AMY GIBSON (NPI# 1780117614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780117614 |
| Entity Type | Individual |
| Full Name | AMY GIBSON |
| Practice Address |
2101 Arc Dr Saint Augustine FL 32084-0512 |
| Practice Telephone | 9048247249 |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |
| 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 |
|---|---|---|---|---|
| 1619474046 | Amy Gibson | Registered Nurse | 3841 Helen St, Harrison, MI 48625-9108 | 2018-04-11 |
| 1962870717 | Amy Gibson | Nurse Practitioner | 618 18th St S # 10360, Birmingham, AL 35233-1827 | 2015-09-10 |
| 1508995184 | Amy Nixon Gibson | Case Manager/Care Coordinator | 295 Lafayette Pkwy, Lexington, KY 40503-1242 | 2007-03-02 |
| 1689221723 | Amy L. Gibson | Registered Nurse | 5982 Rhodes Rd, Kent, OH 44240-8100 | 2019-08-22 |
| 1285187070 | Amy Gibson | Social Worker | 018 Sw Boundary Ct, Portland, OR 97239-3939 | 2016-07-27 |
| 1962854406 | Amy Elizabeth Gibson | Nurse Practitioner | 257 Biltmore Ave, Asheville, NC 28801-4120 | 2016-07-08 |
| 1588014625 | Amy Gibson | Occupational Therapist | 12311 Ashley Dr Ste A, Gulfport, MS 39503-2950 | 2016-06-20 |
| 1518354406 | Amy Lovell Gibson | Pharmacist | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2015-04-19 |
| 1356759393 | Amy Gibson | Student in an Organized Health Care Education/Training Program | 7050 S 24th St, Phoenix, AZ 85042-5806 | 2014-07-22 |
| 1003002858 | Amy R. Gibson | Nurse Practitioner | 1314 Park Ave, Plainfield, NJ 07060-3253 | 2007-09-14 |
| Street Address |
2101 ARC DR |
| City | SAINT AUGUSTINE |
| State | FL |
| Zip Code | 32084-0512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508323973 | Sarah Fabbie | Behavior Technician | 2101 Arc Dr, Saint Augustine, FL 32084-0512 | 2019-02-21 |
| 1457890881 | Megan Ashley Fraser | Behavior Technician | 2101 Arc Dr, Saint Augustine, FL 32084-0512 | 2017-02-17 |
| 1306385109 | Elaina Grumblatt | Behavior Technician | 2101 Arc Dr, Saint Augustine, FL 32084-0512 | 2017-02-14 |
| 1154864536 | Molly Bonk | Behavior Technician | 2101 Arc Dr, Saint Augustine, FL 32084-0512 | 2016-12-02 |
| 1013459387 | Kaylee Elizabeth Mchone | Behavior Technician | 2101 Arc Dr, Saint Augustine, FL 32084-0512 | 2016-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347599 | Cody Martyn | Pharmacist | 955 Fl-16, St. Augustine, FL 32084 | 2020-08-18 |
| 1912562471 | Kjcares Suportive Living Services | Case Manager/Care Coordinator | 20 First Street, Apt 5, St. Augustine, FL 32084 | 2019-05-09 |
| 1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
| 1568954576 | Gwendolyn Marie Spong | Nurse Practitioner | 2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, FL 32084 | 2018-06-05 |
| 1770940116 | Marian L. Turner-sharpton, Lcsw | Social Worker | 17 Pacific St., Suite 2 (growth Pointe), St. Augustine, FL 32084 | 2016-01-15 |
| 1710358932 | Florida Laboratory Analysis, LLC | Clinical Medical Laboratory | 1690 Us Highway 1 S Ste D, St Augustine, FL 32084 | 2015-10-14 |
| 1780064774 | J Mae Transportation | Non-emergency Medical Transport (VAN) | 28 N Whitney St Apt 404, St Augustine, FL 32084 | 2015-06-04 |
| 1497154520 | Suzanne Smith Weed | Nurse Practitioner | 32 Mulberry Street, Saint Augustine, FL 32084 | 2014-08-14 |
| 1447684469 | Rachel Moran | Counselor | 162 Oneida Street, St. Augustine, FL 32084 | 2013-08-27 |
| 1932545993 | Matrix Medical, LLC | Durable Medical Equipment & Medical Supplies | 56 S Dixie Hwy Ste 1, St Augustine, FL 32084 | 2013-05-17 |
| Find all providers in zip 32084 | ||||
| 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 |
|---|---|---|---|---|
| 1548751837 | Jennifer Marie Martinez | Behavior Technician | 1884 Enterprise Ave, Saint Augustine, FL 32092-2421 | 2018-05-23 |
| 1720687189 | Caitlin Christine Cosio | Behavior Technician | 124 Capulet Dr Ste 102, Saint Augustine, FL 32092-4538 | 2020-10-18 |
| 1326653429 | Joseph Venere-coyle | Behavior Technician | 124 Capulet Dr Ste 102, Saint Augustine, FL 32092-4538 | 2020-09-15 |
| 1306456132 | Alejandro Abreu Jr. | Behavior Technician | 124 Capulet Dr Ste 102, Saint Augustine, FL 32092-4538 | 2020-08-06 |
| 1558989632 | Margot Elizabeth West | Behavior Technician | 124 Capulet Dr Ste 102, Saint Augustine, FL 32092-4538 | 2020-07-06 |
| 1578181665 | Sheena Smith | Behavior Technician | 124 Capulet Dr Ste 102, Saint Augustine, FL 32092-4538 | 2020-07-06 |
| 1013533272 | Karen Cummings | Behavior Technician | 124 Capulet Dr Ste 102, Saint Augustine, FL 32092-4538 | 2020-06-23 |
| 1598389751 | Stephanie Weinstein | Behavior Technician | 124 Capulet Dr Ste 102, Saint Augustine, FL 32092-4538 | 2020-06-03 |
| 1558996686 | Chloe J Joyce | Behavior Technician | 124 Capulet Dr Ste 102, Saint Augustine, FL 32092-4538 | 2020-03-09 |
| 1558993295 | Jaira Esthel Tesoro Ualat | Behavior Technician | 124 Capulet Dr Ste 102, Saint Augustine, FL 32092-4538 | 2020-02-11 |
| Find all providers in SAINT AUGUSTINE | ||||
| City | SAINT AUGUSTINE |
| Zip Code | 32084 |
Please comment or provide details below to improve the information on AMY GIBSON.
| 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.