GRACE HARDY (NPI# 1770919664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770919664 |
| Entity Type | Individual |
| Full Name | GRACE HARDY |
| Credential | BCABA |
| Practice Address |
12276 San Jose Blvd Ste 508 Jacksonville FL 32223-8618 |
| Practice Telephone | 9048863228 |
| Practice Fax Number | 9048863297 |
| Mailing Telephone | 9048863228 |
| Mailing Fax Number | 9048863297 |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2019-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679574495 | Grace Soeun Hardy | Dentist | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2005-08-02 |
| Street Address |
12276 SAN JOSE BLVD STE 508 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32223-8618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538223078 | Sarah Chaloupek | Physical Therapist | 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 | 2006-12-20 |
| 1356941033 | Lindsey Page Griffis | Behavior Technician | 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 | 2020-10-30 |
| 1942800446 | Cristina M Guy | Behavior Technician | 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 | 2020-10-26 |
| 1396343091 | Kaitlin Amanda Mealor | Behavior Technician | 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 | 2020-10-14 |
| 1316554660 | Jay-lee E Schmidt | Physical Therapist | 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 | 2020-09-29 |
| 1043826555 | Taliyah Fleming | Behavior Technician | 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 | 2020-09-20 |
| 1770198251 | Rachael Lee Rubright | Behavior Technician | 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 | 2020-09-11 |
| 1790398485 | Jennifer Madrid | Behavior Technician | 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 | 2020-08-24 |
| 1619587862 | Parker-lynn Jackson | Behavior Technician | 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 | 2020-08-03 |
| 1922626175 | Amanda Hovnanian | Behavior Technician | 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679103600 | Karen Gabriela Alexander | Dietitian, Registered | Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 | 2020-01-17 |
| 1891250049 | Thalia L Honea | Occupational Therapist | 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 | 2019-02-01 |
| 1447758289 | Stephanie Ann Murphy | Marriage & Family Therapist | 11543 Halethorpe Drive, Jacksonville, FL 32223 | 2018-01-26 |
| 1861948481 | Nicole Gay | Developmental Therapist | 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 | 2016-09-01 |
| 1740694439 | Robyn K Mizelle | Behavioral Analyst | 12276 San Jose Blvd. Great Strides Rehabilitation, Suite 507, Jacksonville, FL 32223 | 2014-06-20 |
| 1184038010 | Kelli Anne Cabrera | Occupational Therapist | 12350 San Jose Blvd, Jacksonville, FL 32223 | 2014-06-18 |
| 1891031910 | Mandarin Family Medicine, P.a. | Preferred Provider Organization | 12276-210 San Jose Blvd, Jacksonville, FL 32223 | 2012-12-18 |
| 1114201811 | Darshana Choksi | Pharmacist | 3663 Marbon Rd, Jacksonville, FL 32223 | 2011-09-30 |
| 1346539988 | Harris Wilcox and Donovan Pa | Optometrist | 11790 San Jose Bl, Jacksonville, FL 32223 | 2011-04-05 |
| 1740517796 | Beth A. Kelley | Occupational Therapist | 2640 Scott Mill Dr, Jacksonville, FL 32223 | 2009-11-12 |
| Find all providers in zip 32223 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1699319210 | Elizabeth Mack | Assistant Behavior Analyst | 7929 Eaton Ave, Jacksonville, FL 32211-7848 | 2019-11-06 |
| 1093259095 | Sherri Stinson | Assistant Behavior Analyst | 3011d John Paul Jones Ct, Jacksonville, FL 32221-2406 | 2016-12-09 |
| 1275175408 | Ernisha M Sistrunk | Assistant Behavior Analyst | 6816 Southpoint Pkwy Ste 202, Jacksonville, FL 32216-1701 | 2019-10-09 |
| 1578066478 | Ryan Moore | Assistant Behavior Analyst | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 | 2018-03-16 |
| 1376079905 | Ashley Raynor | Assistant Behavior Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2017-05-02 |
| 1497280945 | Thomas Ulwelling | Assistant Behavior Analyst | 9000 Cypress Green Dr, Jacksonville, FL 32256-7791 | 2017-04-21 |
| 1952834434 | Mollie Gibson | Assistant Behavior Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2017-04-11 |
| 1720511728 | Desiree Adams | Assistant Behavior Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2017-04-06 |
| 1538691555 | Meghan Rhegness | Assistant Behavior Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2017-03-29 |
| 1568906048 | Alicia Miller | Assistant Behavior Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2016-12-19 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32223 |
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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.