ROSINE FOWLIN (NPI# 1083043285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083043285 |
Entity Type | Individual |
Full Name | ROSINE FOWLIN |
Other Name | ROSINE SIMONIAN |
Credential | M.A. |
Practice Address |
145 E Edgewood Dr Lakeland FL 33803-4014 |
Mailing Address |
16539 Lake Brigadoon Cir Tampa FL 33618-1146 |
Practice Telephone | 8636192809 |
Mailing Telephone | 8135792212 |
Enumeration Date | 2013-11-07 |
Last Update Date | 2017-01-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
Street Address |
145 E EDGEWOOD DR |
City | LAKELAND |
State | FL |
Zip Code | 33803-4014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760627905 | Applied Behavioral Learning Experiences, Inc | Clinic/Center | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2008-12-02 |
1184223380 | Michael A Davis | Behavioral Analyst | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2020-10-20 |
1558969907 | Jenny Pimienta Guillermes | Behavior Technician | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2020-10-16 |
1710593314 | Megan Patel | Behavior Technician | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2020-09-18 |
1336758192 | Rachel Magdalene Ford | Behavioral Analyst | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2020-07-28 |
1942824735 | Jillian D'rae Shaffer | Behavior Technician | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2020-06-08 |
1619509189 | Richard Logan Shirley | Behavioral Analyst | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2020-02-12 |
1659918548 | Sabra Larae Hagan | Behavior Technician | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2019-12-10 |
1104467836 | Erin Nicole Drury | Behavior Technician | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2019-10-03 |
1346800802 | Chad Michael Shultz | Behavior Technician | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2019-06-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
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Taxonomy Code | 222Q00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Developmental Therapist |
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255953873 | Maria Inez Sanchez | Developmental Therapist | 6919 Eagle Ridge Blvd, Lakeland, FL 33813-5676 | 2020-05-18 |
1215310396 | Yalixis Duarte | Developmental Therapist | 1836 N Crystal Lake Dr Apt 43, Lakeland, FL 33801-6587 | 2015-07-07 |
1265877716 | Cameron Cooke Trentham | Developmental Therapist | 2848 Meridian Point Ln, Lakeland, FL 33812-5829 | 2013-05-09 |
1922367598 | Deborah Freeman Jones | Developmental Therapist | 913 Quincy St Apt 202, Lakeland, FL 33815-1341 | 2012-05-16 |
1659546398 | Courtney N Lewis | Developmental Therapist | 529 Northride Trl, Lakeland, FL 33813-1561 | 2008-04-24 |
1437360054 | Beth Ingram & Associates, Inc. | Developmental Therapist | 1818 Harden Blvd, Suite 160, Lakeland, FL 33803-1812 | 2007-05-25 |
1891915674 | Yessenia De La Luz Gonzalez | Developmental Therapist | 1706 Turtle Rock Dr, Lakeland, FL 33803-4267 | 2007-04-26 |
1396868444 | Deva Simmons | Developmental Therapist | 2800 Lakeland Hills Blvd, #91084, Lakeland, FL 33804 | 2007-04-06 |
1992118780 | Katherine Freeman | Developmental Therapist | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2014-06-09 |
1710291836 | Shawna Sue Butler | Developmental Therapist | 1021 Lakeland Hills Blvd, Lakeland, FL 33805-4672 | 2010-07-30 |
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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.