KELLY WEEDON NODA (NPI# 1093261737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093261737 |
| Entity Type | Individual |
| Full Name | KELLY WEEDON NODA |
| Credential | BCBA |
| Practice Address |
13121 Atlantic Blvd Ste 200 Jacksonville FL 32225-0102 |
| Practice Telephone | 9044912111 |
| Mailing Telephone | 9044912111 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2018-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-17-29567 | FL | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 0-17-8186 | Behavioral Health & Social Service Providers | |
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12276 San Jose Blvd., Ste 508, Great Strides Rehabilitation, Jacksonville, FL 32223 | 9048863228 |
| Street Address |
13121 ATLANTIC BLVD STE 200 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32225-0102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467861419 | Michael Erle Hancock | Counselor | 13121 Atlantic Blvd Ste 200, Jacksonville, FL 32225-0102 | 2014-08-04 |
| 1841899960 | Jamie Phyllis Tate Rosenberg | Behavior Technician | 13121 Atlantic Blvd Ste 200, Jacksonville, FL 32225-0102 | 2020-10-20 |
| 1790392769 | Karli Elizabeth Leonard | Behavior Technician | 13121 Atlantic Blvd Ste 200, Jacksonville, FL 32225-0102 | 2020-09-24 |
| 1154934545 | Taylor Diane Rentz | Behavior Technician | 13121 Atlantic Blvd Ste 200, Jacksonville, FL 32225-0102 | 2020-08-26 |
| 1811500200 | Jennifer Renae Turner | Behavior Technician | 13121 Atlantic Blvd Ste 200, Jacksonville, FL 32225-0102 | 2020-08-26 |
| 1689286031 | Mckenzie Jordan Miller | Behavior Technician | 13121 Atlantic Blvd Ste 200, Jacksonville, FL 32225-0102 | 2020-08-18 |
| 1801407598 | Erika Raquel Fernandez | Behavior Technician | 13121 Atlantic Blvd Ste 200, Jacksonville, FL 32225-0102 | 2020-08-14 |
| 1467076406 | Danielle Marie Soren-brunelle | Behavior Technician | 13121 Atlantic Blvd Ste 200, Jacksonville, FL 32225-0102 | 2020-06-05 |
| 1740804731 | Alexa Rae Rodgers | Behavior Technician | 13121 Atlantic Blvd Ste 200, Jacksonville, FL 32225-0102 | 2020-06-04 |
| 1215551486 | Amber Rane Payton | Behavior Technician | 13121 Atlantic Blvd Ste 200, Jacksonville, FL 32225-0102 | 2020-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700356367 | Ajay S Lewis | Counselor | 3010 Cobblewood Ln East, Jacksonville, FL 32225 | 2018-11-27 |
| 1467921569 | Heart To Heart LLC | Assisted Living Facility | 9378 Arlignton Expressway, Ste 218, Jacksonville, FL 32225 | 2018-11-19 |
| 1285122036 | National Vision, Inc. | Technician/Technologist | 11770 Atlantic Boulevard, Suite 300, Jacksonville, FL 32225 | 2018-04-27 |
| 1346757432 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 9422 Arlington Expressway, Jacksonville, FL 32225 | 2018-01-10 |
| 1831629690 | Family First Vision Care, Pllc | Optometrist | 9398 Arlington Expresway, Suite 1, Jacksonville, FL 32225 | 2017-06-14 |
| 1437689205 | West Point Optical Group | Optometrist | 9398-1 Arlington Expresway, Jacksonville, FL 32225 | 2017-06-14 |
| 1477087815 | Naila Ortega | Dentist | 984 Chapeltown Circle N, Jacksonville, FL 32225 | 2017-04-12 |
| 1487186342 | Sidnetta Rosemond | Durable Medical Equipment & Medical Supplies | 9501 Arlington Expy Ste160, Jacksonville, FL 32225 | 2017-03-30 |
| 1669925913 | Frances Mcmiller | Counselor | 9550 Regency Square Blvd Ste 706, Jacksonville, FL 32225 | 2016-08-03 |
| 1891143103 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 1211 St. Johns Bluff Rd North, Jacksonville, FL 32225 | 2016-05-26 |
| Find all providers in zip 32225 | ||||
| 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 |
|---|---|---|---|---|
| 1457951758 | Ebs Childrens Therapy - Fl LLC | Behavioral Analyst | 5491 Dolphin Point Blvd, Jacksonville, FL 32211 | 2020-10-27 |
| 1265031066 | Johnathon Monson | Behavioral Analyst | 12025 San Jose Blvd Ste 102, Jacksonville, FL 32223-1639 | 2020-10-22 |
| 1336748391 | Emily K Reeves | Behavioral Analyst | 12025 San Jose Blvd Ste 2, Jacksonville, FL 32223-1639 | 2020-10-21 |
| 1275146912 | Keepsake Learning Behavioral Services | Behavioral Analyst | 11451 Kabroon Ct, Jacksonville, FL 32246-6920 | 2020-08-24 |
| 1356962518 | Pls Therapy Services | Behavioral Analyst | 13121 Atlantic Blvd Ste 400, Jacksonville, FL 32225-0103 | 2020-04-29 |
| 1184277766 | Jade Greene Bcba LLC | Behavioral Analyst | 5332 Gathering Oaks Ct E, Jacksonville, FL 32258-3420 | 2019-07-22 |
| 1386100667 | Nicole M Cleghorn | Behavioral Analyst | 1264 Nipigon Ave S, Jacksonville, FL 32233-2226 | 2019-02-12 |
| 1548732886 | Courtney Rollings Latham | Behavioral Analyst | 12350 Shore Acres Dr, Jacksonville, FL 32225-5670 | 2018-12-27 |
| 1023583325 | Linnzi Marks | Behavioral Analyst | 6014 Wateredge Ln, Jacksonville, FL 32211 | 2018-10-12 |
| 1013482876 | Madison Buehnemann | Behavioral Analyst | 3832 Baymeadows Rd Ste 9, Jacksonville, FL 32217-5605 | 2018-10-09 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32225 |
Please comment or provide details below to improve the information on KELLY WEEDON NODA.
| 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.