DEJA POLLIDORE (NPI# 1689205064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689205064 |
| Entity Type | Individual |
| Full Name | DEJA POLLIDORE |
| Practice Address |
17435 Us Highway 441 Mount Dora FL 32757-6750 |
| Mailing Address |
2013 Miccosukee Rd Tallahassee FL 32308-5307 |
| Practice Telephone | 8666100580 |
| Mailing Telephone | 4078736462 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| 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 |
17435 US HIGHWAY 441 |
| City | MOUNT DORA |
| State | FL |
| Zip Code | 32757-6750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223158 | Lizandro Garcia | Behavioral Analyst | 17435 Us Highway 441, Mount Dora, FL 32757-6750 | 2020-10-21 |
| 1649886953 | Aviles J Champion | Behavior Technician | 17435 Us Highway 441, Mount Dora, FL 32757-6750 | 2020-09-22 |
| 1609309384 | Florida Autism Center | Behavioral Analyst | 17435 Us Highway 441, Suite 101, Mount Dora, FL 32757 | 2017-04-10 |
| 1134536790 | Amanda Caroline Chewning | Behavioral Analyst | 17435 Us Highway 441, Mount Dora, FL 32757-6750 | 2014-07-16 |
| 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 |
| Find all providers in zip 32757 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1558549956 | Mark R Chambers | Behavioral Analyst | 851 N Donnelly St Ste 10, Mount Dora, FL 32757-4835 | 2008-02-07 |
| 1184223158 | Lizandro Garcia | Behavioral Analyst | 17435 Us Highway 441, Mount Dora, FL 32757-6750 | 2020-10-21 |
| Find all providers in MOUNT DORA | ||||
| City | MOUNT DORA |
| Zip Code | 32757 |
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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.