JACKLYN ARAQUE (NPI# 1134654585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134654585 |
| Entity Type | Individual |
| Full Name | JACKLYN ARAQUE |
| Practice Address |
362 Lawler St Port Charlotte FL 33954-3811 |
| Practice Telephone | 9414576621 |
| Mailing Telephone | 9414576621 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | FL | Behavioral Health & Social Service Providers | |
| Y | 106S00000X | Behavior Technician | FL | Behavioral Health & Social Service Providers |
| Street Address |
362 LAWLER ST |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33954-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043740665 | Criselda Veronica Romero | Home Health Aide | 24009 Madaca Lane, Apt 104, Port Charlotte, FL 33954 | 2017-06-15 |
| 1942469234 | Johanny Vizcarrondo Colon | Physical Therapist | 24011 Madaca Lane # 108, Port Charlotte, FL 33954 | 2008-06-03 |
| 1467638163 | Qrs LLC | Clinic/Center | 17218 Toledo Blade Blvd., Unit 7, Port Charlotte, FL 33954 | 2008-01-14 |
| 1023199155 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 18500 Veterans Boulevard, Unit 4, Port Charlotte, FL 33954 | 2006-10-17 |
| 1174577290 | Karen Kalbfeld | Nurse Anesthetist, Certified Registered | 327 Kindred Blvd, Port Charlotte, FL 33954 | 2006-05-22 |
| 1518425081 | Annette Simmons | Custodial Care Facility | 1292 Dorchester St, Port Charlotte, FL 33954 | 2019-03-04 |
| 1942319744 | Lifeline Health Care of Southwest Florida, Inc. | Home Health | 630a Woodbury Dr, Port Charlotte, FL 33954-1000 | 2006-08-29 |
| 1154617553 | Anthony Richard La Forgia | Counselor | 630a Woodbury Dr, Port Charlotte, FL 33954-1000 | 2011-06-23 |
| 1780227199 | Sergio Pedro Castro | Behavioral Analyst | 18245 Paulson Dr Ste 113, Port Charlotte, FL 33954-1019 | 2019-10-18 |
| 1295201846 | Grissel Alfonso Gonzalez | Behavior Technician | 18245 Paulson Dr Ste 130, Port Charlotte, FL 33954-1019 | 2018-10-22 |
| Find all providers in zip 33954 | ||||
| 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 |
|---|---|---|---|---|
| 1669089470 | Jamie Dixon | Behavior Technician | 227 Timbruce Ln Nw, Port Charlotte, FL 33952-6641 | 2020-09-25 |
| 1851906341 | Meaghan Beal | Behavior Technician | 234 Seminole Blvd Nw, Port Charlotte, FL 33952-7934 | 2020-09-10 |
| 1427668755 | Nicole Danielle Sager | Behavior Technician | 1475 Collingswood Blvd Unit G, Port Charlotte, FL 33948-1059 | 2020-08-02 |
| 1225677743 | Seonaide Durbin | Behavior Technician | 1475 Collingswood Blvd, Port Charlotte, FL 33948-1059 | 2020-01-01 |
| 1124670005 | Patricia Corrado | Behavior Technician | 233 S Waterway Dr Nw, Port Charlotte, FL 33952-7921 | 2019-07-11 |
| 1467920728 | Jessica Elizabeth Sheldon | Behavior Technician | 1469 Pulaski St, Port Charlotte, FL 33952-4741 | 2018-11-05 |
| 1295201846 | Grissel Alfonso Gonzalez | Behavior Technician | 18245 Paulson Dr Ste 130, Port Charlotte, FL 33954-1019 | 2018-10-22 |
| 1982186730 | Natacha Cardentey | Behavior Technician | 21976 Beverly Ave, Port Charlotte, FL 33952-5429 | 2018-08-29 |
| 1710491220 | Franky Ortiz | Behavior Technician | 1435 Collingswood Blvd Ste E, Port Charlotte, FL 33948-1058 | 2017-11-20 |
| 1174124309 | Cassandra Josefina Chandler | Behavior Technician | 1475 Collingswood Blvd Unit G, Port Charlotte, FL 33948-1059 | 2020-11-04 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33954 |
Please comment or provide details below to improve the information on JACKLYN ARAQUE.
| 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.