FLORIDA AUTISM CENTER (NPI# 1093358541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093358541 |
| Entity Type | Organization |
| Organization Name | FLORIDA AUTISM CENTER |
| Practice Address |
1220 Sherwood Park Dr Ne Gainesville GA 30501-3445 |
| Mailing Address |
300 International Pkwy Ste 200 Lake Mary FL 32746-5028 |
| Practice Telephone | 8666100590 |
| Mailing Telephone | 8666100590 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |
| Authorized Official Name | KRISTY ROHWEDDER (CEO) |
| Authorized Official Telephone | 8666100590 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Fusion Autism Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862119 | Florida Autism Center | Assistant Behavior Analyst | 105 Grand Central Blvd Ste 101, Pooler, GA 31322-4146 | 2020-02-10 |
| 1265071955 | Florida Autism Center | Assistant Behavior Analyst | 3850 Holcomb Bridge Rd Ste 180, Norcross, GA 30092-5223 | 2019-12-30 |
| 1457994907 | Florida Autism Center | Assistant Behavior Analyst | 5328 Lanier Islands Pkwy, Buford, GA 30518-9071 | 2019-10-28 |
| 1033751888 | Florida Autism Center | Behavior Technician | 6375 Mcginnis Ferry Rd Ste 202, Johns Creek, GA 30005-3617 | 2019-10-14 |
| 1912551730 | Florida Autism Center | Assistant Behavior Analyst | 115 N Park Trl Ste 123, Stockbridge, GA 30281-7373 | 2019-07-30 |
| 1245899574 | Florida Autism Center | Assistant Behavior Analyst | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2019-06-11 |
| 1497226559 | Florida Autism Center | Assistant Behavior Analyst | 100 Governors Trce Ste 100, Peachtree City, GA 30269-4856 | 2018-12-16 |
| 1396231411 | Florida Autism Center | Behavioral Analyst | 2389 Oak Myrtle Lane, Wesley Chapel, FL 33544 | 2018-07-02 |
| 1942743018 | Florida Autism Center | Assistant Behavior Analyst | 1563 Kingsley Ave, Suite 103, Orange Park, FL 32073-4503 | 2016-11-22 |
| 1730622804 | Florida Autism Center | Assistant Behavior Analyst | 10920 Moss Park Road, Suite 130, Orlando, FL 32832 | 2016-11-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FLORIDA AUTISM CENTER OF EXCELLENCE, INC. | 6310 E Sligh Ave, Tampa, FL 33617-9107 |
| Street Address |
1220 SHERWOOD PARK DR NE |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786716 | Blake Dobbelmann | Behavior Technician | 1220 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2020-10-03 |
| 1770180879 | Erica Carmen Reed | Behavior Technician | 1220 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2020-10-02 |
| 1205448313 | Elizabeth Hamilt | Behavior Technician | 1220 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2020-08-19 |
| 1689284846 | Melanie Annabel Rushing | Behavior Technician | 1220 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2020-08-03 |
| 1104453646 | Shannon Mcgrath | Behavioral Analyst | 1220 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2020-03-25 |
| 1942844402 | Earnesha Whitmore | Behavior Technician | 1220 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2019-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| 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 |
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| 1578160818 | Shine On Academy LLC | Behavioral Analyst | 1105 Fort Clarke Blvd Apt 307, Gainesville, FL 32606-7123 | 2020-10-08 |
| 1184230211 | All Kids Therapy Center | Behavioral Analyst | 3401 Nw 34th St, Gainesville, FL 32605-2195 | 2020-09-23 |
| 1790335917 | Jennifer Jay | Behavioral Analyst | 4020 Sw 21st Rd, Gainesville, FL 32607 | 2019-09-19 |
| 1649742826 | Dominic Holt | Behavioral Analyst | 2611 Gillsville Hwy, Gainesville, GA 30507-7940 | 2018-12-27 |
| 1366919979 | Donna Susan Carle | Behavioral Analyst | 5040 Nw 21st Dr, Gainesville, FL 32605-5454 | 2018-11-01 |
| 1174019913 | Kasey Bedard | Behavioral Analyst | 425 Ne Boulevard, Gainesville, FL 32601-5467 | 2018-07-05 |
| 1598276354 | Alicia Lasaga | Behavioral Analyst | 1731 Sw 66th Dr, Gainesville, FL 32607-5369 | 2017-10-19 |
| 1164949822 | Vita Elevant LLC | Behavioral Analyst | 1420 Ne 21st Ave, Gainesville, FL 32609-3815 | 2017-08-24 |
| 1326424748 | Melissa Delossantos | Behavioral Analyst | 3850 Nw 83rd St Ste 201, Gainesville, FL 32606-5601 | 2015-08-07 |
| 1124428610 | Emma Grauerholz-fisher | Behavioral Analyst | 6224 Nw 43rd St., Suite B, Gainesville, FL 32653 | 2014-09-03 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.