JESSICA EMILSSEN CRUZ NINO (NPI# 1922596485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922596485 |
| Entity Type | Individual |
| Full Name | JESSICA EMILSSEN CRUZ NINO |
| Practice Address |
10850 S Us Highway 1 Ste 2 Port St Lucie FL 34952-6407 |
| Practice Telephone | 7724630444 |
| Mailing Telephone | 7724630444 |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
10850 S US HIGHWAY 1 STE 2 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34952-6407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770779597 | Aliyah Longhurst | Marriage & Family Therapist | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2007-09-16 |
| 1154922268 | Fearona Samantha Dunkley | Behavior Technician | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2020-11-04 |
| 1881295111 | Amany Ahmad | Behavior Technician | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2020-11-03 |
| 1669072013 | Kandace Victoria Henley | Behavior Technician | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2020-10-27 |
| 1548869837 | Fabienne Fleuranvil Merise | Behavior Technician | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2020-10-19 |
| 1306460548 | Alexandria Marie Tardiff | Behavior Technician | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2020-06-03 |
| 1003438680 | Michaela Rose Gelbaugh | Behavior Technician | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2020-05-18 |
| 1356975577 | Shanede Raymond | Behavior Technician | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2020-02-26 |
| 1952935355 | Ginelle A Robinson | Behavior Technician | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2020-02-25 |
| 1538799424 | Marcela Hernandez | Behavior Technician | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2020-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| 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 |
|---|---|---|---|---|
| 1902439995 | Eric Gormley LLC | Behavioral Analyst | 378 Ne Surfside Ave, Port St Lucie, FL 34983-1244 | 2020-02-18 |
| 1528523883 | Richard Shoy | Behavioral Analyst | 180 Sw Paar Dr, Port St Lucie, FL 34953-3509 | 2019-01-31 |
| 1013405653 | Nicole Victoria Kenyon | Behavioral Analyst | 602 Se Starflower Ave, Port St Lucie, FL 34983-4635 | 2018-04-30 |
| 1184008740 | Aaron Mohammed | Behavioral Analyst | 191 Sw Palm Dr Apt 306, Port St Lucie, FL 34986-1901 | 2015-07-14 |
| 1689090821 | Colleen Walizer | Behavioral Analyst | 10850 S Federal Hwy # 1, Port St Lucie, FL 34952-6407 | 2014-03-12 |
| 1831511252 | Karen Shipper | Behavioral Analyst | 10850 S Federal Hwy, Suite 2, Port St Lucie, FL 34952-6407 | 2014-01-21 |
| 1548558380 | Dawn M Petrie | Behavioral Analyst | 417 Ne Armory Cir, Port St Lucie, FL 34983-1738 | 2011-07-14 |
| 1528399094 | Cindy R Davis | Behavioral Analyst | 365 Se Whitmore Dr, Port St Lucie, FL 34984-4531 | 2010-01-23 |
| 1649886664 | Proverbs 22:6 Behavioral Therapy Inc | Behavioral Analyst | 1086 Sw Colorado Ave, Port St Lucie, FL 34953-1803 | 2020-09-16 |
| 1356840888 | Pamela Sue Hamm | Behavioral Analyst | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2018-02-10 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34952 |
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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.