LOGAN KIENHOLZ (NPI# 1700264660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700264660 |
| Entity Type | Individual |
| Full Name | LOGAN KIENHOLZ |
| Practice Address |
12505 Sarky Rd Suite G Largo FL 33773 |
| Mailing Address |
550 N Reo St Ste 202 Tampa FL 33609-1062 |
| Practice Telephone | 7272806643 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2016-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | FL | Behavioral Health & Social Service Providers |
| Street Address |
12505 SARKY RD SUITE G |
| City | LARGO |
| State | FL |
| Zip Code | 33773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144719 | Rosabelle Magloire Chism | Nurse Practitioner | 11542 92nd Street North, Largo, FL 33773 | 2020-08-10 |
| 1265040976 | Gulf Coast Mental Health Services LLC | Clinic/Center | 10641 Whittngton Court, Largo, FL 33773 | 2020-07-20 |
| 1770930190 | Albert H Thurlow IIi | Nurse Practitioner | 10471 Whittington Ct, Largo, FL 33773 | 2016-05-16 |
| 1093121998 | Dorit Morecraft | Nurse Practitioner | 10641 Whittington Court, Largo, FL 33773 | 2014-07-11 |
| 1891135281 | Shameka Jones | Pharmacist | 12091 Starkey Rd, Largo, FL 33773 | 2013-06-28 |
| 1427496942 | Kim Hoang T Vo | Podiatrist | 12685 Starkey Road, Largo, FL 33773 | 2013-06-06 |
| 1104165729 | Aaron Rigali | Pharmacist | 11701 S Belcher Rd Ste 126, Largo, FL 33773 | 2013-02-01 |
| 1518249648 | Jolynn Renee Dyer | Occupational Therapist | 8254 118th Ave Unit 100, Unit 100, Largo, FL 33773 | 2011-09-14 |
| 1366720161 | Sally Donna Plink | Massage Therapist | 10671 104th Ave N, Seminole, FL 33773 | 2011-07-27 |
| 1427389949 | Linda Montreuil Fares | Occupational Therapist | 8254 118th Ave N, Suite 100, Largo, FL 33773 | 2010-01-22 |
| Find all providers in zip 33773 | ||||
| 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 |
|---|---|---|---|---|
| 1295292001 | Crystal Steen | Behavioral Analyst | 7381 114th Ave Ste 405, Largo, FL 33773-5131 | 2019-02-28 |
| 1215441431 | Kaitlyn Benfield | Behavioral Analyst | 11454 127th Ave, Largo, FL 33778-1913 | 2017-11-27 |
| 1740727171 | Yi Tang | Behavioral Analyst | 12505 Starkey Rd Ste G, Largo, FL 33773-2617 | 2017-01-24 |
| 1679019913 | Kristina Ashlee Bewley | Behavioral Analyst | 1258 W Bay Dr Ste F, Largo, FL 33770-2240 | 2017-01-10 |
| 1235685447 | Keah Kraus | Behavioral Analyst | 12505 Starkey Rd Ste Jk, Largo, FL 33773-2621 | 2016-08-28 |
| 1366893497 | Joanna Rausseo | Behavioral Analyst | 13829 Kimberly Dr, Largo, FL 33774-4502 | 2016-06-30 |
| 1679938187 | Leann Sarah Avila | Behavioral Analyst | 12505 Starkey Rd Ste K, Largo, FL 33773-2617 | 2015-12-28 |
| 1578949772 | Katherine Hodge | Behavioral Analyst | 3091 S Pines Dr, Apt. 63, Largo, FL 33771-3223 | 2015-08-11 |
| 1851732796 | Exceptional Behavior Consulting, LLC | Behavioral Analyst | 12651 Walsingham Rd Ste A, Largo, FL 33774-3627 | 2013-07-08 |
| 1629362181 | Maria Johannesen | Behavioral Analyst | 608 7th Ave Sw, Largo, FL 33770-3405 | 2011-06-01 |
| Find all providers in LARGO | ||||
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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.