MARA MICHELLE SHELLEY CLARKE (NPI# 1770744724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770744724 |
| Entity Type | Individual |
| Full Name | MARA MICHELLE SHELLEY CLARKE |
| Credential | BCBA |
| Practice Address |
31511 Saddle Ln Zephyrhills FL 33543-4772 |
| Practice Telephone | 8137802375 |
| Practice Fax Number | 8137791530 |
| Mailing Telephone | 8137802375 |
| Mailing Fax Number | 8137791530 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174619480 | Mara M Clarke | Nurse Practitioner | 515 Valley View Dr, Suite 103, Moline, IL 61265-6175 | 2006-10-05 |
| Street Address |
31511 SADDLE LN |
| City | ZEPHYRHILLS |
| State | FL |
| Zip Code | 33543-4772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730314469 | Valerie Tirado Velazquez | Developmental Therapist | 31511 Saddle Ln, Zephyrhills, FL 33543-4772 | 2009-05-26 |
| 1659532604 | Luz Mery Sweeting | Developmental Therapist | 31511 Saddle Ln, Zephyrhills, FL 33543-4772 | 2008-06-23 |
| 1881855831 | Tots In Training Inc | Developmental Therapist | 31511 Saddle Ln, Zephyrhills, FL 33543-4772 | 2008-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386124162 | Damien Marquell Jones | Massage Therapist | 2122 Shelbourne Ct, Wesley Chapel, FL 33543 | 2018-08-21 |
| 1518452051 | Julian Fernandez-hodge | Specialist/Technologist | 4730 Pointe O Woods Dr, Wesley Chapel, FL 33543 | 2018-06-27 |
| 1780101394 | Angels Caretakers LLC | Home Health | 5100 Dancing Bay Ln, Wesley Chapel, FL 33543 | 2017-08-24 |
| 1982052965 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 28150 Willet Way, Wesley Chapel, FL 33543 | 2016-05-31 |
| 1881078384 | Abrahams Family Chiropractic, LLC | Chiropractor | 28963 State Road 54, Wesley Chapel, FL 33543 | 2015-07-14 |
| 1598151938 | Jennifer Pernas Boucher | Family Medicine | 30000 County Line Rd, Wesley Chapel, FL 33543 | 2015-04-13 |
| 1639591886 | Angela Recht | Behavioral Analyst | 31057 Mandolin Cay Ave, Wesley Chapel, FL 33543 | 2014-01-07 |
| 1811336902 | Ten Broeck Tampa, LLC | Substance Abuse Rehabilitation Facility | 29910 State Route 56, Wesley Chapel, FL 33543 | 2013-06-21 |
| 1104070101 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 30050 County Line Rd, Wesley Chapel, FL 33543 | 2008-11-05 |
| 1568610293 | Apex Dental | Dentist | 1207 Bruce B Downs Blvd, Suite 1, Wesley Chapel, FL 33543 | 2008-09-06 |
| Find all providers in zip 33543 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275735813 | Rhonda Leslie | Developmental Therapist | 35808 Diamond Head Court, Zephyrhills, FL 33541 | 2007-06-05 |
| 1730314469 | Valerie Tirado Velazquez | Developmental Therapist | 31511 Saddle Ln, Zephyrhills, FL 33543-4772 | 2009-05-26 |
| 1659532604 | Luz Mery Sweeting | Developmental Therapist | 31511 Saddle Ln, Zephyrhills, FL 33543-4772 | 2008-06-23 |
| 1881855831 | Tots In Training Inc | Developmental Therapist | 31511 Saddle Ln, Zephyrhills, FL 33543-4772 | 2008-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830595 | Community Children's Therapy, Inc | Developmental Therapist | 12353 Natalies Cove Rd, Cooper City, FL 33330 | 2020-10-27 |
| 1437756327 | Tabrisha Ruy | Developmental Therapist | 10204 Douglas Oaks Cir Apt 304, Tampa, FL 33610-8646 | 2020-10-05 |
| 1316554116 | Carley Alexandra Scartz-nisbet | Developmental Therapist | 9437 Trumpet Vine Loop, Trinity, FL 34655-5366 | 2020-09-25 |
| 1992319909 | Kelly Todd | Developmental Therapist | 1408 Ariel Ln, Fort Walton Beach, FL 32547-1191 | 2020-09-07 |
| 1104436963 | Cassandra Hert | Developmental Therapist | 13738 Alesbury Ct, Jacksonville, FL 32224-2236 | 2020-08-06 |
| 1750991188 | Kimberley Nunez | Developmental Therapist | 362 Nw Stratford Ln, Port Saint Lucie, FL 34983-3432 | 2020-07-31 |
| 1821607441 | Nakeshia Woody | Developmental Therapist | 3209 E North Bay St, Tampa, FL 33610-6927 | 2020-07-29 |
| 1851900922 | Nathalia Brown | Developmental Therapist | 7911 Blairwood Cir S, Lake Worth, FL 33467-1809 | 2020-07-24 |
| 1053929752 | Jill Schnortz | Developmental Therapist | 484 Nw 232nd Ter, Newberry, FL 32669-2282 | 2020-07-20 |
| 1447868310 | Carleen Korkin | Developmental Therapist | 5004 Elpine Way, Palm Beach Gardens, FL 33418-7846 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
| City | ZEPHYRHILLS |
| Zip Code | 33543 |
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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.