NORTH BREVARD MEDICAL SUPPORT, INC (NPI# 1841829280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841829280 |
Entity Type | Organization |
Organization Name | NORTH BREVARD MEDICAL SUPPORT, INC |
Practice Address |
7075 N Us Highway 1 Cocoa FL 32927-5216 |
Mailing Address |
951 N Washington Ave Titusville FL 32796-2163 |
Practice Telephone | 3212686111 |
Practice Fax Number | 3212686231 |
Mailing Telephone | 3212686111 |
Mailing Fax Number | 3212686231 |
Enumeration Date | 2020-04-07 |
Last Update Date | 2020-04-07 |
Authorized Official Name | GEORGE MIKITARIAN (PRESIDENT/CEO) |
Authorized Official Telephone | 3212686111 |
Authorized Official Credential | PRESIDENT/CEO |
Is Organization Subpart | Y |
Parent Organization Name | NORTH BREVARD MEDICAL SUPPORT, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
North Brevard Medical Support, Inc. | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609834886 | North Brevard Medical Support, Inc | Clinic/Center | 250 Harrison St, Titusville, FL 32780 | 2006-05-03 |
Street Address |
7075 N US HIGHWAY 1 |
City | COCOA |
State | FL |
Zip Code | 32927-5216 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174121131 | Elijah Bookhart | Behavior Technician | 7075 N Us Highway 1, Cocoa, FL 32927-5216 | 2020-10-13 |
1417554064 | Lauryn Francis | Behavior Technician | 7075 N Us Highway 1, Cocoa, FL 32927-5216 | 2020-10-07 |
1205433901 | Bethany Renae Clarke | Behavior Technician | 7075 N Us Highway 1, Cocoa, FL 32927-5216 | 2020-10-06 |
1699240150 | Hannah Rae Hudson | Behavior Technician | 7075 N Us Highway 1, Cocoa, FL 32927-5216 | 2018-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538565023 | Susan Guattery Coleman | Dietitian, Registered | 7075 Us Highway 1, Diabetes Education Suite 300, Port Saint John, FL 32927 | 2014-11-10 |
1245668086 | Betty Lopez Munarriz | Contractor | 5660 Fay Blvd, Cocoa, FL 32927 | 2013-10-14 |
1427499599 | Gary Ray Rudolph | Pharmacist | 7125 Us 1, Cocoa, FL 32927 | 2013-07-17 |
1659716165 | Tania Melissa Johnson | Social Worker | 5355 Date Palm St, Cocoa, FL 32927 | 2013-05-10 |
1538473137 | Irwin Jaraplasan | Dentist | 5235 Fay Blvd, Cocoa, FL 32927 | 2010-08-06 |
1386856110 | Tri M Le | Pharmacist | 6257 U.S. Hwy 1, Cocoa, FL 32927 | 2007-05-04 |
1134218357 | Rameshwar N Mathur Md Pa | Family Medicine | 6250 N Us 1, Cocoa, FL 32927 | 2006-10-12 |
1922035088 | Albino Y Kuon | Psychiatry & Neurology | 4360 North Us1, Cocoa, FL 32927 | 2006-06-26 |
1801855424 | Faye Ellen O'rourke | Nurse Practitioner | 7227 N. Us Hwy. 1, Port St. John, FL 32927 | 2006-03-22 |
1063965275 | Tiffany Williams-brown | Nurse Practitioner | 860 Camp Rd, Cocoa, FL 32927 | 2016-07-25 |
Find all providers in zip 32927 |
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 |
---|---|---|---|---|
1073129839 | I'mpossible Behavior Services | Behavioral Analyst | 5500 N Highway 1, Cocoa, FL 32927-6006 | 2020-09-17 |
1356824981 | Magdalena A Mcneeley | Behavioral Analyst | 1370 Mycroft Dr, Cocoa, FL 32926-1825 | 2018-09-10 |
1396260030 | Shacarra Danielle Pouncey | Behavioral Analyst | 453 King Street, Cocoa, FL 32922 | 2017-08-03 |
1881942167 | Vicki Lynn Bauer | Behavioral Analyst | 6370 Gillette Ave, Cocoa, FL 32927-2226 | 2012-08-17 |
1922388362 | Angela K Potucek | Behavioral Analyst | 4020 Hess Ave, Cocoa, FL 32926-6806 | 2011-08-17 |
1871816439 | Suzanne P. Jasper-demarco | Behavioral Analyst | 550 Saint Johns St, Cocoa, FL 32922 | 2010-03-10 |
1396068292 | Mildred M. Chapman | Behavioral Analyst | 550 Saint Johns Street, Cocoa, FL 32922-7241 | 2010-03-05 |
1730749177 | Tara Fox-bessey | Behavioral Analyst | 453 King St, Cocoa, FL 32922-7621 | 2019-06-18 |
1760999437 | Nicole Heron | Behavioral Analyst | 7075 N Highway 1, Cocoa, FL 32927-5216 | 2018-01-04 |
1871010868 | Jose Figueroa | Behavioral Analyst | 453 King St, Cocoa, FL 32922-7621 | 2017-08-29 |
Find all providers in COCOA |
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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.