TARA RIETZ (NPI# 1063935864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063935864 |
| Entity Type | Individual |
| Full Name | TARA RIETZ |
| Practice Address |
3208 Gulf Breeze Pkwy Gulf Breeze FL 32563-3350 |
| Practice Telephone | 8506778303 |
| Practice Fax Number | 8889585753 |
| Mailing Telephone | 8506778303 |
| Mailing Fax Number | 8889585753 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2019-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-19-37336 | FL | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | RBT-17-29985 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3182 Gulf Breeze Pkwy, Gulf Breeze, FL 325633248 | (800) 676-5130 | 8889585753 |
| Street Address |
3208 GULF BREEZE PKWY |
| City | GULF BREEZE |
| State | FL |
| Zip Code | 32563-3350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861830028 | Morgan Lacy Gawriluk | Behavioral Analyst | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2013-06-10 |
| 1689273575 | Angela Scheidt | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2020-10-21 |
| 1457967515 | Mary Alison Mcrae | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2020-09-23 |
| 1861019580 | Thaise Cuadros | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2020-06-29 |
| 1306470505 | Patricia Wheeler | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2020-02-26 |
| 1689206310 | Samantha Bass | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2020-02-11 |
| 1215582465 | Tiffany Morris | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2019-08-05 |
| 1568022937 | Lindsey Craig | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2019-06-18 |
| 1154989416 | Brandon Mcclelland | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2019-06-03 |
| 1912565409 | Ta'chara Burnside | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2019-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588180475 | Sacred Heart Health System, Inc. | Orthopaedic Surgery | 4033 Gulf Breeze Pkwy, Ste D, Gulf Breeze, FL 32563 | 2017-08-22 |
| 1881121457 | Jay Arnold | Dentist | 1480 Tiger Park Ln, Gulf Breeze, FL 32563 | 2017-05-15 |
| 1457506826 | Horace Lindsay Simpson | Surgery | 4435 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2008-11-26 |
| 1972795508 | Barbara Mary Ebel | Anesthesiology | 4435 Gulf Breeze Parkway, Good Samaritan Clinic, Gulf Breeze, FL 32563 | 2007-08-17 |
| 1275670374 | Karen Cann | Physical Therapist | 4657 Gulf Breeze Pkwy., Suites A & B, Gulf Breeze, FL 32563 | 2007-01-30 |
| 1356423719 | Cynthia Urmos | Chiropractor | 2870 Gulf Breeze Parkway, Gulf Breeze, FL 32563 | 2006-10-19 |
| 1538260690 | Donna Theresa Englehart | Counselor | 3463 Sycamore Lane, Gulf Breeze, FL 32563 | 2006-09-25 |
| 1932695475 | Lynette Hale | Nurse Practitioner | 3416 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2018-07-09 |
| 1821511544 | Samantha Monroe | Behavior Technician | 3182 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2017-07-25 |
| 1841658119 | Amber Baughn Tucei | Chiropractor | 5668 Gulf Breeze Pkwy, Unit 6, Gulf Breeze, FL 32563 | 2016-02-02 |
| Find all providers in zip 32563 | ||||
| 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 |
|---|---|---|---|---|
| 1134733090 | Grey Matters Behavior Services | Behavioral Analyst | 401 Andrew Jackson Trl, Gulf Breeze, FL 32561-4414 | 2020-09-08 |
| 1073037263 | Candice Wolff | Behavioral Analyst | 5747 E Bay Blvd, Gulf Breeze, FL 32563-9665 | 2017-07-28 |
| 1386060390 | April Groeneweg | Behavioral Analyst | 3048 Grand Palm Way, Gulf Breeze, FL 32563-5662 | 2014-03-14 |
| 1871917005 | Behavior Changes LLC | Behavioral Analyst | 2918 Glenn St, Gulf Breeze, FL 32563-3142 | 2014-02-07 |
| 1861830028 | Morgan Lacy Gawriluk | Behavioral Analyst | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2013-06-10 |
| 1558422659 | Shannon Farley Leveille | Behavioral Analyst | 3182 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3248 | 2006-12-12 |
| 1629601505 | Florida Aba Therapy LLC | Behavioral Analyst | 3048 Grand Palm Way, Gulf Breeze, FL 32563-5662 | 2020-02-19 |
| 1093217689 | Sandcastle Centers LLC | Behavioral Analyst | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2018-02-28 |
| 1609325125 | Jacqueline Kimberly Duvall | Behavioral Analyst | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3350 | 2016-09-26 |
| 1407244429 | Chelsea Dore Cassler | Behavioral Analyst | 3182 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3248 | 2014-12-29 |
| Find all providers in GULF BREEZE | ||||
| City | GULF BREEZE |
| Zip Code | 32563 |
Please comment or provide details below to improve the information on TARA RIETZ.
| 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.