LAURA SUSAN KLICH HENDERSON


Address: 5301 18th Ave S, Gulfport, FL 33707-4216
Phone: (727) 772-3053

LAURA SUSAN KLICH HENDERSON (NPI# 1548786148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548786148
Entity Type Individual
Full Name LAURA SUSAN KLICH HENDERSON
Practice Address 5301 18th Ave S
Gulfport
FL 33707-4216
Practice Telephone (727) 772-3053
Mailing Telephone 7277723053
Enumeration Date 2017-08-16
Last Update Date 2017-08-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Office Location

Street Address 5301 18TH AVE S
City GULFPORT
State FL
Zip Code 33707-4216

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1013475466 Baycare Urgent Care, LLC Pharmacy 900 Carillon Parkway Ste 106, St. Petersburg, FL 33707 2019-03-05
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1558551580 Linda K Barchie Massage Therapist 7230 Central Avenue, St Petersburg, FL 33707 2007-07-26
1487790770 Margaret Helen Young Dentist 509 Pasadena Avenue South, St Petersburg, FL 33707 2007-01-30
1063567279 Jack M Hafer Dentist 2525 Pasadena Ave S, Ste E, Pasadena, FL 33707 2007-01-25
1740331305 Suncoast O2 Systems Inc. Durable Medical Equipment & Medical Supplies 5213 1st Avenue S, St. Petersburg, FL 33707 2007-01-12
1902987902 Demekisa Sidamo Davis Acupuncturist 5301 Gulfport Blvd, Gulfport, FL 33707 2006-10-17
1689767691 Mark A. Roberts Family Medicine 1240 81st Street South, St. Petersburg, FL 33707 2006-10-02
1457443004 Darla Marie Keyes Physical Therapist 2825 Seabreeze Dr, Gulfport, FL 33707 2006-09-29
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831741818 Crystal Schackai Behavior Technician 9480 Three Rivers Rd, Gulfport, MS 39503-4248 2019-07-10
1033690508 Lauren Elizabeth Zezenski Behavior Technician 9230 Old Lorraine Rd Ste A, Gulfport, MS 39503-6059 2018-08-23
1134619513 Lora Blades Behavior Technician 9230 Old Lorraine Rd Unit A, Gulfport, MS 39503-6059 2018-05-11
1366042897 Shelby Hancock Behavior Technician 15489 Dedeaux Rd, Gulfport, MS 39503-2667 2020-10-26
1033718135 Joanna Jones Behavior Technician 9480 Three Rivers Rd, Gulfport, MS 39503-4248 2020-10-20
1720686439 Amelia Williams Behavior Technician 9480 Three Rivers Rd, Gulfport, MS 39503-4248 2020-10-14
1114525334 Brooke Edmonds Behavior Technician 9480 Three Rivers Rd, Gulfport, MS 39503-4248 2020-10-09
1023624525 Sarah Elizabeth Jones Behavior Technician 15489 Dedeaux Rd, Gulfport, MS 39503-2667 2020-09-20
1700492592 Blaine Stiglets Behavior Technician 15489 Dedeaux Rd, Gulfport, MS 39503-2667 2020-09-17
1306452297 Sarah Elizabeth Gorrell Behavior Technician 15489 Dedeaux Rd, Gulfport, MS 39503-2667 2020-09-16
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Competitor

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City GULFPORT
Zip Code 33707

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Dataset Information

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.

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