LISA KORNACKI (NPI# 1629436084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629436084 |
| Entity Type | Individual |
| Full Name | LISA KORNACKI |
| Practice Address |
1708 Lexington Green Lane Sanford FL 32771 |
| Mailing Address |
2013 Miccosukee Road Tallahassee FL 32308 |
| Practice Telephone | 4074139550 |
| Mailing Telephone | 8666100580 |
| Mailing Fax Number | 8666100580 |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
1708 LEXINGTON GREEN LANE |
| City | SANFORD |
| State | FL |
| Zip Code | 32771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275958720 | Erin M. Ortiz-murphy | Behavioral Analyst | 1708 Lexington Green Lane, Sanford, FL 32771 | 2014-02-20 |
| 1902217532 | Melissa Danielle Thye | Behavioral Analyst | 1708 Lexington Green Lane, Sanford, FL 32771 | 2014-05-16 |
| 1518382951 | Leslie Aguirre | Behavioral Analyst | 1708 Lexington Green Lane, Sanford, FL 32771 | 2014-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| 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 |
|---|---|---|---|---|
| 1891306056 | Arise Autism, LLC | Behavioral Analyst | 3840 Saint Johns Pkwy, Sanford, FL 32771-6370 | 2020-08-12 |
| 1619538113 | Shantil S Barber | Behavioral Analyst | 2412 Willow Ave, Sanford, FL 32771-4567 | 2019-06-25 |
| 1982113999 | Belina Sulanjaku | Behavioral Analyst | 4836 Grassendale Ter, Sanford, FL 32771-0043 | 2017-09-21 |
| 1578009437 | Andrea Schlake | Behavioral Analyst | 308 Beverly Ct, Sanford, FL 32773-5943 | 2017-01-16 |
| 1427592146 | Alice Johanie Matias | Behavioral Analyst | 15208 Stonebrook Dr, Sanford, FL 32773 | 2016-12-14 |
| 1275958720 | Erin M. Ortiz-murphy | Behavioral Analyst | 1708 Lexington Green Lane, Sanford, FL 32771 | 2014-02-20 |
| 1487097531 | Elizabeth A Wilkerson | Behavioral Analyst | 2572 Vineyard Cir, Sanford, FL 32771-6844 | 2013-04-08 |
| 1487902599 | Bethany Snyder | Behavioral Analyst | 49 Sweet Gum Cir, Sanford, NC 27332-1346 | 2012-08-21 |
| 1316201411 | Erica D'anna Dean | Behavioral Analyst | 138 South Steele Street, Center for Behavior Healthcare, Pa, Sanford, NC 27330 | 2012-07-03 |
| 1306103973 | Shawn Beaman | Behavioral Analyst | 1613 Stonegate S, Sanford, NC 27332-7310 | 2012-04-19 |
| Find all providers in SANFORD | ||||
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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.