KATHERINE CAMP (NPI# 1083107635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083107635 |
| Entity Type | Individual |
| Full Name | KATHERINE CAMP |
| Practice Address |
124 E Miracle Strip Pkwy Ste 202 Mary Esther FL 32569-1990 |
| Mailing Address |
103 Lewis St Fort Walton Beach FL 32547-3142 |
| Practice Telephone | 8504852356 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2020-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-20-44510 | FL | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 103K00000X | Behavioral Analyst | FL | Behavioral Health & Social Service Providers | |
| N | 106E00000X | Assistant Behavior Analyst | 0-19-10452 | FL | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | INDIVIDUAL | 1083107635 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 103 Lewis Street, Fort Walton, FL 32546 | 2067992467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982905881 | Katherine Heather Camp | Physician Assistant | 9555 Sw Barnes Rd Ste 150, Portland, OR 97225-6691 | 2010-11-09 |
| 1235646886 | Katherine Lyell Camp | Behavioral Analyst | 39 E Franklin St, Hagerstown, MD 21740-4914 | 2018-01-04 |
| Street Address |
124 E MIRACLE STRIP PKWY STE 202 |
| City | MARY ESTHER |
| State | FL |
| Zip Code | 32569-1990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350641 | Jordan Garick | Behavior Technician | 124 E Miracle Strip Pkwy Ste 202, Mary Esther, FL 32569-1990 | 2020-09-14 |
| 1003425620 | Brittany Lane | Behavior Technician | 124 E Miracle Strip Pkwy Ste 202, Mary Esther, FL 32569-1990 | 2020-07-29 |
| 1821606690 | Danielle Gibson | Behavior Technician | 124 E Miracle Strip Pkwy Ste 202, Mary Esther, FL 32569-1990 | 2020-07-17 |
| 1548886377 | Tacara Hunt | Behavior Technician | 124 E Miracle Strip Pkwy Ste 202, Mary Esther, FL 32569-1990 | 2020-06-17 |
| 1831737378 | Katrina Ellen Ivins | Behavior Technician | 124 E Miracle Strip Pkwy Ste 202, Mary Esther, FL 32569-1990 | 2019-12-16 |
| 1831751452 | Nyesha Montgomery | Behavior Technician | 124 E Miracle Strip Pkwy Ste 202, Mary Esther, FL 32569-1990 | 2019-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174132252 | Myra Jean Luna | Behavior Technician | 140 Cristobal Road N, Suite 501, Mary Esther, FL 32569 | 2020-07-24 |
| 1780242982 | Florida Kids Ppec, LLC | Skilled Nursing Facility | 5 E. Lane Dr., Units A/b, Mary Esther, FL 32569 | 2019-06-03 |
| 1730604695 | Camille Martinez | Behavior Technician | 116 Fourth St Se Unit #c, Fort Walton Beach, FL 32569 | 2017-08-11 |
| 1265846000 | Stillwaters Counseling, LLC | Counselor | 425 East Hollywood Boulevard, Building C, Suite #c5, Mary Esther, FL 32569 | 2014-06-19 |
| 1649562729 | Elizabeth Ann Hutchinson | Nurse Practitioner | 151 Mary Esther Blvd # 301, Mary Esther, FL 32569 | 2011-05-09 |
| 1215237789 | Nekita Antionette Robinson | Licensed Practical Nurse | 24 Solar Street, Mary Esther, FL 32569 | 2010-10-29 |
| 1538395587 | Angela Marie Meadows | Nurse Practitioner | 151 Mary Esther Blvd Ste 403a, Mary Esther, FL 32569 | 2009-06-04 |
| 1891939831 | Tamara Fought Bertrand | Massage Therapist | 151 Mary Ester Blvd, Suite 309b, Apo, AP 32569 | 2009-04-21 |
| 1083705651 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 300 Mary Esther Cutoff, Mary Esther, FL 32569 | 2006-09-27 |
| 1467823922 | Ashley Rydzewski Hall | Pharmacist | 250 E Miracle Strip Pkwy, Mary Esther, FL 32569 | 2015-10-09 |
| Find all providers in zip 32569 | ||||
| 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 |
|---|---|---|---|---|
| 1689066607 | Courtney Nicole Anderson | Behavioral Analyst | 416 Woodland Park Cir, Mary Esther, FL 32569-1574 | 2015-02-27 |
| 1902447162 | Christopher Nathan Brown | Behavioral Analyst | 124 E Miracle Strip Pkwy Ste 503, Mary Esther, FL 32569-1991 | 2019-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124978 | Jelenny Marquez | Behavioral Analyst | 529 Se Palm Beach Rd Ste 103, Stuart, FL 34994-2477 | 2020-11-06 |
| 1295336246 | Harold Santiso Laureiro | Behavioral Analyst | 5870 S 38th Ct, Greenacres, FL 33463-4724 | 2020-11-05 |
| 1326649286 | Treetop Therapy Fl | Behavioral Analyst | 709 S Federal Hwy Ste 2, Boynton Beach, FL 33435-5610 | 2020-11-05 |
| 1245831676 | Clr Behavior LLC | Behavioral Analyst | 2621 Se 4th Ave, Cape Coral, FL 33904-2765 | 2020-11-03 |
| 1245830843 | Mg Puzzle Pieces Corp | Behavioral Analyst | 4400 N Federal Hwy Ste 5, Boca Raton, FL 33431-3424 | 2020-11-01 |
| 1023618949 | Gerardo Veiga Iparraguirre | Behavioral Analyst | 5789 S 37th St, Greenacres, FL 33463-3271 | 2020-10-29 |
| 1861092751 | Lester Castillo | Behavioral Analyst | 9952 Sw 8th St, Miami, FL 33174-2878 | 2020-10-29 |
| 1437759214 | Minssu Pena | Behavioral Analyst | 2615 Fairways Dr Fl 33035, Homestead, FL 33035-1173 | 2020-10-29 |
| 1447850482 | Yisell Ferreira | Behavioral Analyst | 2315 W 66th Pl, Hialeah, FL 33016-3902 | 2020-10-28 |
| 1447850540 | Janellene Lopez | Behavioral Analyst | 14422 Sw 10th St, Miami, FL 33184-3113 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
| City | MARY ESTHER |
| Zip Code | 32569 |
Please comment or provide details below to improve the information on KATHERINE CAMP.
| 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.