CAROLINE GRACE BENNETT (NPI# 1134601594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134601594 |
| Entity Type | Individual |
| Full Name | CAROLINE GRACE BENNETT |
| Practice Address |
5500 Murrell Rd Suite 100 Melbourne FL 32940 |
| Mailing Address |
175 Middle St Unit 1201 Lake Mary FL 32746-3625 |
| Practice Telephone | 3214267759 |
| Practice Fax Number | 3215930839 |
| Mailing Telephone | 8666100580 |
| Enumeration Date | 2018-09-02 |
| Last Update Date | 2018-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265641708 | Caroline Theresa Bennett | Registered Nurse | 379 Mooney Pond Rd, Selden, NY 11784-3416 | 2007-05-22 |
| 1093973133 | Caroline Bennett | Occupational Therapist | 131 Kent Rd, New Milford, CT 06776-3485 | 2008-05-27 |
| Street Address |
5500 MURRELL RD SUITE 100 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| 1144746116 | Viera Modern Dentistry, Pa | Dentist | 2328 Citadel Way, Suite 101, Melbourne, FL 32940 | 2017-08-21 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029433 | Cresta Marshall | Behavior Technician | 3646 Mount Carmel Ln, Melbourne, FL 32901-6704 | 2019-12-02 |
| 1427614312 | Dereck Householder | Behavior Technician | 2643 Lowell Cir, Melbourne, FL 32935-2216 | 2019-05-15 |
| 1972062149 | Marissa Kamlowsky | Behavior Technician | 3790 Dairy Rd, Melbourne, FL 32904-7630 | 2019-03-18 |
| 1427514751 | Madelynn Marie Palmer | Behavior Technician | 5500 Murrell Rd Ste 1000, Melbourne, FL 32940-6700 | 2019-02-12 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1801326822 | Hannah Catherine Smith | Behavior Technician | 5500 Murrell Rd # 100, Melbourne, FL 32940-6700 | 2017-06-13 |
| 1558802298 | Jordan Tonos | Behavior Technician | 5500 Murrell Road, Suite 100, Melbourne, FL 32940-6826 | 2017-03-14 |
| 1932649050 | Deborah Toscano | Behavior Technician | 2271 Hampton Greens Blvd, Apt 101, Melbourne, FL 32935-5628 | 2017-03-08 |
| 1568906220 | Rana Hassan | Behavior Technician | 3522 Egret Dr, Melbourne, FL 32901-8148 | 2016-12-14 |
| 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.