CATHERINE GABRIELLE INGRAM (NPI# 1053929562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053929562 |
| Entity Type | Individual |
| Full Name | CATHERINE GABRIELLE INGRAM |
| Practice Address |
4126 Sw Tuscol St Port St Lucie FL 34953-6190 |
| Practice Telephone | 7723805632 |
| Mailing Telephone | 7723805632 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | I526-127-00-594- | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801132618 | Catherine Ingram | Speech-Language Pathologist | 235 Sunset Ave, Wenatchee, WA 98801 | 2012-12-26 |
| 1306465414 | Catherine Frances Ingram | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Houston, TX 77030-3411 | 2020-04-09 |
| 1578828067 | Catherine Taylor Ingram | Registered Nurse | 590 Court St, Keene, NH 03431-1719 | 2012-07-10 |
| Street Address |
4126 SW TUSCOL ST |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34953-6190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733720 | Paul Desantis | Optometrist | 1805 Gatlin Blvd, Port St. Lucie, FL 34953 | 2020-05-29 |
| 1174165997 | D&r Homehealthcare LLC | Technician | 1210 Southwest Santiago Avenue, Port Saint Lucie, Fl, FL 34953 | 2019-10-14 |
| 1023677630 | Physical Therapy Wellness Group | Clinic/Center | 519 Sw Nagle Place, Port Saint Lucie, FL 34953 | 2019-06-07 |
| 1063993699 | Bloom Firm, LLC | Home Health | 1714 Sw Cycle St, Port Saint Lucie, FL 34953 | 2018-08-22 |
| 1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
| 1730670555 | Susan May Thyme | Nurse Practitioner | 1762 Sw Choate St, Port Saint Lucie, FL 34953 | 2018-05-29 |
| 1164911301 | Viven Banks | Counselor | 3581 Sw Kromrey St, Port Saint Lucie, FL 34953 | 2018-05-03 |
| 1205323441 | Katherine Monroig | Behavior Technician | 4557 Se Babylon St, Port Saint Lucie, FL 34953 | 2018-04-13 |
| 1528567583 | Roger Rene Trudel | Nurse Practitioner | 3686 Sw Carmody Street, Port St Lucie, FL 34953 | 2018-02-06 |
| 1801315502 | Metushela Nicolas | Adult Companion | 1112 Jennifer Ter, Port Saint Lucie, FL 34953 | 2017-09-13 |
| Find all providers in zip 34953 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| 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 |
|---|---|---|---|---|
| 1821603622 | Sarah Lynn Miller | Behavior Technician | 12091 Sw Jasper Lake Way, Port St Lucie, FL 34987-7715 | 2020-09-09 |
| 1811530835 | Megan Leigh Lewis | Behavior Technician | 685 Se Chapman Ave, Port St Lucie, FL 34984-4502 | 2019-10-22 |
| 1831747666 | Dailiana Duque Dimart | Behavior Technician | 1242 Sw Lawndale Ave, Port St Lucie, FL 34953-5357 | 2019-08-26 |
| 1326603945 | Iulia Franco | Behavior Technician | 2390 Sw Valnera St, Port St Lucie, FL 34953-2433 | 2019-05-08 |
| 1811469554 | Esnel Principal | Behavior Technician | 143 Ne Lobster Rd, Port St Lucie, FL 34983-1717 | 2018-12-19 |
| 1801371745 | Mary M Smith-collington | Behavior Technician | 542 Nw Archer Ave, Port St Lucie, FL 34983-1076 | 2018-09-26 |
| 1154801843 | Tiffany Ann Zebold | Behavior Technician | 137 Nw Broadview St, Port St Lucie, FL 34983-1615 | 2018-08-21 |
| 1437638806 | Elizabeth Larrinaga | Behavior Technician | 425 Sw Friar St, Port St Lucie, FL 34983-1817 | 2018-08-07 |
| 1679062962 | Sydney Freid | Behavior Technician | 10850 S Hwy Us1, Suite 2, Port St Lucie, FL 34952-6407 | 2018-05-02 |
| 1902393077 | Crystal Pirolozzi | Behavior Technician | 10850 S Us Highway 1, Suite 2, Port St Lucie, FL 34952-6407 | 2018-04-15 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34953 |
Please comment or provide details below to improve the information on CATHERINE GABRIELLE INGRAM.
| 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.