SUSAN EMILY KENNEDY


Address: 304 E Pine St # 19, Lakeland, FL 33801-4969
Phone: 8636140048

SUSAN EMILY KENNEDY (NPI# 1659858686) 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) 1659858686
Entity Type Individual
Full Name SUSAN EMILY KENNEDY
Practice Address 304 E Pine St # 19
Lakeland
FL 33801-4969
Practice Telephone 8636140048
Practice Fax Number 8632791204
Mailing Telephone 8636140048
Mailing Fax Number 8632791204
Enumeration Date 2018-07-23
Last Update Date 2018-07-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst RBT-16-16370 FL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 023072500 05

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Office Location

Street Address 304 E PINE ST # 19
City LAKELAND
State FL
Zip Code 33801-4969

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699390583 Allison G Denton Behavior Technician 304 E Pine St # 19, Lakeland, FL 33801-4969 2020-06-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508473802 Camryn Nichole White Assistant Behavior Analyst 301 South Florida Ave, Lakeland, FL 33801 2020-09-30
1932719242 Jimia Watkins Home Health Aide 2410 Lakeview St, Lakeland, FL 33801 2020-08-03
1396366886 Erin Zimmer Health Educator 491 Lake Parker Ave, Lakeland, FL 33801 2020-05-06
1013473206 Madelyn Claire Burley Occupational Therapist 1215 East Orange Street, Lakeland, FL 33801 2019-02-13
1992260319 Publix Super Markets, Inc. Durable Medical Equipment & Medical Supplies 1617 Us Highway 98 S, Lakeland, FL 33801 2019-02-11
1669908836 Integrative Physical Medicine of Lakeland LLC Specialist 1205 East Magnolia St, Suite 105, Lakeland, FL 33801 2017-05-10
1689111502 Daryl Dowding Counselor 390 Alcaia Rd., Lakeland, FL 33801 2017-01-30
1023481926 Joseph D'alessandro Specialist/Technologist 111 Lake Hollingsworth Dr Box 4334, Lakeland, FL 33801 2015-11-02
1588030894 Donna Lee Buckner Specialist/Technologist 111 Mosswood Road, Lakeland, FL 33801 2015-08-20
1144635780 Donna Paige Mccraney Nurse Practitioner 111 Lake Hollingsworth Drive, Florida Southern College Student Health Center, Lakeland, FL 33801 2014-06-23
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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
1245867217 Aba Bilingual Consulting,llc Behavioral Analyst 2413 Tanglewood St, Lakeland, FL 33801-2702 2020-03-26
1356832109 Kimberly Taylor Behavioral Analyst 22 Jacobs Walk, Lakeland, GA 31635-5741 2018-05-27
1396260618 Suncoast Behavioral Solutions, LLC Behavioral Analyst 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 2017-08-08
1639691165 Joanna Marie Sitta Behavioral Analyst 5302 S Florida Ave Ste 202, Lakeland, FL 33813-4910 2017-07-17
1821521899 B Is for Behavior, LLC Behavioral Analyst 3004 Atlanta Ave, Lakeland, FL 33803-4304 2017-04-06
1821530841 Achieve Behavioral Development Services Behavioral Analyst 4060 Sunset Lake Dr, Lakeland, FL 33810-2841 2016-11-08
1588112353 Veronica Dunn Behavioral Analyst 7212 Regent Dr, Lakeland, FL 33810-4711 2016-09-21
1780037002 Shelley Stettinius Behavioral Analyst 145 East Edgewood Dr, Lakeland, FL 33803 2016-07-21
1629422514 Kristin More Behavioral Analyst 3720 Whitedove Dr, Lakeland, FL 33812-4163 2016-04-18
1831560762 Trek Behavioral Services, LLC Behavioral Analyst 3151 Hardin Combee Rd, Lakeland, FL 33801-3019 2015-10-19
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Competitor

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City LAKELAND
Zip Code 33801

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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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