JACOB WILLMAN (NPI# 1710457627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710457627 |
| Entity Type | Individual |
| Full Name | JACOB WILLMAN |
| Practice Address |
124 E Miracle Strip Pkwy Mary Esther FL 32569-1988 |
| Mailing Address |
3083 Craig Ter Crestview FL 32539-8569 |
| Practice Telephone | 8503010438 |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-18-70723 | FL | Behavioral Health & Social Service Providers |
| Street Address |
124 E MIRACLE STRIP PKWY |
| City | MARY ESTHER |
| State | FL |
| Zip Code | 32569-1988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235124116 | Bonnie Butcher | Counselor | 124 E Miracle Strip Pkwy, Suite 302, Mary Esther, FL 32569-1988 | 2005-09-15 |
| 1760013999 | Rebecca Stevens | Behavior Technician | 124 E Miracle Strip Pkwy, Mary Esther, FL 32569-1988 | 2020-01-27 |
| 1740750652 | Saarah C Willman | Behavior Technician | 124 E Miracle Strip Pkwy, Mary Esther, FL 32569-1988 | 2018-12-04 |
| 1578000683 | Joanna R. Davis, Lmhc Cap | Counselor | 124 E Miracle Strip Pkwy, Suite 602, Mary Esther, FL 32569-1988 | 2017-01-26 |
| 1962532572 | Turning Point Center for Psychological and Family Growth LLC | Counselor | 124 E Miracle Strip Pkwy, Suite 302, Mary Esther, FL 32569-1988 | 2007-03-06 |
| 1043345291 | Shoopak & Barry, Pl | Dentist | 124 E Miracle Strip Pkwy, Suite 401, Mary Esther, FL 32569-1988 | 2007-02-21 |
| 1679613962 | Emerald Coast Psychiatric Care Pa | Psychiatry & Neurology | 124 E Miracle Strip Pkwy, Suite 602, Mary Esther, FL 32569-1988 | 2007-02-07 |
| 1700937638 | James L Tucker | Psychologist | 124 E Miracle Strip Pkwy, Suite 302, Mary Esther, FL 32569-1988 | 2007-01-16 |
| 1811006448 | Anne Waguespack Berteau | Social Worker | 124 E Miracle Strip Pkwy, Suite 602, Mary Esther, FL 32569-1988 | 2006-08-29 |
| 1336119726 | Edward William Chandler | Psychologist | 124 E Miracle Strip Pkwy, Suite 302, Mary Esther, FL 32569-1988 | 2006-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174132252 | Myra Jean Luna | Behavior Technician | 140 Cristobal Road N, Suite 501, Mary Esther, FL 32569 | 2020-07-24 |
| 1780242982 | Florida Kids Ppec, LLC | Skilled Nursing Facility | 5 E. Lane Dr., Units A/b, Mary Esther, FL 32569 | 2019-06-03 |
| 1730604695 | Camille Martinez | Behavior Technician | 116 Fourth St Se Unit #c, Fort Walton Beach, FL 32569 | 2017-08-11 |
| 1265846000 | Stillwaters Counseling, LLC | Counselor | 425 East Hollywood Boulevard, Building C, Suite #c5, Mary Esther, FL 32569 | 2014-06-19 |
| 1649562729 | Elizabeth Ann Hutchinson | Nurse Practitioner | 151 Mary Esther Blvd # 301, Mary Esther, FL 32569 | 2011-05-09 |
| 1215237789 | Nekita Antionette Robinson | Licensed Practical Nurse | 24 Solar Street, Mary Esther, FL 32569 | 2010-10-29 |
| 1538395587 | Angela Marie Meadows | Nurse Practitioner | 151 Mary Esther Blvd Ste 403a, Mary Esther, FL 32569 | 2009-06-04 |
| 1891939831 | Tamara Fought Bertrand | Massage Therapist | 151 Mary Ester Blvd, Suite 309b, Apo, AP 32569 | 2009-04-21 |
| 1083705651 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 300 Mary Esther Cutoff, Mary Esther, FL 32569 | 2006-09-27 |
| 1467823922 | Ashley Rydzewski Hall | Pharmacist | 250 E Miracle Strip Pkwy, Mary Esther, FL 32569 | 2015-10-09 |
| Find all providers in zip 32569 | ||||
| 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 |
|---|---|---|---|---|
| 1174132252 | Myra Jean Luna | Behavior Technician | 140 Cristobal Road N, Suite 501, Mary Esther, FL 32569 | 2020-07-24 |
| 1306320379 | Kristen Holly Dickens | Behavior Technician | 124 E Miracle Strip Pkwy Ste 502, Mary Esther, FL 32569-1991 | 2018-09-17 |
| 1104432681 | Stephanie Rose Berg | Behavior Technician | 124 E Miracle Strip Pkwy Ste 503, Mary Esther, FL 32569-1991 | 2020-09-19 |
| 1174139067 | Ryan James Bishop Murphy | Behavior Technician | 124 E Miracle Strip Pkwy Ste 503, Mary Esther, FL 32569-1991 | 2020-09-16 |
| 1396350641 | Jordan Garick | Behavior Technician | 124 E Miracle Strip Pkwy Ste 202, Mary Esther, FL 32569-1990 | 2020-09-14 |
| 1255942173 | Courtney Hart Hunter | Behavior Technician | 124 E Miracle Strip Pkwy Ste 503, Mary Esther, FL 32569-1991 | 2020-08-13 |
| 1063021533 | Hanah Maria Khalid Chaudhry | Behavior Technician | 124 E Miracle Strip Pkwy Ste 503, Mary Esther, FL 32569-1991 | 2020-07-30 |
| 1609485275 | Israel Gregory Simms | Behavior Technician | 124 E Miracle Strip Pkwy Ste 503, Mary Esther, FL 32569-1991 | 2020-07-29 |
| 1992314520 | Halee Harville | Behavior Technician | 124 E Miracle Strip Pkwy Ste 503, Mary Esther, FL 32569-1991 | 2020-07-29 |
| 1003425620 | Brittany Lane | Behavior Technician | 124 E Miracle Strip Pkwy Ste 202, Mary Esther, FL 32569-1990 | 2020-07-29 |
| Find all providers in MARY ESTHER | ||||
| City | MARY ESTHER |
| Zip Code | 32569 |
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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.