MARK R CHAMBERS


Address: 851 N Donnelly St Ste 10, Mount Dora, FL 32757-4835
Phone: 8446686222

MARK R CHAMBERS (NPI# 1558549956) 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) 1558549956
Entity Type Individual
Full Name MARK R CHAMBERS
Credential BCBA
Practice Address 851 N Donnelly St Ste 10
Mount Dora
FL 32757-4835
Mailing Address Po Box 963
Mount Dora
FL 32756-0963
Practice Telephone 8446686222
Practice Fax Number 8889750599
Mailing Telephone 8446686222
Mailing Fax Number 8889750599
Enumeration Date 2008-02-07
Last Update Date 2019-09-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103K00000X Behavioral Analyst 245813 KY Behavioral Health & Social Service Providers
Y 103K00000X Behavioral Analyst 1-05-2569 FL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 017438600 05
FL 018167600 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
4601 Coppola Dr, Mount Dora, FL 327578068 3522507182

Other Providers MARK CHAMBERS

NPI Name Taxonomy Address Enumeration
1851590152 Mark Aaron Chambers Dentist 2860 Valencia Dr Ste 101, Idaho Falls, ID 83404-7597 2007-07-16
1033218540 Mark J. Chambers Psychologist 8275 S Eastern Ave, Suite 200, Las Vegas, NV 89123-2591 2006-09-21
1598323859 Mark S Chambers Nurse Anesthetist, Certified Registered 2811 Tieton Dr, Yakima, WA 98902-3761 2019-06-03
1568623585 Mark E Chambers Dentist 3101 Schneider Ave Se, Suite 1, Menomonie, WI 54751-2820 2008-06-23
1215135231 Mark D Chambers Radiology 5901 E 7th St, #05/114, Long Beach, CA 90822-5201 2007-07-11
1699988816 Mark Aaron Chambers Radiology 615 S New Ballas Rd, Dept of Radiology, Saint Louis, MO 63141-8221 2007-05-07
1639262496 Mark S. Chambers Dentist 1515 Holcombe Blvd, Houston, TX 77030-4009 2006-10-02
1134237456 Mark A. Chambers Family Medicine 3850 S National Ave, #520, Springfield, MO 65807-5287 2006-08-27
1033168059 Mark R Chambers Family Medicine 3601 The Vanderbilt Clinic, Nashville, TN 37232-2131 2006-05-08
1063409746 Mark Chambers Anesthesiology 1 Wyoming St, 3rd Floor, Anesthesia Dept, Dayton, OH 45409-2722 2005-09-29

Office Location

Street Address 851 N DONNELLY ST STE 10
City MOUNT DORA
State FL
Zip Code 32757-4835

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962048553 Tiffany Mason Behavior Technician 851 N Donnelly St Ste 10, Mount Dora, FL 32757-4835 2019-11-19
1215571526 Ginamarie Kenney Behavior Technician 851 N Donnelly St Ste 10, Mount Dora, FL 32757-4835 2019-10-30
1376104414 Brandon Ortiz Behavior Technician 851 N Donnelly St Ste 10, Mount Dora, FL 32757-4835 2019-06-27
1538726740 Arahy Delgado Gonzalez Behavior Technician 851 N Donnelly St Ste 10, Mount Dora, FL 32757-4835 2019-05-22
1558928762 Heather Joyce Behavior Technician 851 N Donnelly St Ste 10, Mount Dora, FL 32757-4835 2019-05-22
1649759697 Kaitlyn Rose Nelson Behavior Technician 851 N Donnelly St Ste 10, Mount Dora, FL 32757-4835 2018-08-10
1174020804 Tiffany Reed Behavior Technician 851 N Donnelly St Ste 10, Mount Dora, FL 32757-4835 2018-04-10
1932601119 Brittany Forbes Behavioral Analyst 851 N Donnelly St Ste 10, Mount Dora, FL 32757-4835 2018-03-05
1093217176 Chace Roberts Assistant Behavior Analyst 851 N Donnelly St Ste 10, Mount Dora, FL 32757-4835 2018-03-05
1982113189 David Robert Gaetz Behavior Technician 851 N Donnelly St Ste 10, Mount Dora, FL 32757-4835 2017-09-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093324824 Cypress Grove Counseling Center LLC Counselor 6551 N Orange Blossom Trail Suite 209 #1005, Mount Dora, FL 32757 2020-07-28
1790327286 Alisha Dawn Bateman Nurse Practitioner 7678 Lake Ola Dr., Mount Dora, FL 32757 2019-10-16
1306496153 Carehere LLC Family Medicine Carehere Clinic- City of Mount Dora, Fl, 2110 North Donnelly Street, Mt Dora, FL 32757 2019-09-13
1871008680 Sonya Quiroz Behavior Technician 21038 Niles Ave, Mount Dora, FL 32757 2017-12-04
1043737661 Erin N Booth Behavior Technician 411 N. Donnelly St., Suite 307, Mount Dora, FL 32757 2017-08-24
1053850073 Sunshine Recovery Network, Inc Community/Behavioral Health 632 E 5th Ave, Mount Dora, FL 32757 2017-02-23
1336684661 Catherine Lim Panlilio Physical Therapist 300 Brookfield Avenue, Mount Dora, FL 32757 2016-12-22
1659815306 Mount Dora Modern Dentistry, Pa Dentist 17365 Us Hwy 441, Eustis, FL 32757 2016-12-15
1447603303 Lake County Adult Activity Center Inc Respite Care 1934 N Donnelly St, Suite B, Mount Dora, FL 32757 2016-07-15
1871955724 Sagir Patel Dentist 17365 Us Highway 441, Mount Dora, FL 32757 2016-03-22
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225500465 Lisa Feezle Behavioral Analyst 121 N Highland St, Mount Dora, FL 32757-5764 2018-12-28
1740793926 Sandrine Nadia Amegnisse Behavioral Analyst 1005 Bristol Lakes Rd Apt 208, Mount Dora, FL 32757-7523 2017-11-10
1033576293 Marissa Russell Behavioral Analyst 1335 E 3rd Ave, Mount Dora, FL 32757-5837 2016-01-19
1669858221 Natasha Shuntay Boges Behavioral Analyst 17435 Us Highway 441 Ste 101, Mount Dora, FL 32757-6750 2015-08-06
1467845438 Novo Behavioral Services Behavioral Analyst 5817 Alenlon Way, Mount Dora, FL 32757-8050 2015-03-13
1992104087 Cserv Behavioral Analyst 521 E 5th Ave, Mount Dora, FL 32757-5623 2014-08-14
1609209758 Barbara Brackett Taylor Behavioral Analyst 751 Old Eustis Rd, Mount Dora, FL 32757-9590 2013-08-13
1942579412 Stephanie Michelle Freeman Behavioral Analyst 3610 Lake Center Drive #22-204, Mount Dora, FL 32757 2011-12-29
1184223158 Lizandro Garcia Behavioral Analyst 17435 Us Highway 441, Mount Dora, FL 32757-6750 2020-10-21
1689205064 Deja Pollidore Behavioral Analyst 17435 Us Highway 441, Mount Dora, FL 32757-6750 2020-02-04
Find all providers in MOUNT DORA

Competitor

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City MOUNT DORA
Zip Code 32757

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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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