235460536 | Kimberly Hamm | Developmental Therapist | 2108 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1316 | 2010-01-26 |
| 1396076931 | Elizabeth Stutz | Developmental Therapist | 2108 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1316 | 2010-01-21 |
| 1205164308 | Erica Bowen | Speech-Language Pathologist | 2108 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1316 | 2009-12-01 |
| 1811129778 | Jennifer Marie Burgemeister | Developmental Therapist | 2108 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1316 | 2009-08-11 |
| 1356446546 | Complete Rehabilitation Services, Inc. | Specialist/Technologist | 2108 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1316 | 2006-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| 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 |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1790292837 | David Wells | Behavior Technician | 103a Lewis St, Fort Walton Beach, FL 32547-3142 | 2018-01-10 |
| 1164930202 | Aaliyah Sade Soanes | Behavior Technician | 103 Lewis St Fl 32547, Fort Walton Beach, FL 32547-3142 | 2018-01-10 |
| 1134636699 | Keyahria Butler | Behavior Technician | 1981 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1256 | 2018-01-05 |
| 1730604695 | Camille Martinez | Behavior Technician | 116 Fourth St Se Unit #c, Fort Walton Beach, FL 32569 | 2017-08-11 |
| 1003336462 | Elizabeth Irene Hart | Behavior Technician | 116 4th St Se, Fort Walton Beach, FL 32548-5425 | 2017-06-26 |
| 1528597598 | Evelyn Ramos | Behavior Technician | 116 4th St Se Unit C, Fort Walton Beach, FL 32548-5438 | 2017-06-05 |
| 1316548852 | Kay Robinson | Behavior Technician | 419 Racetrack Rd Nw, Fort Walton Beach, FL 32547-4612 | 2020-11-02 |
| 1710593348 | Lilli Katherine Wilkinson | Behavior Technician | 419 Racetrack Rd Nw, Fort Walton Beach, FL 32547-4612 | 2020-09-18 |
| 1720691835 | Angela Patricia Vaughn | Behavior Technician | 419 Racetrack Rd Nw, Fort Walton Beach, FL 32547-4612 | 2020-08-28 |
| Find all providers in FORT WALTON BEACH | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
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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.