JENNIFER DAWN VERGARA


Address: 16414 Lake Church Dr, Odessa, FL 33556-2637
Phone: 8139265454

JENNIFER DAWN VERGARA (NPI# 1053762401) 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) 1053762401
Entity Type Individual
Full Name JENNIFER DAWN VERGARA
Practice Address 16414 Lake Church Dr
Odessa
FL 33556-2637
Mailing Address 3406 W Lambright St Apt 103
Tampa
FL 33614-4682
Practice Telephone 8139265454
Mailing Telephone 5613196697
Enumeration Date 2016-06-27
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers
Y 106E00000X Assistant Behavior Analyst 0167393 Behavioral Health & Social Service Providers
N 106E00000X Assistant Behavior Analyst Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
27604 Cashford Cir, Wesley Chapel, FL 335446952 8133458584
3406 W Lambright St Apt 103, Tampa, FL 336144682 5613196697

Office Location

Street Address 16414 LAKE CHURCH DR
City ODESSA
State FL
Zip Code 33556-2637

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295034957 Deborah Antoniou Behavioral Analyst 16414 Lake Church Dr, Odessa, FL 33556-2637 2011-03-21
1932740115 Noemi Maria Dolson Behavior Technician 16414 Lake Church Dr, Odessa, FL 33556-2637 2019-09-30
1225505795 Chanel Janae Mays Behavior Technician 16414 Lake Church Dr, Odessa, FL 33556-2637 2018-11-01
1134695430 Maria Elizabeth Cherry Behavior Technician 16414 Lake Church Dr, Odessa, FL 33556-2637 2018-10-15
1972078947 Khadijah El-amin Behavior Technician 16414 Lake Church Dr, Odessa, FL 33556-2637 2018-10-05
1528543402 Courtney Christine Cabrera Behavior Technician 16414 Lake Church Dr, Odessa, FL 33556-2637 2018-09-26
1013495464 Dwaine Francis Behavior Technician 16414 Lake Church Dr, Odessa, FL 33556-2637 2018-07-29
1003302258 Ryann Lynn Huff Behavior Technician 16414 Lake Church Dr, Odessa, FL 33556-2637 2018-07-10
1770079873 Jennifer Mcpeak Behavioral Analyst 16414 Lake Church Dr, Odessa, FL 33556-2637 2018-07-02
1558854281 Thianna Marie Diamandis Assistant Behavior Analyst 16414 Lake Church Dr, Odessa, FL 33556 2018-06-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538773890 Asc of Trinity Clinic/Center 15238 Virginia Station, Odessa, FL 33556 2020-09-03
1700409240 All In One Dme LLC Durable Medical Equipment & Medical Supplies 17086 Simms Road, Odessa, FL 33556 2020-05-19
1578123287 Publix Super Markets, Inc. Durable Medical Equipment & Medical Supplies 13589 State Road 54, Odessa, FL 33556 2019-06-14
1790244267 Gabriela Fernandez Strickland Psychologist 16117 Lytham Drive, Odessa, FL 33556 2019-03-14
1699288266 Melissa Knight Pharmacist 12515 Hitching St, Odessa, FL 33556 2017-11-06
1144604109 Maria Litak Pharmacist 12500 State Road 54, Odessa, FL 33556 2015-07-19
1366671927 Manik S Bedi Dentist 17751 Gunn Hwy, Odessa, FL 33556 2009-07-03
1043295090 Kathleen Young Harrell Nurse Practitioner 17121 Rainbow Terrace, Odessa, FL 33556 2005-12-13
1013434398 Simeon Shepard Specialist/Technologist, Other 13238 Royal George Ave, Odessa, FL 33556 2017-08-28
1770548273 Alan Edward Zloto Internal Medicine 6101 Webb Rd, Suite 104, Tampa, FL 33556 2006-04-18
Find all providers in zip 33556

Taxonomy Information

Taxonomy Code 106E00000X
Grouping Behavioral Health & Social Service Providers
Classification Assistant Behavior Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558854281 Thianna Marie Diamandis Assistant Behavior Analyst 16414 Lake Church Dr, Odessa, FL 33556 2018-06-07

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City ODESSA
Zip Code 33556

Improve Information

Please comment or provide details below to improve the information on JENNIFER DAWN VERGARA.

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.

Trending Searches