ANDREA WILSON (NPI# 1891047833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891047833 |
| Entity Type | Individual |
| Full Name | ANDREA WILSON |
| Credential | BCBA |
| Practice Address |
3990 Sheridan St Ste 209 Hollywood FL 33021-3656 |
| Practice Telephone | 8887540398 |
| Mailing Telephone | 8887540398 |
| Enumeration Date | 2012-10-14 |
| Last Update Date | 2018-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-11-9590 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1141 Nw 56th Street, Suite 120, Coral Springs, FL 33076 | 8132847942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659847150 | Andrea Margaret Wilson | Registered Nurse | 8221 Royal Scarlet Dr, Baldwinsville, NY 13027-8942 | 2018-10-23 |
| 1912494923 | Andrea Sherrell Wilson | Non-emergency Medical Transport (VAN) | 5339 Arbor Pl, Williamsburg, VA 23188-2469 | 2018-04-16 |
| 1326590944 | Andrea Wilson | In Home Supportive Care | 298 Martin Luther King Jr Dr, Jersey City, NJ 07305-3515 | 2016-10-31 |
| 1447603493 | Andrea Wilson | Counselor | 4115 W Adams St, Chicago, IL 60624-2702 | 2016-07-14 |
| 1194196618 | Andrea Wilson | Health Educator | 100 North Washington St., Station 14, Livingston, AL 35470 | 2015-10-09 |
| 1396169306 | Andrea Wilson | Nurse's Aide | 18519 Egret Bay Blvd Apt 1610, Houston, TX 77058-3280 | 2014-02-11 |
| 1609172253 | Andrea Michelle Wilson | Doula | 2915 N Texas St, 150, Fairfield, CA 94533-1291 | 2011-01-30 |
| 1871812586 | Andrea M Wilson | Licensed Practical Nurse | 772 Smiley Ave, Cincinnati, OH 45240-1948 | 2010-05-19 |
| 1265596530 | Andrea Gibbs Wilson | Counselor | 5950 N Oak Trfy Ste 104, Gladstone, MO 64118-5164 | 2006-12-21 |
| 1558424614 | Andrea Lois Wilson | Physician Assistant | 9000 N Main Street, Suite 101, Dayton, OH 45415 | 2006-12-19 |
| Street Address |
3990 SHERIDAN ST STE 209 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-3656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763309 | Mariana Morante | Behavior Technician | 3990 Sheridan St Ste 209, Hollywood, FL 33021-3656 | 2020-06-04 |
| 1417599051 | Roel Alexis Yrsola II | Behavior Technician | 3990 Sheridan St Ste 209, Hollywood, FL 33021-3656 | 2019-10-15 |
| 1649811217 | Lashayla M Arnold | Behavior Technician | 3990 Sheridan St Ste 209, Hollywood, FL 33021-3656 | 2019-10-03 |
| 1376017541 | Alison Ortega | Speech-Language Pathologist | 3990 Sheridan St Ste 209, Hollywood, FL 33021-3656 | 2019-01-21 |
| 1538635529 | Kirenia Gonzalez | Behavioral Analyst | 3990 Sheridan St Ste 209, Hollywood, FL 33021-3656 | 2018-10-17 |
| 1184108987 | Manuela Londono | Assistant Behavior Analyst | 3990 Sheridan St Ste 209, Hollywood, FL 33021-3656 | 2018-09-18 |
| 1770067472 | Monique Riad | Behavior Technician | 3990 Sheridan St Ste 209, Hollywood, FL 33021-3656 | 2018-09-18 |
| 1134607039 | Orlando Adiel Caballero | Behavioral Analyst | 3990 Sheridan St Ste 209, Hollywood, FL 33021-3656 | 2018-08-02 |
| 1770076390 | Franklin S Montoya | Behavioral Analyst | 3990 Sheridan St Ste 209, Hollywood, FL 33021-3656 | 2018-06-08 |
| 1225484488 | Diana Zerda | Behavior Technician | 3990 Sheridan St Ste 209, Hollywood, FL 33021 | 2016-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| 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 |
|---|---|---|---|---|
| 1306456090 | Odalys Gomez | Behavioral Analyst | 7130 Meade St, Hollywood, FL 33024-1636 | 2020-08-06 |
| 1447860200 | Rising Development L.L.C. | Behavioral Analyst | 7380 Stirling Rd Apt 308, Hollywood, FL 33024-1675 | 2020-08-06 |
| 1669098877 | Camilo Ernesto Marcaida | Behavioral Analyst | 3830 Nw 79th Ave, Hollywood, FL 33024-8328 | 2020-06-23 |
| 1710503123 | Erelis Morin Palmero | Behavioral Analyst | 1401 N 68th Ter, Hollywood, FL 33024-5605 | 2020-06-22 |
| 1477176295 | Jodie Love | Behavioral Analyst | 4000 Hollywood Blvd Ste 5000-s, Hollywood, FL 33021-6751 | 2020-05-27 |
| 1912530544 | Marlene Terezinha Macedo Papa | Behavioral Analyst | 3908 Jefferson St, Hollywood, FL 33021-7314 | 2020-02-21 |
| 1720623150 | Alexandra Nekhankin | Behavioral Analyst | 2170 N 29th Ave Apt 301, Hollywood, FL 33020-1718 | 2019-11-08 |
| 1417508557 | Olga Volosatova | Behavioral Analyst | 1776 Polk St Apt 1412, Hollywood, FL 33020-4683 | 2019-09-20 |
| 1215583315 | Isidora Paz Chevesich | Behavioral Analyst | 927 N 14th Ave, Hollywood, FL 33020-3712 | 2019-08-14 |
| 1285100370 | Abigail Brooke Ehrlich | Behavioral Analyst | 3800 N Hills Dr Apt 307, Hollywood, FL 33021-2542 | 2018-10-16 |
| Find all providers in HOLLYWOOD | ||||
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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.