JA'MIRACLE COOKS (NPI# 1780224162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780224162 |
| Entity Type | Individual |
| Full Name | JA'MIRACLE COOKS |
| Practice Address |
515 Palm Coast Pkwy Sw Ste 6 Palm Coast FL 32137-5700 |
| Mailing Address |
300 International Pkwy Ste 200 Lake Mary FL 32746-5028 |
| Practice Telephone | 3869513044 |
| Mailing Telephone | 8666100580 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
515 PALM COAST PKWY SW STE 6 |
| City | PALM COAST |
| State | FL |
| Zip Code | 32137-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700309333 | Jessica Perrone | Behavior Technician | 515 Palm Coast Pkwy Sw Ste 6, Palm Coast, FL 32137-5700 | 2017-07-25 |
| 1033719042 | Autumn Kimberly Harper | Behavior Technician | 515 Palm Coast Pkwy Sw Ste 6, Palm Coast, FL 32137-5700 | 2020-10-28 |
| 1417564998 | Emily F Tyskowski | Behavioral Analyst | 515 Palm Coast Pkwy Sw Ste 6, Palm Coast, FL 32137-5700 | 2020-09-28 |
| 1841814605 | Shawn Prather | Behavior Technician | 515 Palm Coast Pkwy Sw Ste 6, Palm Coast, FL 32137-5700 | 2020-06-07 |
| 1629618004 | Maxzine Smith | Behavior Technician | 515 Palm Coast Pkwy Sw Ste 6, Palm Coast, FL 32137-5700 | 2020-01-13 |
| 1447890355 | Ashley Nicole Stuart | Behavioral Analyst | 515 Palm Coast Pkwy Sw Ste 6, Palm Coast, FL 32137-5700 | 2020-01-08 |
| 1952949547 | Aidan Tiede | Behavior Technician | 515 Palm Coast Pkwy Sw Ste 6, Palm Coast, FL 32137-5700 | 2019-12-15 |
| 1922655679 | Achrael Adina Legrottaglie | Behavior Technician | 515 Palm Coast Pkwy Sw Ste 6, Palm Coast, FL 32137-5700 | 2019-08-19 |
| 1831745454 | Hannah M Bergman | Behavior Technician | 515 Palm Coast Pkwy Sw Ste 6, Palm Coast, FL 32137-5700 | 2019-08-11 |
| 1114482320 | Luke Somerville | Behavior Technician | 515 Palm Coast Pkwy Sw Ste 6, Palm Coast, FL 32137-5700 | 2019-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617505 | Palm Coast Alf Management LLC | Assisted Living Facility | 3830 Old Kings Road, Palm Coast, FL 32137 | 2020-07-29 |
| 1093324964 | Akilah Collins | Behavior Technician | 515 Palm Coast Pwky Sw, Suite 6, Palm Coast, FL 32137 | 2020-07-27 |
| 1750929477 | Jeanette Ann Stevens | Technician | 1 Lema Place, Palm Coast, FL 32137 | 2019-12-12 |
| 1649816919 | Patrick Meyer | Occupational Therapy Assistant | 9 Pine Cone Drive, Palm Coast, Palm Coast, FL 32137 | 2019-11-21 |
| 1689230385 | Coastal Care Medical Transport | Non-emergency Medical Transport (VAN) | #2b, 1 Hargrove Grde, Palm Coast, FL 32137 | 2019-05-17 |
| 1407357437 | Palm Coast Counseling, LLC | Counselor | 1 Hargrove Grade, Ste B-1, Palm Coast, FL 32137 | 2018-02-25 |
| 1679081459 | Lance J Langston | Behavior Technician | 2 Crosstie Ct, Palm Coast, FL 32137 | 2018-01-16 |
| 1407360712 | Hanna Mercedes Brown | Behavior Technician | 515 Palm Coast Pkwy, Suite 6/7, Palm Coast, FL 32137 | 2017-11-22 |
| 1760994511 | Sophia's Choice Hands That Help, LLC | Custodial Care Facility | 119 Bud Hollow Dr, Palm Coast, FL 32137 | 2017-11-02 |
| 1922543255 | Megan Katherine Dickerson | Physical Therapist | 250 Palm Coast Pkwy Ne Unit 209a, Palm Coast, FL 32137 | 2016-12-22 |
| Find all providers in zip 32137 | ||||
| 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 |
|---|---|---|---|---|
| 1093324964 | Akilah Collins | Behavior Technician | 515 Palm Coast Pwky Sw, Suite 6, Palm Coast, FL 32137 | 2020-07-27 |
| 1962010363 | Sokha Chhum | Behavior Technician | 40 Rose Dr, Palm Coast, FL 32164-6937 | 2020-07-21 |
| 1114496692 | Shawn D Roberts | Behavior Technician | 8 Wildwood Ln, Palm Coast, FL 32137-3221 | 2018-11-14 |
| 1376020263 | Bruno Miguel Pereira | Behavior Technician | 66 Bronson Ln, Palm Coast, FL 32137-8725 | 2018-07-24 |
| 1679081459 | Lance J Langston | Behavior Technician | 2 Crosstie Ct, Palm Coast, FL 32137 | 2018-01-16 |
| 1407360712 | Hanna Mercedes Brown | Behavior Technician | 515 Palm Coast Pkwy, Suite 6/7, Palm Coast, FL 32137 | 2017-11-22 |
| 1013429398 | Christine Ramirez | Behavior Technician | 520 Palm Coast Pkwy Sw Ste 103, Palm Coast, FL 32137-4743 | 2017-10-26 |
| 1043729122 | Heather Foss | Behavior Technician | 515 Palm Coast Pkwy Sw Ste 16, Palm Coast, FL 32137-5701 | 2017-09-21 |
| 1952825283 | Emily Guarino | Behavior Technician | 136a Wellwood Lane, Palm Coast, FL 32164 | 2017-07-28 |
| 1700309333 | Jessica Perrone | Behavior Technician | 515 Palm Coast Pkwy Sw Ste 6, Palm Coast, FL 32137-5700 | 2017-07-25 |
| Find all providers in PALM COAST | ||||
| City | PALM COAST |
| Zip Code | 32137 |
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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.