JUSTIN EVANS (NPI# 1649716846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649716846 |
| Entity Type | Individual |
| Full Name | JUSTIN EVANS |
| Practice Address |
2013 Miccosukee Rd Tallahassee FL 32308-5307 |
| Mailing Address |
300 International Pkwy Ste 200 Lake Mary FL 32746-5028 |
| Practice Telephone | 8503916060 |
| Practice Fax Number | 8666100580 |
| Mailing Telephone | 8666100580 |
| Mailing Fax Number | 8666100580 |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2019-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104365097 | Justin Dewayne Evans I | Counselor | 820 Gentry Davis, Natchitoches, LA 71457 | 2017-02-13 |
| 1104371376 | Justin Aaron Evans | Speech-Language Pathologist | 2363 Twin Oaks, Orange, TX 77630-1367 | 2016-08-17 |
| 1235507724 | Justin Evans | Emergency Medicine | 476 Newland St, Lakewood, CO 80226 | 2015-09-14 |
| 1538692520 | Justin Brady Evans | Emergency Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2017-04-06 |
| 1679012173 | Justin Evans | Social Worker | 111 N Last Chance Gulch Ste 2a, Helena, MT 59601-4144 | 2017-02-16 |
| 1518307289 | Justin Michael Evans | Pharmacist | 701 W Grove St, El Dorado, AR 71730-4415 | 2013-06-26 |
| 1124209549 | Justin R Evans | Dentist | 294 S Main St, Suite #a, Templeton, CA 93465-9332 | 2007-11-15 |
| 1174502603 | Justin P Evans | Anesthesiology | 250 Hospital Pl, Soldotna, AK 99669-6999 | 2006-01-12 |
| Street Address |
2013 MICCOSUKEE RD |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-5307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134469075 | Florida Autism Center | Behavioral Analyst | 2013 Miccosukee Rd, Tallahassee, FL 32308-5307 | 2013-02-28 |
| 1467051011 | Haley Skye Colclough | Behavior Technician | 2013 Miccosukee Rd, Tallahassee, FL 32308 | 2020-10-23 |
| 1003413832 | Andrea Jefferson | Behavior Technician | 2013 Miccosukee Rd, Tallahassee, FL 32308-5307 | 2020-10-05 |
| 1902412646 | Chante Moore | Behavior Technician | 2013 Miccosukee Rd, Tallahassee, FL 32308-5307 | 2020-09-18 |
| 1609486166 | Chelsea Ann Marie Ramsey | Behavior Technician | 2013 Miccosukee Rd, Tallahassee, FL 32308-5307 | 2020-08-08 |
| 1144853268 | Ashley Paige Forker | Behavior Technician | 2013 Miccosukee Rd, Tallahassee, FL 32308-5307 | 2020-02-17 |
| 1134775836 | Destiny Michelle Marin | Behavior Technician | 2013 Miccosukee Rd, Tallahassee, FL 32308-5307 | 2019-08-18 |
| 1184270175 | Torie Danielle Ladendorf | Behavior Technician | 2013 Miccosukee Rd, Tallahassee, FL 32308-5307 | 2019-08-14 |
| 1972157592 | Kimberly Watts | Behavior Technician | 2013 Miccosukee Rd, Tallahassee, FL 32308-5307 | 2019-07-31 |
| 1396304192 | Patricia Maclean Gill | Behavior Technician | 2013 Miccosukee Rd, Tallahassee, FL 32308-5307 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| 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 |
|---|---|---|---|---|
| 1790386092 | Rebecca Klein | Behavior Technician | 2331 Hansen Court Tallahassee, Fl 32301, Tallahassee, FL 32301 | 2020-11-03 |
| 1457967093 | Tahlah Austin | Behavior Technician | 113 South Monroe Street 1st Floor, Tallahassee, FL 32301 | 2020-09-18 |
| 1275144172 | Nailah T Bush | Behavior Technician | 2331 Hansen Ct Unit 121, Tallahassee, FL 32301-4859 | 2020-08-13 |
| 1871155721 | Antoinette O'brian | Behavior Technician | 2319 Brynmahr Dr # A, Tallahassee, FL 32303-3296 | 2019-07-01 |
| 1598323685 | Gregory Woodward | Behavior Technician | 275 John Knox Rd Apt Ff101, Tallahassee, FL 32303-6639 | 2019-06-03 |
| 1629635560 | Lily Ramey | Behavior Technician | 3010 Highland Oaks Ter, Tallahassee, FL 32301 | 2019-05-27 |
| 1912561309 | Te'ericka Janay Bradley | Behavior Technician | 121 Horseman Association Rd, Tallahassee, FL 32304-5105 | 2019-05-01 |
| 1235600388 | Tawanda J Woolfolk | Behavior Technician | 3550 Esplanade Way Apt 7103, Tallahassee, FL 32311-3754 | 2018-12-16 |
| 1154810638 | Kristen Newell | Behavior Technician | 4820 Kerry Forest Pkwy Ste A-b, Tallahassee, FL 32309-0200 | 2018-05-09 |
| 1942702113 | Erika Ard | Behavior Technician | 3327 Jim Lee Rd, Tallahassee, FL 32301-7372 | 2018-03-05 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
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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.