KATHERINE FREEMAN (NPI# 1992118780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992118780 |
Entity Type | Individual |
Full Name | KATHERINE FREEMAN |
Practice Address |
145 E Edgewood Dr Lakeland FL 33803-4014 |
Mailing Address |
Po Box 2112 Lakeland FL 33806-2112 |
Practice Telephone | 8636192809 |
Mailing Telephone | 8636192809 |
Enumeration Date | 2014-06-09 |
Last Update Date | 2019-08-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 106E00000X | Assistant Behavior Analyst | 0-19-9926 | FL | Behavioral Health & Social Service Providers |
N | 106S00000X | Behavior Technician | FL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306003116 | Katherine James Freeman | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6512 Suburban Dr, 2a, Raleigh, NC 27615-6734 | 2008-05-20 |
1770752594 | Katherine S Freeman | Internal Medicine | 1155 Northern Blvd Ste 300, Manhasset, NY 11030-3041 | 2008-02-26 |
1689221541 | Katherine Olivia Freeman | Student in an Organized Health Care Education/Training Program | 5850 E Still Cir, Mesa, AZ 85206-3618 | 2019-08-24 |
1184188138 | Katherine E Freeman | Case Manager/Care Coordinator | 521 Old Hodgenville Rd, Greensburg, KY 42743-9493 | 2019-01-24 |
1134653389 | Katherine Freeman | Prevention Professional | 6680 Short Ln, Gloucester, VA 23061-4410 | 2017-04-14 |
1578933701 | Katherine Freeman | Speech-Language Pathologist | 2351 Solomon Ave, Billings, MT 59102-2879 | 2015-09-30 |
1346655834 | Katherine Freeman | Nurse Practitioner | 267 Hill Rd, Suite 300, Rome, NY 13441-4239 | 2014-06-24 |
1891099867 | Katherine Freeman | Social Worker | 2109 N Patterson St, Ste B, Valdosta, GA 31602-2577 | 2011-01-05 |
1245482785 | Katherine Camille Freeman | Nutritionist | 7750 Montpelier Rd, Laurel, MD 20723-6010 | 2008-10-15 |
1821294315 | Katherine Joy Freeman | Marriage & Family Therapist | 780 Shadowridge Dr, Psychiatry, Vista, CA 92083-7986 | 2007-06-22 |
Street Address |
145 E EDGEWOOD DR |
City | LAKELAND |
State | FL |
Zip Code | 33803-4014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760627905 | Applied Behavioral Learning Experiences, Inc | Clinic/Center | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2008-12-02 |
1184223380 | Michael A Davis | Behavioral Analyst | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2020-10-20 |
1558969907 | Jenny Pimienta Guillermes | Behavior Technician | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2020-10-16 |
1710593314 | Megan Patel | Behavior Technician | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2020-09-18 |
1336758192 | Rachel Magdalene Ford | Behavioral Analyst | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2020-07-28 |
1942824735 | Jillian D'rae Shaffer | Behavior Technician | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2020-06-08 |
1619509189 | Richard Logan Shirley | Behavioral Analyst | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2020-02-12 |
1659918548 | Sabra Larae Hagan | Behavior Technician | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2019-12-10 |
1104467836 | Erin Nicole Drury | Behavior Technician | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2019-10-03 |
1346800802 | Chad Michael Shultz | Behavior Technician | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2019-06-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
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Taxonomy Code | 106E00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Assistant Behavior Analyst |
An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
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 |
---|---|---|---|---|
1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
1487147617 | Jillian Zyer | Assistant Behavior Analyst | 5131 S Florida Ave Ste 1, Lakeland, FL 33813-2514 | 2018-06-12 |
1275074338 | Syctrilos Yvette Foster | Assistant Behavior Analyst | 3150 Gardner Oaks Ln, Lakeland, FL 33810-3551 | 2017-03-09 |
1679041834 | Robyn Wallman | Assistant Behavior Analyst | 1284 Devin Oaks Ct, Lakeland, FL 33811-2383 | 2018-11-06 |
1790281137 | Samantha Amanda Riley | Assistant Behavior Analyst | 1284 Devin Oaks Ct, Lakeland, FL 33811-2383 | 2018-04-04 |
1811490162 | Lia Saraiva Grimes | Assistant Behavior Analyst | 1284 Devin Oaks Ct, Lakeland, FL 33811-2383 | 2018-03-13 |
1750829339 | Tiffany O'brien | Assistant Behavior Analyst | 1284 Devin Oaks Ct, Lakeland, FL 33811-2383 | 2017-02-03 |
1174060735 | Tsz Ching Lau | Assistant Behavior Analyst | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2017-01-20 |
1841609047 | Cory Miller | Assistant Behavior Analyst | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2014-08-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992305924 | Irialis Gonzalez Gutierrez | Assistant Behavior Analyst | 6261 W Flagler St Apt 22, Miami, FL 33144-3024 | 2020-10-28 |
1265031157 | Raquel Daetz Garcia | Assistant Behavior Analyst | 11262 Sw 230th Ter, Miami, FL 33170-7612 | 2020-10-21 |
1790383149 | Jorge L Hernandez Aguilar | Assistant Behavior Analyst | 14236 Sw 91st St, Miami, FL 33186-7802 | 2020-10-16 |
1114525839 | Stepping Stones Supports LLC | Assistant Behavior Analyst | 5221 Nw 81st Ter, Lauderhill, FL 33351-5050 | 2020-10-14 |
1912505884 | Maria Matilde Alonso Urquijo | Assistant Behavior Analyst | 7317 Sw 22nd St, Miami, FL 33155-1426 | 2020-10-13 |
1093312647 | Rody Blanco | Assistant Behavior Analyst | 18512 Field Club Way, Tampa, FL 33647-1823 | 2020-10-07 |
1699372870 | Karen Zhao | Assistant Behavior Analyst | 8303 Sw 107th Ave Apt A, Miami, FL 33173-3805 | 2020-10-01 |
1689281453 | Betsy Escobar Lozada | Assistant Behavior Analyst | 601 Ludlam Dr Apt 1, Miami Springs, FL 33166-4971 | 2020-09-25 |
1710593991 | Odalis De Las Mercedes Marrero | Assistant Behavior Analyst | 6502 Blue Ribbon Ln Apt 301, Tampa, FL 33625-2480 | 2020-09-22 |
1659987139 | Arlety Perez Gonzalez | Assistant Behavior Analyst | 7641 Nw 182nd Ter, Hialeah, FL 33015-2942 | 2020-09-19 |
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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.