FLORIDA AUTISM CENTER (NPI# 1790146462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790146462 |
| Entity Type | Organization |
| Organization Name | FLORIDA AUTISM CENTER |
| Practice Address |
124 Capulet Drive St Augustine FL 32092 |
| Mailing Address |
175 Middle St Suite 1201 Lake Mary FL 32746-3625 |
| Practice Telephone | 3869513044 |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-11-21 |
| Authorized Official Name | JOHN HENNEGAN (CHAIRMAN) |
| Authorized Official Telephone | 3123487572 |
| Is Organization Subpart | Y |
| Parent Organization Name | SCP AUTISM SERVICES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 595665 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862119 | Florida Autism Center | Assistant Behavior Analyst | 105 Grand Central Blvd Ste 101, Pooler, GA 31322-4146 | 2020-02-10 |
| 1265071955 | Florida Autism Center | Assistant Behavior Analyst | 3850 Holcomb Bridge Rd Ste 180, Norcross, GA 30092-5223 | 2019-12-30 |
| 1093358541 | Florida Autism Center | Assistant Behavior Analyst | 1220 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2019-10-28 |
| 1457994907 | Florida Autism Center | Assistant Behavior Analyst | 5328 Lanier Islands Pkwy, Buford, GA 30518-9071 | 2019-10-28 |
| 1033751888 | Florida Autism Center | Behavior Technician | 6375 Mcginnis Ferry Rd Ste 202, Johns Creek, GA 30005-3617 | 2019-10-14 |
| 1912551730 | Florida Autism Center | Assistant Behavior Analyst | 115 N Park Trl Ste 123, Stockbridge, GA 30281-7373 | 2019-07-30 |
| 1245899574 | Florida Autism Center | Assistant Behavior Analyst | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2019-06-11 |
| 1497226559 | Florida Autism Center | Assistant Behavior Analyst | 100 Governors Trce Ste 100, Peachtree City, GA 30269-4856 | 2018-12-16 |
| 1396231411 | Florida Autism Center | Behavioral Analyst | 2389 Oak Myrtle Lane, Wesley Chapel, FL 33544 | 2018-07-02 |
| 1942743018 | Florida Autism Center | Assistant Behavior Analyst | 1563 Kingsley Ave, Suite 103, Orange Park, FL 32073-4503 | 2016-11-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FLORIDA AUTISM CENTER OF EXCELLENCE, INC. | 6310 E Sligh Ave, Tampa, FL 33617-9107 |
| Street Address |
124 CAPULET DRIVE |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670146 | Kaitlyn Thomas | Speech-Language Pathologist | 111 Nature Walk Pkwy # B101, Saint Augustine, FL 32092 | 2019-07-10 |
| 1386168359 | Westminster Pines, Inc. | Skilled Nursing Facility | 235 Towerview Drive, St. Augustine, FL 32092 | 2017-08-01 |
| 1255852471 | St Vincent's Urgent Care Inc | Clinic/Center | 2001 Country Road 210 West, St Augustine, FL 32092 | 2017-06-28 |
| 1649702291 | Leonard Volpe | Physician Assistant | 745 Porta Rosa Cir, St Augustine, FL 32092 | 2017-04-03 |
| 1740630425 | Sierra Danielle Shultz | Behavioral Analyst | 2590 C H Arnold Rd, Saint Augustine, FL 32092 | 2016-06-14 |
| 1023467347 | Marylin Palackel James | Family Medicine | 110 Hampton Point Dr, St Augustine, FL 32092 | 2016-06-07 |
| 1174901458 | Kaylan Brady | Pediatrics | 70 Turin Terrace, Suite 220, St Augustine, FL 32092 | 2015-05-07 |
| 1245620368 | Angela Sanchez | Physician Assistant | 229 Adelanto Ave, St Augustine, FL 32092 | 2015-01-27 |
| 1053723700 | David Hamilton | Dentist | 149 Tuscan Way, St. Augustine, FL 32092 | 2014-05-29 |
| 1356601249 | First Coast Oral & Facial Surgery, Pa | Oral & Maxillofacial Surgery | 319 W Town Place, Suite 2, St Augustine, FL 32092 | 2012-05-24 |
| Find all providers in zip 32092 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198905 | North Florida Behavior Consultants, LLC | Behavioral Analyst | 87 Palisade Dr, St Augustine, FL 32092-1139 | 2020-09-14 |
| 1255998381 | Victoria Lynn Vaeth | Behavioral Analyst | 5 Santiago Ct, St Augustine, FL 32086-7641 | 2019-05-23 |
| 1912562281 | Learning My Way Aba, LLC | Behavioral Analyst | 1572 Timber Trace Dr, St Augustine, FL 32092-0757 | 2019-05-02 |
| 1487039558 | Paul Argott | Behavioral Analyst | 361 Stonehurst Pkwy, St Augustine, FL 32092-5017 | 2015-07-29 |
| 1184013146 | Erica Lee Geisel | Behavioral Analyst | 3440 Us Highway 1 S Ste 201, St Augustine, FL 32086-6363 | 2015-01-14 |
| 1154759678 | Annie Christina Prchal | Behavioral Analyst | 2225 A1a S Ste B8, St Augustine, FL 32080-2917 | 2013-10-18 |
| 1346533973 | Darren C Tagliarini | Behavioral Analyst | 43 Sylvan Dr, St Augustine, FL 32084-2157 | 2011-05-16 |
| 1205071917 | Andrea Stayton | Behavioral Analyst | 23 Sol Ct, St Augustine, FL 32095-8493 | 2008-12-09 |
| 1679745830 | Emily A. Czepiel | Behavioral Analyst | 108 B St, Unit B, St Augustine, FL 32080-6896 | 2008-03-27 |
| 1821578774 | Cierra Tranum | Behavioral Analyst | 3440 Us 1 S Ste 202, St Augustine, FL 32086-6363 | 2018-08-20 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32092 |
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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.