CRYSTAL MIKE (NPI# 1700316338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700316338 |
| Entity Type | Individual |
| Full Name | CRYSTAL MIKE |
| Practice Address |
839 University Blvd Jupiter FL 33458-3073 |
| Mailing Address |
122 Sw Glenwood Dr Port St Lucie FL 34984-5026 |
| Practice Telephone | 7725194119 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
839 UNIVERSITY BLVD |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-3073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
| Find all providers in zip 33458 | ||||
| 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 |
|---|---|---|---|---|
| 1952909129 | Amanda Kay Barstow | Behavior Technician | 1152 University Blvd Apt 12, Jupiter, FL 33458-5245 | 2020-10-11 |
| 1396365730 | Raymonde Mimy | Behavior Technician | 800 Maplewood Dr, Jupiter, FL 33458-5543 | 2020-04-24 |
| 1265064786 | Brittany Marie Cribbs | Behavior Technician | 157 Waterford Dr, Jupiter, FL 33458-3023 | 2020-02-12 |
| 1154971141 | Megan Lanthier | Behavior Technician | 18370 Limestone Creek Road, Jupiter, FL 33458-2913 | 2019-09-12 |
| 1720634264 | Jennifer J Kaeding | Behavior Technician | 17425 126th Ter N, Jupiter, FL 33478-5212 | 2019-08-12 |
| 1497312029 | Amy N Burgos Susana I | Behavior Technician | 18935 Pond Cypress Ct, Jupiter, FL 33458-3735 | 2019-05-20 |
| 1982104873 | Mia Sweeney | Behavior Technician | 1209 Main St Apt 302, Jupiter, FL 33458-5260 | 2018-02-16 |
| 1477087781 | Timothy Foley | Behavior Technician | 15745 101st Trl N, Jupiter, FL 33478-9320 | 2017-04-13 |
| 1760017297 | Morgan Ashley Gallego | Behavior Technician | 345 Jupiter Lakes Blvd, Jupiter, FL 33458-7100 | 2020-03-04 |
| 1215567789 | Karson Robert Povio | Behavior Technician | 18370 Limestone Creek Rd, Jupiter, FL 33458-3860 | 2020-01-23 |
| Find all providers in JUPITER | ||||
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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.