KELLEY C HURLEY (NPI# 1760029466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760029466 |
| Entity Type | Individual |
| Full Name | KELLEY C HURLEY |
| Credential | RBT |
| Practice Address |
40 State Highway 83 Defuniak Springs FL 32433-7404 |
| Practice Telephone | 8505859189 |
| Practice Fax Number | 8509510898 |
| Mailing Telephone | 8505859189 |
| Mailing Fax Number | 8509510898 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 128 John King Rd Ste 18, Crestview, FL 325395731 | 8505859189 | 8509510898 |
| Street Address |
40 STATE HIGHWAY 83 |
| City | DEFUNIAK SPRINGS |
| State | FL |
| Zip Code | 32433-7404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831631712 | Stephanie Cook | Behavioral Analyst | 40 State Highway 83, Defuniak Springs, FL 32433-7404 | 2016-11-09 |
| 1609477512 | Rachel Kyleen Collinsworth | Behavior Technician | 40 State Highway 83, Defuniak Springs, FL 32433-7404 | 2020-11-06 |
| 1316547706 | Lily Rayanne Herndl | Behavior Technician | 40 State Highway 83, Defuniak Springs, FL 32433-7404 | 2020-10-27 |
| 1710590641 | Mercy Toth | Behavior Technician | 40 State Highway 83, Defuniak Springs, FL 32433-7404 | 2020-08-29 |
| 1598381071 | Christina Faye Howell | Behavior Technician | 40 State Highway 83, Defuniak Springs, FL 32433-7404 | 2020-06-22 |
| 1700409042 | Zemiah Lafay Goldsmith | Behavior Technician | 40 State Highway 83, Defuniak Springs, FL 32433-7404 | 2020-05-21 |
| 1396370011 | Amanda Lynn Newsome | Behavior Technician | 40 State Highway 83, Defuniak Springs, FL 32433-7404 | 2020-03-04 |
| 1447883996 | Candice Jade Earnest | Behavior Technician | 40 State Highway 83, Defuniak Springs, FL 32433-7404 | 2020-02-12 |
| 1336781269 | Tabitha S Green | Behavior Technician | 40 State Highway 83, Defuniak Springs, FL 32433-7404 | 2019-10-11 |
| 1336780436 | Sabrina Marie Stout | Behavior Technician | 40 State Highway 83, Defuniak Springs, FL 32433-7404 | 2019-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811072960 | Alexander Neiman | Internal Medicine | 1031 Us Hwy 90 W, Ste 1 & 2, Defuniak Springs, FL 32433 | 2006-10-26 |
| 1447359401 | Wal-mart Stores East, Lp | Technician/Technologist | 1226 Freeport Road, Defuniak Springs, FL 32433 | 2006-09-22 |
| 1275595738 | Mash Inc | Durable Medical Equipment & Medical Supplies | 379 E Nelson Ave, Defuniak Springs, FL 32433 | 2006-04-03 |
| 1992764005 | Shirley Dianne Guillory | Registered Nurse | 475 State Highway 83, Defuniak Springs, FL 32433 | 2006-03-20 |
| 1154391027 | Arjen L Van De Voorde | Dentist | 362 State Highway 83, Defuniak Springs, FL 32433 | 2006-01-24 |
| 1629062351 | Robert King Persons | Family Medicine | Walton County Health Department, 3162 Highway 83, Defuniak Springs, FL 32433 | 2005-09-08 |
| 1477030708 | Ashley Fleming | Pharmacist | 1226 Freeport Road, De Funiak Springs, FL 32433 | 2018-07-19 |
| 1710226865 | Genevieve Powell | Doula | 1810 Sandy Ramp Rd, Defuniak Springs, FL 32433-0066 | 2013-02-10 |
| 1720284649 | Patricia A Ferman | Dietitian, Registered | 72 Happy Ln, Defuniak Springs, FL 32433-0514 | 2007-06-26 |
| 1710066576 | Vicky E Dantzler | Registered Nurse | 324 Ralph Long Rd, Defuniak Springs, FL 32433-0830 | 2006-11-03 |
| Find all providers in zip 32433 | ||||
| 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 |
|---|---|---|---|---|
| 1427683390 | Stephanie Jean Wiggins | Behavior Technician | 40 St Hwy 83 N, Defuniak Springs, FL 32433-7404 | 2020-03-11 |
| 1609394915 | Savannah Lynn Lerner | Behavior Technician | 171 State Highway 83 Unit A-101, Defuniak Springs, FL 32433-7427 | 2017-09-07 |
| 1891213153 | Lauren Elizabeth Bell | Behavior Technician | 171 St Hwy 83 N # A-101, Defuniak Springs, FL 32433-7427 | 2017-09-06 |
| 1336676451 | Leila Lissette Potts | Behavior Technician | 171 State Highway 83 Unit A110, Defuniak Springs, FL 32433-7427 | 2017-05-19 |
| 1649715996 | Sara Elizabeth Cadenhead | Behavior Technician | 171 Highway 83 N Unit A101, Defuniak Springs, FL 32433-7427 | 2016-12-22 |
| 1316482706 | Rebe Nicole Arrieta | Behavior Technician | 171 State Highway 83 Unit A101, Defuniak Springs, FL 32433-7427 | 2016-12-21 |
| 1609477512 | Rachel Kyleen Collinsworth | Behavior Technician | 40 State Highway 83, Defuniak Springs, FL 32433-7404 | 2020-11-06 |
| 1316547706 | Lily Rayanne Herndl | Behavior Technician | 40 State Highway 83, Defuniak Springs, FL 32433-7404 | 2020-10-27 |
| 1710590641 | Mercy Toth | Behavior Technician | 40 State Highway 83, Defuniak Springs, FL 32433-7404 | 2020-08-29 |
| 1801414966 | Tori Marie Gratz | Behavior Technician | 40 St Hwy 83 N, Defuniak Springs, FL 32433-7404 | 2020-07-06 |
| Find all providers in DEFUNIAK SPRINGS | ||||
| City | DEFUNIAK SPRINGS |
| Zip Code | 32433 |
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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.