STACEY L MERRITT (NPI# 1740805084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740805084 |
| Entity Type | Individual |
| Full Name | STACEY L MERRITT |
| Practice Address |
655 N Indiana Ave Englewood FL 34223-2756 |
| Practice Telephone | 9419994917 |
| Practice Fax Number | 9419994908 |
| Mailing Telephone | 9419994917 |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336604040 | Stacey Merritt | Counselor | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2019-02-06 |
| 1205185501 | Stacey Merritt | Physical Therapist | 2200 E Washington St, Bloomington, IL 61701-4364 | 2012-08-31 |
| Street Address |
655 N INDIANA AVE |
| City | ENGLEWOOD |
| State | FL |
| Zip Code | 34223-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275632101 | Kristin Noel Klopfer | Chiropractor | 655 N Indiana Ave, Suite A, Englewood, FL 34223-2766 | 2006-09-21 |
| 1184259335 | Sandie Marie Benton | Behavior Technician | 655 N Indiana Ave, Englewood, FL 34223-2756 | 2020-03-09 |
| 1295383818 | Sarah Kay Hopkins | Behavior Technician | 655 N Indiana Ave, Englewood, FL 34223-2756 | 2019-08-27 |
| 1912550740 | Michele Kristen Gordon | Behavioral Analyst | 655 N Indiana Ave, Englewood, FL 34223-2756 | 2019-07-21 |
| 1326537309 | Michele Anne Meservey | Behavioral Analyst | 655 N Indiana Ave, Englewood, FL 34223-2756 | 2018-05-06 |
| 1154824290 | Gabrielle Chantal Cunningham | Behavior Technician | 655 N Indiana Ave, Englewood, FL 34223-2756 | 2018-03-15 |
| 1487152880 | Tiffani Anne Jones-lewis | Behavior Technician | 655 N Indiana Ave, Englewood, FL 34223-2756 | 2018-01-31 |
| 1003270281 | Mariah Nelson | Behavioral Analyst | 655 N Indiana Ave, Englewood, FL 34223-2756 | 2016-04-13 |
| 1831387034 | Charles B. Eagar | Family Medicine | 655 N Indiana Ave, Englewood, FL 34223-2705 | 2007-10-12 |
| 1821169178 | Englewood Medical Center | Clinic/Center | 655 N Indiana Ave, Englewood, FL 34223-2766 | 2006-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180285 | Shelby Katherine Chirillo | Behavior Technician | 2500 Bobcat Center, Suite G, North Port, FL 34223 | 2018-10-16 |
| 1073022885 | Stacey Jo Seitz | Nurse Practitioner | 900 Pine Street, Suite 222, Englewood, FL 34223 | 2017-09-25 |
| 1750823688 | Bernice Cynthia Putnam | Technician | 401 E Langsner St, Englewood, FL 34223 | 2016-11-09 |
| 1003366949 | Tiffany Kristine Lamarca | Nurse Practitioner | 2061 Englewood Rd Ste 5, Englewood, FL 34223 | 2016-10-04 |
| 1336578293 | Lawrence Hale | Dentist | 701 S Indiana Ave Ste A, Englewood, FL 34223 | 2013-11-01 |
| 1730404310 | Michael A Arpasi | Hearing Instrument Specialist | 1720 S Mccall Rd Ste H, Englewood, FL 34223 | 2010-04-07 |
| 1962657452 | Amy J. Culbertson | Nurse Practitioner | 1719 Gale St, Englewood, FL 34223 | 2008-11-25 |
| 1396884433 | Cynthia J Juliao | Audiologist | 1108 Larchmont Dr, Englewood, FL 34223 | 2007-02-05 |
| 1538224092 | Cynthia Kay Davis | Obstetrics & Gynecology | 2061 Englewood Rd Ste 1, Englewood, FL 34223 | 2006-12-26 |
| 1902966146 | Dennis M Jewell Dc Pa | Chiropractor | 579 South Indiana Ave, Suite C, Englewood, FL 34223 | 2006-12-11 |
| Find all providers in zip 34223 | ||||
| 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 |
|---|---|---|---|---|
| 1780282038 | Ashton Claire Riley Brown | Behavior Technician | 88 Inverness Cir E Bldg H103h104, Englewood, CO 80112-5304 | 2020-10-09 |
| 1386241503 | Jessica Blackburn | Behavior Technician | 88 Inverness Cir E Ste Andh104, Englewood, CO 80112-5304 | 2020-10-01 |
| 1942812268 | Evangelia C Franciotti | Behavior Technician | 88 Inverness Cir E Ste 2892, Englewood, CO 80112-5304 | 2020-08-18 |
| 1124644547 | Hannah Monson | Behavior Technician | 1625 E Girard Pl Apt 237, Englewood, CO 80113-9168 | 2020-06-22 |
| 1174145247 | Staci C Alley | Behavior Technician | 3685 S Hazel Ct, Englewood, CO 80110-3219 | 2020-05-12 |
| 1083241640 | Marianne T Perri | Behavior Technician | 192 Palm Grove Ave, Englewood, FL 34223-3641 | 2020-03-24 |
| 1073156790 | Caroline Elizabeth Crawley | Behavior Technician | 325 Inverness South Drive, Englewood, CO 80112-6012 | 2019-10-25 |
| 1194384636 | Shawna Ginele Douglas | Behavior Technician | 4801 S Huron St, Englewood, CO 80110-6440 | 2019-06-09 |
| 1265996649 | Alissa M Ostheim | Behavior Technician | 655 N Indiana Ave Ste A, Englewood, FL 34223-2756 | 2019-01-30 |
| 1306336847 | Charles R Russell | Behavior Technician | 4520 S Huron St, Englewood, CO 80110-5636 | 2018-05-10 |
| Find all providers in ENGLEWOOD | ||||
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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.