JARED R PAGAN


Address: 4647 Clyde Morris Blvd, Port Orange, FL 32129-3000
Phone: 3867673752

JARED R PAGAN (NPI# 1942772868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942772868
Entity Type Individual
Full Name JARED R PAGAN
Credential RBT
Practice Address 4647 Clyde Morris Blvd
Port Orange
FL 32129-3000
Mailing Address 3018 Blaine Cir
Deltona
FL 32738-5327
Practice Telephone 3867673752
Practice Fax Number 3867674319
Mailing Telephone 3868488114
Enumeration Date 2018-12-18
Last Update Date 2019-04-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician RBT-18-73677 FL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 10775100 05

Office Location

Street Address 4647 CLYDE MORRIS BLVD
City PORT ORANGE
State FL
Zip Code 32129-3000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083214092 Stephanie Valdes Behavior Technician 4647 Clyde Morris Blvd, Port Orange, FL 32129-3000 2020-10-28
1366095713 Christina Marie Larsen Behavior Technician 4647 Clyde Morris Blvd, Port Orange, FL 32129-3000 2019-07-24
1750934378 Sarah Elizabeth Sieg Behavior Technician 4647 Clyde Morris Blvd, Port Orange, FL 32129-3000 2019-07-23
1679135727 Vanessa Christine Burke Behavior Technician 4647 Clyde Morris Blvd, Port Orange, FL 32129-3000 2019-06-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982179818 Port Orange Modern Dentistry, Pa Dentist 1765 Dunlawton Ave., Suite 103, Port Orange, FL 32129 2018-10-08
1932698131 Brittany Michele Claude Behavioral Analyst 4647 Clyde Morris Blvd Suite 501, Port Orange, FL 32129 2018-05-03
1760919468 Makayla Earl Behavior Technician 1557 Town Park Dr., Port Orange, FL 32129 2017-05-12
1184157968 Katie Lynn Weisz Physician Assistant 3635 South Clyde Morris Blvd, Suite 100, Port Orage, FL 32129 2017-04-07
1285178319 Mallory Driggers Counselor 980 Canal View Blvd Apt F7, Port Orange, FL 32129 2016-12-08
1912321654 Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph Dentist 944 Bridgewater Dr., Suite 2-b, Port Orange, FL 32129 2014-02-18
1538411731 Roberta Ann Gilmartin Specialist 1048 W Samms Ave, Port Orange, FL 32129 2012-10-11
1679892996 Pamela Kirby Pa Clinic/Center 4606 South Clyde Morris Boulevard, Suite 1j, Port Orange, FL 32129 2010-05-26
1326376385 Connie Jeanne Bodnarik Physical Therapy Assistant 3780 S Clyde Morris Blvd Apt 1206, Port Orange, FL 32129 2009-12-02
1669645057 American Family & Sports Chiropractic Center Inc Chiropractor 4649 Clyde Morris Blvd Unit 609, Port Orange, FL 32129 2008-04-08
Find all providers in zip 32129

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548814536 Shea Alexis Mclean-reshen Behavior Technician 3781 Grove View Ln, Port Orange, FL 32129-8602 2019-07-28
1538625231 Liana Divoky Tomei Behavior Technician 11 Royal Palm Cir, Port Orange, FL 32127-5307 2019-02-18
1760919468 Makayla Earl Behavior Technician 1557 Town Park Dr., Port Orange, FL 32129 2017-05-12
1083214092 Stephanie Valdes Behavior Technician 4647 Clyde Morris Blvd, Port Orange, FL 32129-3000 2020-10-28
1265031298 Tracy A Smith Behavior Technician 4647 Clyde Morris Blvd Unit 501, Port Orange, FL 32129-3001 2020-10-21
1437756871 Caitlin Anderson Behavior Technician 823 Dunlawton Ave, Port Orange, FL 32127-4220 2020-10-08
1225635717 Kailey Mireles Behavior Technician 823 Dunlawton Ave, Port Orange, FL 32127-4220 2020-10-07
1790392017 Suheir Aljundi Behavior Technician 823 Dunlawton Ave, Port Orange, FL 32127-4220 2020-09-30
1770199879 Brandi Brooks Behavior Technician 823 Dunlawton Ave, Port Orange, FL 32127-4220 2020-09-23
1902412224 Esther Drumheller Hetzel Behavior Technician 4647 Clyde Morris Blvd Unit 501, Port Orange, FL 32129-3001 2020-09-22
Find all providers in PORT ORANGE

Competitor

Search similar providers

City PORT ORANGE
Zip Code 32129

Improve Information

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Dataset Information

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.

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