LINDELL MELISSA PETERSON (NPI# 1013410919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013410919 |
| Entity Type | Individual |
| Full Name | LINDELL MELISSA PETERSON |
| Practice Address |
148 Wilshire Blvd Casselberry FL 32707-5372 |
| Mailing Address |
411 Northlake Blvd Apt 2103 Altamonte Springs FL 32701-5253 |
| Practice Telephone | 3219724039 |
| Practice Fax Number | 3214459760 |
| Mailing Telephone | 3402260035 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 0-19-9673 | FL | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
148 WILSHIRE BLVD |
| City | CASSELBERRY |
| State | FL |
| Zip Code | 32707-5372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689863508 | Lizette Maria Picos | Psychologist | 148 Wilshire Blvd, Casselberry, FL 32707-5372 | 2007-10-16 |
| 1558961664 | Jailene Grau | Behavior Technician | 148 Wilshire Blvd, Casselberry, FL 32707-5372 | 2020-10-28 |
| 1710587894 | Shania Garcia | Behavior Technician | 148 Wilshire Blvd, Casselberry, FL 32707-5372 | 2020-10-28 |
| 1336749415 | Isabella Henao | Behavior Technician | 148 Wilshire Blvd, Casselberry, FL 32707-5372 | 2020-10-28 |
| 1619584240 | Raquel Rivera Vasquez | Behavioral Analyst | 148 Wilshire Blvd, Casselberry, FL 32707-5372 | 2020-09-28 |
| 1669088530 | Jean Alberto De La Torre | Behavior Technician | 148 Wilshire Blvd, Casselberry, FL 32707-5372 | 2020-09-16 |
| 1730790882 | Sonchelle Mackie | Behavior Technician | 148 Wilshire Blvd, Casselberry, FL 32707-5372 | 2020-08-12 |
| 1437760816 | Desiree Jones | Behavior Technician | 148 Wilshire Blvd, Casselberry, FL 32707-5372 | 2020-08-11 |
| 1265042972 | Anthony Chamar Steele | Behavior Technician | 148 Wilshire Blvd, Casselberry, FL 32707-5372 | 2020-08-06 |
| 1508475013 | Christian Shannon | Behavior Technician | 148 Wilshire Blvd, Casselberry, FL 32707-5372 | 2020-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905024 | Kirsten Griffin | Durable Medical Equipment & Medical Supplies | 5021 S Us Highway 17/92, Casselberry, FL 32707 | 2018-06-13 |
| 1255878716 | Breaking Change Services | In Home Supportive Care | 260 S Cypress Way, Cassleberry, FL 32707 | 2017-01-23 |
| 1891240578 | Faye Gabrielle Burkett | Behavioral Analyst | 1140 Exceller Ct Apt 102, Casselberry, FL 32707 | 2016-08-23 |
| 1033576095 | Jamerson Lovett | Home Health Aide | 1154 Millrun Circle, Apopka, FL 32707 | 2016-01-21 |
| 1629460647 | Abby Lewis | Speech-Language Pathologist | 2440 Lake Vista Ct Apt 308, Casselberry, FL 32707 | 2015-02-27 |
| 1942625439 | Stephanie Kern | Chiropractor | 853 Sr 436, Suite 1001, Casselberry, FL 32707 | 2014-02-20 |
| 1548681703 | David J. Jenkins, D.c.,p.a. | Chiropractor | 897 East Semoran Blvd, Casselberry, FL 32707 | 2013-12-13 |
| 1871879338 | The Arbor School of Central Florida | Specialist | 3925 Red Bug Lake Road, Casselberry, FL 32707 | 2011-10-28 |
| 1982989307 | Ability Rehab | Public Health or Welfare | 520 Reflection Circle, Apt.205, Casselberry, FL 32707 | 2011-10-17 |
| 1861790149 | The Outsource Group | Case Management | 950 South Winter Park Drive, Suite 120, Casselberry, FL 32707 | 2011-03-10 |
| Find all providers in zip 32707 | ||||
| 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 |
|---|---|---|---|---|
| 1386150274 | Maria Priscilla Brujan | Assistant Behavior Analyst | 1157 Park Dr, Casselberry, FL 32707-3503 | 2017-12-14 |
| 1235695578 | Michelle Sanchez | Assistant Behavior Analyst | 148 Wilshire Blvd, Casselberry, FL 32707-5372 | 2019-02-12 |
| 1740753540 | Damon W. Day | Assistant Behavior Analyst | 148 Wilshire Blvd, Casselberry, FL 32707-5372 | 2019-01-04 |
| 1194297424 | Divvia-clyne Ashley Collins | Assistant Behavior Analyst | 148 Wilshire Blvd, Casselberry, FL 32707-5372 | 2018-12-27 |
| 1366947483 | Monica Yared Quinones | Assistant Behavior Analyst | 148 Wilshire Blvd, Casselberry, FL 32707-5372 | 2018-03-29 |
| 1003310731 | Audreanna Poitier | Assistant Behavior Analyst | 148 Wilshire Blvd, Casselberry, FL 32707 | 2018-03-19 |
| 1871096909 | Erika Hartert | Assistant Behavior Analyst | 148 Wilshire Blvd, Casselberry, FL 32707-5372 | 2018-03-15 |
| 1104332154 | Mary Scholz | Assistant Behavior Analyst | 148 Wilshire Blvd, Casselberry, FL 32707-5372 | 2017-12-28 |
| 1821533654 | Farah Khan | Assistant Behavior Analyst | 1717 Grand Rue Dr, Casselberry, FL 32707-2427 | 2017-01-03 |
| 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 |
| 1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CASSELBERRY |
| Zip Code | 32707 |
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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.