CAITLIN AUSTIN MANGUM (NPI# 1497261697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497261697 |
| Entity Type | Individual |
| Full Name | CAITLIN AUSTIN MANGUM |
| Practice Address |
166 A1a N Ponte Vedra Beach FL 32082-5701 |
| Practice Telephone | 9044346351 |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2019-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | FL | Behavioral Health & Social Service Providers | |
| N | 106E00000X | Assistant Behavior Analyst | FL | Behavioral Health & Social Service Providers | |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 166 A1a N, Ponte Vedra Beach, FL 320825701 | 9044346351 |
| Street Address |
166 A1A N |
| City | PONTE VEDRA BEACH |
| State | FL |
| Zip Code | 32082-5701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992211098 | Macy Kwakenat | Behavior Technician | 166 A1a N, Ponte Vedra Beach, FL 32082-5701 | 2017-12-27 |
| 1942670591 | Jessica Preston | Hearing Instrument Specialist | 166 A1a N, Ste 100, Ponte Vedra Beach, FL 32082-5701 | 2015-09-25 |
| 1639594724 | Stephanie Anne Voshell | Hearing Instrument Specialist | 166 A1a N, Suite 100, Ponte Vedra Beach, FL 32082-5701 | 2014-02-26 |
| 1548501042 | Michael Edward Carver | Hearing Instrument Specialist | 166 A1a N, Suite 100, Ponte Vedra Beach, FL 32082-5701 | 2013-03-07 |
| 1801149117 | Connect Hearing, Inc. | Hearing Instrument Specialist | 166 A1a N, Suite 100, Ponte Vedra Beach, FL 32082-5701 | 2012-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576818 | Specialty Eye Surgeons, Pa | Ophthalmology | 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 | 2020-07-23 |
| 1649820630 | Ponte Vedra Endodontics | Dentist | 822 A1a North, Ste 314, Ponte Vedra Beach, FL 32082 | 2019-09-12 |
| 1568988129 | Mustafa Bakir | General Practice | 1102 A1a, Ponte Vedra Beach, FL 32082 | 2017-08-16 |
| 1457890584 | Angelyn Sorgen | Nurse Practitioner | 1102 Hwy A1a, Suite 104, Ponte Vedra Beach, FL 32082 | 2017-02-22 |
| 1033575121 | Balanced Physician Care Pa | Family Medicine | 115 Professional Park Drive, Suite 104, Ponte Vedra Beach, FL 32082 | 2016-01-06 |
| 1528436060 | Robert Thompson II | Chiropractor | 135 Professional Drive, Suite 105, Ponte Vedra Beach, FL 32082 | 2015-09-14 |
| 1144628439 | Integrative Medical Group, Usa, LLC | Clinic/Center | 1102 A1a North, Suite 104, Ponte Vedra Beach, FL 32082 | 2014-12-18 |
| 1811308901 | Janice Wachtel, Phd, LLC | Psychologist | 100 Executive Way, Suite 110, Ponte Vedra Beach, FL 32082 | 2014-05-12 |
| 1578991154 | Nicole Theiler | Counselor | 171 Canal Blvd, Ponte Vedra Beach, FL 32082 | 2013-10-17 |
| 1982948006 | Daisamma Varghese | Nurse Practitioner | 860 A1an, Ponte Vedra, FL 32082 | 2012-11-15 |
| Find all providers in zip 32082 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073067641 | Karolina Kutylo Mitraj | Behavioral Analyst | 171 Canal Blvd # 2, Ponte Vedra Beach, FL 32082-3607 | 2016-08-11 |
| 1609488220 | Kacey Stewart | Behavioral Analyst | 130 Corridor Rd Unit 3292, Ponte Vedra Beach, FL 32004-7833 | 2020-08-17 |
| 1164749271 | Molly Ann Bowie | Behavioral Analyst | 406 Tournament Rd, Ponte Vedra Beach, FL 32082-3647 | 2010-04-28 |
| 1619299757 | Katherine Phillips | Behavioral Analyst | 406 Tournament Rd, Ponte Vedra Beach, FL 32082-3647 | 2010-02-16 |
| 1174855993 | Angela Chris Bradberry | Behavioral Analyst | 406 Tournament Rd, Ponte Vedra Beach, FL 32082-3647 | 2010-02-03 |
| 1932430014 | Kim Danielle Lucker | Behavioral Analyst | 406 Tournament Rd, Ponte Vedra Beach, FL 32082-3647 | 2010-01-29 |
| 1922335967 | Philip E Johnson | Behavioral Analyst | 406 Tournament Rd, Ponte Vedra Beach, FL 32082-3647 | 2009-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124978 | Jelenny Marquez | Behavioral Analyst | 529 Se Palm Beach Rd Ste 103, Stuart, FL 34994-2477 | 2020-11-06 |
| 1295336246 | Harold Santiso Laureiro | Behavioral Analyst | 5870 S 38th Ct, Greenacres, FL 33463-4724 | 2020-11-05 |
| 1326649286 | Treetop Therapy Fl | Behavioral Analyst | 709 S Federal Hwy Ste 2, Boynton Beach, FL 33435-5610 | 2020-11-05 |
| 1245831676 | Clr Behavior LLC | Behavioral Analyst | 2621 Se 4th Ave, Cape Coral, FL 33904-2765 | 2020-11-03 |
| 1245830843 | Mg Puzzle Pieces Corp | Behavioral Analyst | 4400 N Federal Hwy Ste 5, Boca Raton, FL 33431-3424 | 2020-11-01 |
| 1023618949 | Gerardo Veiga Iparraguirre | Behavioral Analyst | 5789 S 37th St, Greenacres, FL 33463-3271 | 2020-10-29 |
| 1861092751 | Lester Castillo | Behavioral Analyst | 9952 Sw 8th St, Miami, FL 33174-2878 | 2020-10-29 |
| 1437759214 | Minssu Pena | Behavioral Analyst | 2615 Fairways Dr Fl 33035, Homestead, FL 33035-1173 | 2020-10-29 |
| 1447850482 | Yisell Ferreira | Behavioral Analyst | 2315 W 66th Pl, Hialeah, FL 33016-3902 | 2020-10-28 |
| 1447850540 | Janellene Lopez | Behavioral Analyst | 14422 Sw 10th St, Miami, FL 33184-3113 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
| City | PONTE VEDRA BEACH |
| Zip Code | 32082 |
Please comment or provide details below to improve the information on CAITLIN AUSTIN MANGUM.
| 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.