JUDITH LAUREN SELOVER (NPI# 1548804115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548804115 |
| Entity Type | Individual |
| Full Name | JUDITH LAUREN SELOVER |
| Practice Address |
3802 Highway 90 Pace FL 32571-1014 |
| Mailing Address |
3771 Stefani Rd Cantonment FL 32533-7795 |
| Practice Telephone | 8506076910 |
| Practice Fax Number | 8506076932 |
| Mailing Telephone | 8506076910 |
| Mailing Fax Number | 8506076932 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | FL | Behavioral Health & Social Service Providers |
| Street Address |
3802 HIGHWAY 90 |
| City | PACE |
| State | FL |
| Zip Code | 32571-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881674257 | First Physicians Group Pa | Family Medicine | 3802 Highway 90, Pace, FL 32571-1014 | 2006-01-20 |
| 1588223747 | Dalton Dean Miller | Behavior Technician | 3802 Highway 90, Pace, FL 32571-1014 | 2019-06-11 |
| 1609348051 | Anna Wilson | Behavior Technician | 3802 Highway 90, Pace, FL 32571-1014 | 2018-12-26 |
| 1679063630 | Amanda Caldwell | Behavior Technician | 3802 Highway 90, Pace, FL 32571-1014 | 2018-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619103 | Sabrina Hall | Behavior Technician | 3802 Hwy 90, Pace, FL 32571 | 2019-09-24 |
| 1902364094 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 3754 Us Hightway 90, Suite 390a, Pace, FL 32571 | 2019-03-07 |
| 1598245391 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5012 Highway 90, Pace, FL 32571 | 2018-08-21 |
| 1922529957 | Overwatch Investments | Home Health | 4503 Woodbine Road, Pace, FL 32571 | 2017-06-29 |
| 1215382619 | Andrea Tuttle | Pediatrics | 5755 Quintette Road, Pace, FL 32571 | 2016-05-04 |
| 1134503477 | Joshua Leblanc | Dentist | 4873 Us-90, Pace, FL 32571 | 2015-07-16 |
| 1326468323 | Ileana Bernal-blair | Obstetrics & Gynecology | 3574 Highway 90, Ste 220, Pace, FL 32571 | 2014-04-17 |
| 1710320064 | Victorian Manor Retirement Center,inc. | Assisted Living Facility | 4685 Chumuckla Highway, Pace, FL 32571 | 2013-04-16 |
| 1639460819 | Wayne Kramer | Massage Therapist | 5717 Hwy 90, Pace, FL 32571 | 2011-04-22 |
| 1386942365 | Jennifer Lyn Newstrom | Behavioral Analyst | 4000 Us-90, B, Pace, FL 32571 | 2011-03-01 |
| Find all providers in zip 32571 | ||||
| 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 |
|---|---|---|---|---|
| 1780221382 | Pierce Taylor II | Behavior Technician | 5116 Tara Creek Ct, Pace, FL 32571-8005 | 2019-12-03 |
| 1528619103 | Sabrina Hall | Behavior Technician | 3802 Hwy 90, Pace, FL 32571 | 2019-09-24 |
| 1942707997 | Autumn Marie Chadwell | Behavior Technician | 4122 Williamson Ln, Pace, FL 32571-2237 | 2018-04-06 |
| 1679081624 | Courtney Watts | Behavior Technician | 4000 Highway 90 Ste B, Pace, FL 32571-1909 | 2018-01-11 |
| 1568087179 | Tiera Michelle Lamkin | Behavior Technician | 4014 Highway 90, Pace, FL 32571-1918 | 2020-06-09 |
| 1336773795 | Shania Gainey | Behavior Technician | 4014 Highway 90, Pace, FL 32571-1918 | 2020-02-25 |
| 1588223747 | Dalton Dean Miller | Behavior Technician | 3802 Highway 90, Pace, FL 32571-1014 | 2019-06-11 |
| 1750849972 | Amanda Hornsby | Behavior Technician | 4122 Williamson Ln, Pace, FL 32571-2237 | 2019-03-06 |
| 1760947279 | Cassady L Hughes | Behavior Technician | 4000 Highway 90 Ste B, Pace, FL 32571-1909 | 2019-02-08 |
| 1609348051 | Anna Wilson | Behavior Technician | 3802 Highway 90, Pace, FL 32571-1014 | 2018-12-26 |
| Find all providers in PACE | ||||
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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.