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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
27604 Cashford Cir, Wesley Chapel, FL 335446952 | 8133458584 | |
3406 W Lambright St Apt 103, Tampa, FL 336144682 | 5613196697 |
Street Address |
16414 LAKE CHURCH DR |
City | ODESSA |
State | FL |
Zip Code | 33556-2637 |
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 |
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 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 |
---|---|---|---|---|
1558854281 | Thianna Marie Diamandis | Assistant Behavior Analyst | 16414 Lake Church Dr, Odessa, FL 33556 | 2018-06-07 |
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 |
Please comment or provide details below to improve the information on JENNIFER DAWN VERGARA.
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.