TYREAK ALBERT MCLARTY (NPI# 1861015109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861015109 |
| Entity Type | Individual |
| Full Name | TYREAK ALBERT MCLARTY |
| Credential | RBT |
| Practice Address |
2180 Julian Ave Nw Palm Bay FL 32907 |
| Mailing Address |
125 E Nasa Blvd Melbourne FL 32901-1900 |
| Practice Telephone | 3213726813 |
| Practice Fax Number | 3217656434 |
| Mailing Telephone | 3213726813 |
| Mailing Fax Number | 3217646434 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT- | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 125 E Nasa Blvd, Melbourne, FL 329011900 | 3213726813 | 3217646434 |
| Street Address |
2180 JULIAN AVE NW |
| City | PALM BAY |
| State | FL |
| Zip Code | 32907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871073759 | Jessica Elizabeth Ford | Physical Therapist | 470 Malabar Rd Se Unit 102, Palm Bay, FL 32907 | 2018-08-20 |
| 1598264558 | Corey Williams | Case Management | 1850 Delki St. Nw, Palm Bay, FL 32907 | 2018-02-06 |
| 1386154904 | Lauren Nicole Meek | Social Worker | 550 Malabar Rd Sw Apt 202, Palm Bay, FL 32907 | 2017-10-10 |
| 1679002877 | Kandice Monique Hearns | Physical Therapy Assistant | 175 Ne Villa Nueva Ave, Palm Bay, FL 32907 | 2017-06-09 |
| 1780113076 | Caring Manor LLC | Assisted Living Facility | 1863 Edith St Ne, Palm Bay, FL 32907 | 2017-06-08 |
| 1467992107 | Enrique Martinez | Counselor | 1510 Studley Dr. Nw, Palm Bay, FL 32907 | 2017-02-28 |
| 1144776469 | Stephanie Ann Hoenig | Physical Therapy Assistant | 1155 Malabar Rd Se, Palm Bay, FL 32907 | 2016-08-28 |
| 1124471529 | K & S Tender Care 11 | Assisted Living Facility | 226 Abalone Road Ne, Palm Bay, FL 32907 | 2016-07-20 |
| 1235507781 | Jai Ho LLC | Specialist | 1663 Georgia Street, Suite 400, Palm Bay, FL 32907 | 2015-09-14 |
| 1316289432 | A & M Assisted Living Facility Inc. | Assisted Living Facility | 1581 Zaffer St, Palm Bay, FL 32907 | 2013-03-27 |
| Find all providers in zip 32907 | ||||
| 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 |
|---|---|---|---|---|
| 1023633245 | Tracy Lee Curtis | Behavior Technician | 1690 Walker St Se, Palm Bay, FL 32909-5978 | 2020-06-12 |
| 1144841610 | Penelope Rivera | Behavior Technician | 1010 Abada Ct Ne Apt 101, Palm Bay, FL 32905-3709 | 2020-05-06 |
| 1871133009 | Maya Williams | Behavior Technician | 2695 Raven Ave Se, Palm Bay, FL 32909-7210 | 2020-01-15 |
| 1376180208 | Michael Leonard James II | Behavior Technician | 1512 Harvard Cir Apt 5, Palm Bay, FL 32905-2248 | 2019-12-10 |
| 1619539178 | Leidy Almira | Behavior Technician | 825 Sorrel St Nw, Palm Bay, FL 32907-1754 | 2019-07-05 |
| 1730743592 | Audra Lloy Forbes | Behavior Technician | 251 District St Se, Palm Bay, FL 32909-4786 | 2019-04-26 |
| 1306348859 | Mallory Kathleen Herndon | Behavior Technician | 458 Barcelona Rd, Palm Bay, FL 32909 | 2018-03-01 |
| 1467969246 | Stacey Juliano | Behavior Technician | 1610 Santos St Se Apt B, Palm Bay, FL 32909-6342 | 2018-01-03 |
| 1194236711 | Roxanne Ross | Behavior Technician | 1261 Goode Dr Ne, Palm Bay, FL 32907-1148 | 2017-10-23 |
| 1053849737 | Glenis Carolina Ortiz | Behavior Technician | 1236 Palm Place Dr Ne, Palm Bay, FL 32905-3952 | 2017-05-25 |
| Find all providers in PALM BAY | ||||
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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.