LISETT IRINA WILSON (NPI# 1124511795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124511795 |
| Entity Type | Individual |
| Full Name | LISETT IRINA WILSON |
| Practice Address |
1728 Pinewood Rd Melbourne FL 32934-9022 |
| Practice Telephone | 7867196800 |
| Practice Fax Number | 7867196800 |
| Mailing Telephone | 7867196800 |
| Mailing Fax Number | 7867196800 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
1728 PINEWOOD RD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32934-9022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530419 | Ryan Thomas Kammerdener | Pharmacist | 3003 Bay Wind Ct, Melbourne, FL 32934 | 2020-05-20 |
| 1558833731 | Deborah J Gaffney | Specialist/Technologist | 3060 Kershaw Court, Melbourne, FL 32934 | 2018-12-27 |
| 1548703200 | Damaris Escarment | Counselor | 3550 W. Eau Gallie Blvd, Melbourne, FL 32934 | 2016-11-29 |
| 1447686324 | Sarai Escarment | Counselor | 3550 W Eau Gallie Blvd, Melbourne, FL 32934 | 2013-09-23 |
| 1871874974 | Felipe E. Dominguez, Md, Pa | Clinical Medical Laboratory | 3030 Venture Lane, Ste 108, Melbourne, FL 32934 | 2011-09-01 |
| 1376821637 | Christine Natasha Williams Kelly | Counselor | 4450 West Eau Gallie Blvd, Suite 200, Melbourne, FL 32934 | 2011-08-03 |
| 1912203316 | Sheryl Yatsko | Physical Therapy Assistant | 3303 Sarno Rd, Melbourne, FL 32934 | 2011-02-01 |
| 1255564191 | Joy Cheryl Mullen | Occupational Therapy Assistant | 1890 Whispering Oaks Cir, West Melbourne, FL 32934 | 2009-08-26 |
| 1619031531 | The Devereux Foundation | Case Management | 1591 Robert J Conlan Boulevard, Palm Bay, FL 32934 | 2006-12-22 |
| 1457456600 | Jo A Kologlu | Physical Therapist | 5025 Smithfield Rd, Melbourne, FL 32934 | 2006-09-13 |
| Find all providers in zip 32934 | ||||
| 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 |
|---|---|---|---|---|
| 1629687686 | Athena Behavior Analysis, LLC | Behavioral Analyst | 1230 Fargo Dr, Melbourne, FL 32940-6901 | 2020-07-27 |
| 1336788611 | Paloma Academy Inc | Behavioral Analyst | 2740 N Harbor City Blvd, Melbourne, FL 32935-6291 | 2020-01-03 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1902461155 | Robert Moraleda II | Behavioral Analyst | 635 Autumn Glen Dr, Melbourne, FL 32940-6405 | 2019-05-03 |
| 1497240303 | Sonshine Behavior Services Bcba, LLC | Behavioral Analyst | 1984 Madison Ave, Melbourne, FL 32935-4048 | 2018-06-25 |
| 1215427638 | Abracadabra Aba Pllc | Behavioral Analyst | 1737 Croghan Dr, Melbourne, FL 32940-6014 | 2018-05-10 |
| 1770007833 | Ame Lemon | Behavioral Analyst | 4100 Lake Washington Rd, Melbourne, FL 32934-7669 | 2017-07-31 |
| 1750819520 | Priscilla Baer Schimkus | Behavioral Analyst | 1051 Eber Blvd Ste 108, Melbourne, FL 32904-8768 | 2017-05-24 |
| 1083088025 | Jenna Conn | Behavioral Analyst | 305 East Dr Ste L, Melbourne, FL 32904-1033 | 2015-11-13 |
| 1295108520 | Loren Collarile | Behavioral Analyst | 305 East Dr, Suite L, Melbourne, FL 32904-1033 | 2015-11-09 |
| Find all providers in MELBOURNE | ||||
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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.