MADELINE CLARK (NPI# 1043755341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043755341 |
| Entity Type | Individual |
| Full Name | MADELINE CLARK |
| Credential | BCBA |
| Practice Address |
500 E Colonial Dr Orlando FL 32803-4504 |
| Practice Telephone | 4072184300 |
| Practice Fax Number | 4072184303 |
| Mailing Telephone | 4072184300 |
| Mailing Fax Number | 4072184303 |
| Enumeration Date | 2016-12-23 |
| Last Update Date | 2016-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-16-24504 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407477201 | Madeline Elizabeth Clark | Counselor | 720 Hickory St, Perrysburg, OH 43551-2447 | 2020-05-03 |
| 1952709107 | Madeline Julia Clark | Behavioral Analyst | 7800 Sw Barbur Blvd Bldg 2, Portland, OR 97219-2823 | 2014-12-19 |
| 1528698776 | Madeline Clark | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-01-16 |
| 1124581269 | Madeline Elizabeth Clark | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Houston, TX 77030-3411 | 2019-04-06 |
| 1063989515 | Madeline Clark | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2018-11-01 |
| 1871076125 | Madeline Dorothy Clark | Registered Nurse | 610 S Peach St, Medford, OR 97501-3310 | 2018-09-12 |
| Street Address |
500 E COLONIAL DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790824407 | Life Concepts Inc | Nursing Care | 500 E Colonial Dr, Orlando, FL 32803-4504 | 2007-02-06 |
| 1043827876 | Jillian Alysa Dobranski | Behavior Technician | 500 E Colonial Dr, Orlando, FL 32803-4510 | 2020-09-25 |
| 1134755853 | Martina Y Gerena | Behavior Technician | 500 E Colonial Dr, Orlando, FL 32803-4510 | 2020-03-13 |
| 1386278331 | Breanna Wynne Rowland | Behavior Technician | 500 E Colonial Dr, Orlando, FL 32803-4510 | 2020-02-28 |
| 1043861487 | Aaron L Scott | Behavior Technician | 500 E Colonial Dr, Orlando, FL 32803-4510 | 2019-09-26 |
| 1881240190 | Savanna L Williams | Behavior Technician | 500 E Colonial Dr, Orlando, FL 32803-4504 | 2019-08-13 |
| 1457912560 | Lauren E Rivera | Behavior Technician | 500 E Colonial Dr, Orlando, FL 32803-4504 | 2019-06-28 |
| 1174085393 | Matthew N Avasakdi | Behavior Technician | 500 E Colonial Dr, Orlando, FL 32803-4504 | 2019-04-05 |
| 1942762182 | Katelyn M Britton | Behavior Technician | 500 E Colonial Dr, Orlando, FL 32803-4504 | 2019-04-05 |
| 1821550583 | Erica K Denni | Behavior Technician | 500 E Colonial Dr, Orlando, FL 32803-4504 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| 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 |
|---|---|---|---|---|
| 1912514035 | Songbird Health Fl LLC | Behavioral Analyst | 1060 Woodcock Rd Ste 128, Orlando, FL 32803-3607 | 2020-09-24 |
| 1740896497 | Orlando Behavior Therapy At Central Florida LLC | Behavioral Analyst | 6311 Brenton Pointe Cv, Orlando, FL 32829-8020 | 2020-09-18 |
| 1952916413 | Autism Specialists LLC | Behavioral Analyst | 4118 Greenfern Dr, Orlando, FL 32810-1917 | 2020-09-11 |
| 1578199063 | Annette Victoria Elguezabal | Behavioral Analyst | 13538 Village Park Dr Ste 145, Orlando, FL 32837-3600 | 2020-03-17 |
| 1134754112 | Developmental & Behavioral Specialists, LLC | Behavioral Analyst | 7478 Crooked Lake Cir, Orlando, FL 32818-8345 | 2020-03-10 |
| 1780220814 | Beyond Borders Behavioral Supports, LLC | Behavioral Analyst | 14712 Chadbury Ct, Orlando, FL 32828-7508 | 2019-11-25 |
| 1235791211 | Jacqueline M Santiago | Behavioral Analyst | 5257 Bonairre Blvd, Orlando, FL 32812-5363 | 2019-07-01 |
| 1285295493 | Sarah V Clendenin Portalatin | Behavioral Analyst | 3955 Turow Ln, Orlando, FL 32828-6470 | 2019-06-27 |
| 1083275275 | Ramona Budhoo | Behavioral Analyst | 725 Battery Pointe Dr, Orlando, FL 32828-6648 | 2019-06-27 |
| 1700447976 | Farah K Pierre | Behavioral Analyst | 5461 Timberleaf Blvd Apt 701, Orlando, FL 32811-2176 | 2019-06-27 |
| Find all providers in ORLANDO | ||||
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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.