SHINE ON ACADEMY LLC


Address: 1105 Fort Clarke Blvd Apt 307, Gainesville, FL 32606-7123
Phone: 3524740372

SHINE ON ACADEMY LLC (NPI# 1578160818) 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) 1578160818
Entity Type Organization
Organization Name SHINE ON ACADEMY LLC
Practice Address 1105 Fort Clarke Blvd Apt 307
Gainesville
FL 32606-7123
Practice Telephone 3524740372
Mailing Telephone 3524740372
Enumeration Date 2020-10-08
Last Update Date 2020-10-08
Authorized Official Name CYNTHIA GORDON (OWNER, BCBA)
Authorized Official Telephone 3524740372
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Office Location

Street Address 1105 FORT CLARKE BLVD APT 307
City GAINESVILLE
State FL
Zip Code 32606-7123

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1568914471 Bernard Mitchll Behavior Technician 3515 Nw 60th Terrace, Gainesville, FL 32606 2016-10-26
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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]

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1184230211 All Kids Therapy Center Behavioral Analyst 3401 Nw 34th St, Gainesville, FL 32605-2195 2020-09-23
1790335917 Jennifer Jay Behavioral Analyst 4020 Sw 21st Rd, Gainesville, FL 32607 2019-09-19
1649742826 Dominic Holt Behavioral Analyst 2611 Gillsville Hwy, Gainesville, GA 30507-7940 2018-12-27
1366919979 Donna Susan Carle Behavioral Analyst 5040 Nw 21st Dr, Gainesville, FL 32605-5454 2018-11-01
1174019913 Kasey Bedard Behavioral Analyst 425 Ne Boulevard, Gainesville, FL 32601-5467 2018-07-05
1598276354 Alicia Lasaga Behavioral Analyst 1731 Sw 66th Dr, Gainesville, FL 32607-5369 2017-10-19
1164949822 Vita Elevant LLC Behavioral Analyst 1420 Ne 21st Ave, Gainesville, FL 32609-3815 2017-08-24
1326424748 Melissa Delossantos Behavioral Analyst 3850 Nw 83rd St Ste 201, Gainesville, FL 32606-5601 2015-08-07
1124428610 Emma Grauerholz-fisher Behavioral Analyst 6224 Nw 43rd St., Suite B, Gainesville, FL 32653 2014-09-03
1790194611 Yoko Fisher Behavioral Analyst 6224 Nw 43rd, Suite B, Gainesville, FL 32653 2014-08-05
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Competitor

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City GAINESVILLE
Zip Code 32606

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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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