FLORIDA AUTISM CENTER (NPI# 1700396769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700396769 |
| Entity Type | Organization |
| Organization Name | FLORIDA AUTISM CENTER |
| Practice Address |
1140 Kyle Wood Ln Brandon FL 33511-4850 |
| Mailing Address |
175 Middle St Lake Mary FL 32746-3625 |
| Practice Telephone | 8666100580 |
| Practice Fax Number | 4075886294 |
| Mailing Telephone | 8666100580 |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-04 |
| Authorized Official Name | KRISTY ROHWEDDER (CEO) |
| Authorized Official Telephone | 4077483665 |
| Is Organization Subpart | Y |
| Parent Organization Name | FLORIDA AUTISM CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862119 | Florida Autism Center | Assistant Behavior Analyst | 105 Grand Central Blvd Ste 101, Pooler, GA 31322-4146 | 2020-02-10 |
| 1265071955 | Florida Autism Center | Assistant Behavior Analyst | 3850 Holcomb Bridge Rd Ste 180, Norcross, GA 30092-5223 | 2019-12-30 |
| 1093358541 | Florida Autism Center | Assistant Behavior Analyst | 1220 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2019-10-28 |
| 1457994907 | Florida Autism Center | Assistant Behavior Analyst | 5328 Lanier Islands Pkwy, Buford, GA 30518-9071 | 2019-10-28 |
| 1033751888 | Florida Autism Center | Behavior Technician | 6375 Mcginnis Ferry Rd Ste 202, Johns Creek, GA 30005-3617 | 2019-10-14 |
| 1912551730 | Florida Autism Center | Assistant Behavior Analyst | 115 N Park Trl Ste 123, Stockbridge, GA 30281-7373 | 2019-07-30 |
| 1245899574 | Florida Autism Center | Assistant Behavior Analyst | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2019-06-11 |
| 1497226559 | Florida Autism Center | Assistant Behavior Analyst | 100 Governors Trce Ste 100, Peachtree City, GA 30269-4856 | 2018-12-16 |
| 1396231411 | Florida Autism Center | Behavioral Analyst | 2389 Oak Myrtle Lane, Wesley Chapel, FL 33544 | 2018-07-02 |
| 1942743018 | Florida Autism Center | Assistant Behavior Analyst | 1563 Kingsley Ave, Suite 103, Orange Park, FL 32073-4503 | 2016-11-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FLORIDA AUTISM CENTER OF EXCELLENCE, INC. | 6310 E Sligh Ave, Tampa, FL 33617-9107 |
| Street Address |
1140 KYLE WOOD LN |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-4850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366741027 | Emily G Wade | Behavioral Analyst | 1140 Kyle Wood Ln, Brandon, FL 33511-4850 | 2011-03-21 |
| 1558969725 | Angela Marie Vanvaerenbergh | Behavior Technician | 1140 Kyle Wood Ln, Brandon, FL 33511-4850 | 2020-10-11 |
| 1891300265 | Tiffany Carroll | Behavior Technician | 1140 Kyle Wood Ln, Brandon, FL 33511-4850 | 2020-09-12 |
| 1730793753 | Reganne T Mccarl | Behavior Technician | 1140 Kyle Wood Ln, Brandon, FL 33511-4850 | 2020-09-08 |
| 1598378283 | Kesnearsha Dorvilier | Behavior Technician | 1140 Kyle Wood Ln, Brandon, FL 33511-4850 | 2020-08-24 |
| 1962012419 | Nadira Qamar Nelson | Behavior Technician | 1140 Kyle Wood Ln, Brandon, FL 33511-4850 | 2020-08-08 |
| 1043820244 | Kristofer Alexander Gonzalez | Behavior Technician | 1140 Kyle Wood Ln, Brandon, FL 33511-4850 | 2020-08-03 |
| 1851900880 | Samantha Joann Gray | Behavior Technician | 1140 Kyle Wood Ln, Brandon, FL 33511-4850 | 2020-07-27 |
| 1649889759 | Kathryn Amanda Townsel | Behavior Technician | 1140 Kyle Wood Ln, Brandon, FL 33511-4850 | 2020-07-24 |
| 1477161438 | Jonaye Kennedy | Behavior Technician | 1140 Kyle Wood Ln, Brandon, FL 33511-4850 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| 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 |
|---|---|---|---|---|
| 1629678792 | Fly Above | Behavioral Analyst | 1733 Lake Chapman Dr Unit 102, Brandon, FL 33510-4127 | 2020-10-28 |
| 1205453677 | Migdalia Ventura Martinez | Behavioral Analyst | 2006 Plantation Key Cir Apt 308, Brandon, FL 33511-4633 | 2020-07-01 |
| 1437797826 | Advance Behavior Support LLC | Behavioral Analyst | 138 E Bloomingdale Ave Ste 2, Brandon, FL 33511-8101 | 2019-12-16 |
| 1154980928 | Ana Julia Holguin | Behavioral Analyst | 1104 Kyle Wood Ln, Brandon, FL 33511-4850 | 2019-06-06 |
| 1699296152 | Crystal Alderman | Behavioral Analyst | 1463 Oakfield Dr Ste 102a, Brandon, FL 33511-3893 | 2017-07-05 |
| 1619326246 | Dustin Mcginnis | Behavioral Analyst | 1215 Windhorst Ridge Dr, Brandon, FL 33510-3122 | 2016-06-04 |
| 1487002283 | Jessica Stoppiello Pastorino | Behavioral Analyst | 2412 Edgewater Falls Dr, Brandon, FL 33511 | 2016-06-02 |
| 1114384484 | Chiuna Stacey Morris | Behavioral Analyst | 409 Kendall Lake Dr, Apt 204, Brandon, FL 33510-2369 | 2016-01-18 |
| 1275939571 | Anthony Pavone | Behavioral Analyst | 912 Milano Cir Apt 107, Brandon, FL 33511-7150 | 2014-11-13 |
| 1902205412 | Michael Kelleher | Behavioral Analyst | 2753 Hampton Green Ln, Brandon, FL 33511-7004 | 2014-08-20 |
| Find all providers in BRANDON | ||||
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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.