KALYN BENNETT (NPI# 1104312347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104312347 |
| Entity Type | Individual |
| Full Name | KALYN BENNETT |
| Practice Address |
1351 Sprinkle Dr Jacksonville FL 32211-5448 |
| Mailing Address |
1655 The Greens Way Apt 2732 Jacksonville Beach FL 32250-2465 |
| Practice Telephone | 9047445110 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-20-44367 | FL | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1351 SPRINKLE DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32211-5448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497072482 | The Jericho School for Children With Autism, Inc. | Clinic/Center | 1351 Sprinkle Dr, Jacksonville, FL 32211-5448 | 2010-04-29 |
| 1306445275 | Sara Kriz | Behavioral Analyst | 1351 Sprinkle Dr, Jacksonville, FL 32211-5448 | 2020-10-22 |
| 1134765522 | Shelby Friedman | Behavior Technician | 1351 Sprinkle Dr, Jacksonville, FL 32211-5448 | 2019-11-21 |
| 1245876564 | Natalia Quinones | Behavior Technician | 1351 Sprinkle Dr, Jacksonville, FL 32211-5448 | 2019-11-21 |
| 1225683667 | Cassidy Almy-ramos | Behavioral Analyst | 1351 Sprinkle Dr, Jacksonville, FL 32211-5448 | 2019-08-02 |
| 1083179584 | Nicole Lynn Franklin | Behavior Technician | 1351 Sprinkle Dr, Jacksonville, FL 32211-5448 | 2019-02-08 |
| 1922563733 | Alix Garcia | Behavior Technician | 1351 Sprinkle Dr, Jacksonville, FL 32211-5448 | 2019-02-06 |
| 1912461682 | Arielle Halford | Behavior Technician | 1351 Sprinkle Dr, Jacksonville, FL 32211-5448 | 2019-01-28 |
| 1891271375 | Tiffany R Luchka | Behavior Technician | 1351 Sprinkle Dr, Jacksonville, FL 32211-5448 | 2018-07-17 |
| 1275019465 | Megan Floyd | Behavior Technician | 1351 Sprinkle Dr, Jacksonville, FL 32211-5448 | 2018-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951758 | Ebs Childrens Therapy - Fl LLC | Behavioral Analyst | 5491 Dolphin Point Blvd, Jacksonville, FL 32211 | 2020-10-27 |
| 1700412822 | Marie Vernal | Social Worker | 6051 Arlington Expressway Suite 169, Jacksonville, FL 32211 | 2020-03-20 |
| 1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
| 1366089641 | Prophetic Healing Deliverance Ministry of Mysteries, Inc | Counselor | 8550-2 Lone Star Road, Jacksonville, FL 32211 | 2019-12-05 |
| 1922656370 | Timothy Richard Barron | Behavior Technician | 5633 Clifton Ln, Jacksonville, FL 32211 | 2019-08-29 |
| 1023583325 | Linnzi Marks | Behavioral Analyst | 6014 Wateredge Ln, Jacksonville, FL 32211 | 2018-10-12 |
| 1780160192 | Ganesh Healthcare of Jax LLC | Alzheimer Center (Dementia Center) | 644 Cesery Blvd Ste 150, Jacksonville, FL 32211 | 2018-07-18 |
| 1902397276 | Chandra Harris Washington | In Home Supportive Care | 2712 Gaillardia Rd, Jacksonville, FL 32211 | 2018-05-22 |
| 1043730062 | Monica R Iskander | Dentist | 465 University Blvd N, Jacksonville, FL 32211 | 2017-06-21 |
| 1205366895 | Lilibeth Bundang Adona | Custodial Care Facility | 1818 Townsend Blvd, Jacksonville, FL 32211 | 2017-06-15 |
| Find all providers in zip 32211 | ||||
| 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 | 32211 |
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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.