FLORIDA AUTISM CENTER (NPI# 1972046142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972046142 |
| Entity Type | Organization |
| Organization Name | FLORIDA AUTISM CENTER |
| Practice Address |
29228 Us Highway 19 N Clearwater FL 33761-2101 |
| Mailing Address |
175 Middle St Lake Mary FL 32746-3625 |
| Practice Telephone | 8666100580 |
| Mailing Fax Number | 8666100580 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |
| Authorized Official Name | JOHN HENNEGAN (COO) |
| Authorized Official Telephone | 8666100580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 9093700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862119 | Florida Autism Center | Assistant Behavior Analyst | 105 Grand Central Blvd Ste 101, Pooler, GA 31322-4146 | 2020-02-10 |
| 1265071955 | Florida Autism Center | Assistant Behavior Analyst | 3850 Holcomb Bridge Rd Ste 180, Norcross, GA 30092-5223 | 2019-12-30 |
| 1093358541 | Florida Autism Center | Assistant Behavior Analyst | 1220 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2019-10-28 |
| 1457994907 | Florida Autism Center | Assistant Behavior Analyst | 5328 Lanier Islands Pkwy, Buford, GA 30518-9071 | 2019-10-28 |
| 1033751888 | Florida Autism Center | Behavior Technician | 6375 Mcginnis Ferry Rd Ste 202, Johns Creek, GA 30005-3617 | 2019-10-14 |
| 1912551730 | Florida Autism Center | Assistant Behavior Analyst | 115 N Park Trl Ste 123, Stockbridge, GA 30281-7373 | 2019-07-30 |
| 1245899574 | Florida Autism Center | Assistant Behavior Analyst | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2019-06-11 |
| 1497226559 | Florida Autism Center | Assistant Behavior Analyst | 100 Governors Trce Ste 100, Peachtree City, GA 30269-4856 | 2018-12-16 |
| 1396231411 | Florida Autism Center | Behavioral Analyst | 2389 Oak Myrtle Lane, Wesley Chapel, FL 33544 | 2018-07-02 |
| 1942743018 | Florida Autism Center | Assistant Behavior Analyst | 1563 Kingsley Ave, Suite 103, Orange Park, FL 32073-4503 | 2016-11-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FLORIDA AUTISM CENTER OF EXCELLENCE, INC. | 6310 E Sligh Ave, Tampa, FL 33617-9107 |
| Street Address |
29228 US HIGHWAY 19 N |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33761-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053602524 | Kimberly Ann Turack | Behavioral Analyst | 29228 Us Highway 19 N, Clearwater, FL 33761-2101 | 2011-05-02 |
| 1285232686 | Kylee Rose Gronseth | Behavior Technician | 29228 Us Highway 19 N, Clearwater, FL 33761-2101 | 2020-10-16 |
| 1649883208 | Breanna Bombard | Student in an Organized Health Care Education/Training Program | 29228 Us Highway 19 N, Clearwater, FL 33761-2101 | 2020-08-24 |
| 1164031092 | Jamie Bettinger | Behavior Technician | 29228 Us Highway 19 N, Clearwater, FL 33761-2101 | 2020-07-27 |
| 1457986283 | Amy E. Schiller | Behavior Technician | 29228 Us Highway 19 N, Clearwater, FL 33761-2101 | 2020-03-12 |
| 1285269159 | Alexandra Figuereo | Behavior Technician | 29228 Us Highway 19 N, Clearwater, FL 33761-2101 | 2020-03-11 |
| 1619501566 | Stephanie Alicata | Behavior Technician | 29228 Us Highway 19 N, Clearwater, FL 33761-2101 | 2020-03-01 |
| 1366076879 | Nina Saitta | Behavior Technician | 29228 Us Highway 19 N, Clearwater, FL 33761-2101 | 2020-02-24 |
| 1639702558 | Rachel Mccoy | Behavior Technician | 29228 Us Highway 19 N, Clearwater, FL 33761-2101 | 2020-02-19 |
| 1952940678 | Haylee Fern Guggia | Behavior Technician | 29228 Us Highway 19 N, Clearwater, FL 33761-2101 | 2019-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184210 | Sandra Shanice Campisi | Behavior Technician | 29228 Us-19 N, Clearwater, FL 33761 | 2020-11-02 |
| 1659838449 | Branden Kleehammer | Occupational Therapy Assistant | 6941 300th Ave N, Clearwater, FL 33761 | 2019-02-27 |
| 1063901403 | Sheleaha C Egly I | Behavior Technician | 29288 Us Highway 19 N, Clearwater, FL 33761 | 2018-05-01 |
| 1760979629 | Melissa Irene Valentine | Social Worker | 6997 300th Ave North, Clearwater, FL 33761 | 2018-04-17 |
| 1871011049 | Maria's Adult Day Care Center | Clinic/Center | 26224 Us Highway 19 N., Clearwater, FL 33761 | 2017-09-07 |
| 1962933739 | Robert Hudson | Occupational Therapist | 3463 Northridge Dr, Clearwater, FL 33761 | 2017-03-23 |
| 1366985582 | Brandon Chad Brown | Physician Assistant | 29277 Hwy 19 North, Clearwater, FL 33761 | 2016-11-19 |
| 1730575606 | Layne S Winker | Physician Assistant | 26812 Us 19 N # 19, Clearwater, FL 33761 | 2015-04-08 |
| 1407254907 | M Christina Memoli Od Pa | Optometrist | 27901 Us 19 N, Clearwater, FL 33761 | 2014-12-15 |
| 1952729774 | Gina Pietras Spohn | Dermatology | 3165 N Mcmullen Booth Rd Bldg B, Clearwater, FL 33761 | 2014-03-29 |
| Find all providers in zip 33761 | ||||
| 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 |
|---|---|---|---|---|
| 1619461464 | A Change In Trajectory, LLC | Behavioral Analyst | 1844 Monica Dr, Clearwater, FL 33763-4128 | 2018-06-15 |
| 1255879623 | Heather Niven | Behavioral Analyst | 2532 Elderberry Dr, Clearwater, FL 33761-2204 | 2017-02-06 |
| 1760933618 | Agostina Tambucho | Behavioral Analyst | 1216 S Missouri Ave Unit 325, Clearwater, FL 33756-9011 | 2016-10-16 |
| 1174976260 | Richard Vincent Helmbrecht | Behavioral Analyst | 2025 Rogers St Apt 209, Clearwater, FL 33764-6343 | 2016-07-13 |
| 1265804793 | Angelique Confort | Behavioral Analyst | 13700 58th St N Ste 207, Clearwater, FL 33760-3757 | 2015-10-23 |
| 1386013951 | Sheila Panno | Behavioral Analyst | 2597 Countryside Blvd, #101, Clearwater, FL 33761-4522 | 2015-09-24 |
| 1154707412 | Marc Weeden | Behavioral Analyst | 1501 N Belcher Rd Ste 249, Clearwater, FL 33765-1300 | 2015-08-09 |
| 1639581499 | Kimberly Mcvay | Behavioral Analyst | 726 Fairwood Forest Dr, Clearwater, FL 33759-2814 | 2014-05-28 |
| 1801231188 | Lisa Estro | Behavioral Analyst | 1603 Algonquin Dr, Clearwater, FL 33755-1603 | 2013-05-01 |
| 1831475912 | Brittney Johnson | Behavioral Analyst | 1351 Gulf Blvd Apt 212, Clearwater, FL 33767 | 2011-11-02 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33761 |
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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.