MAXWELL HENDERSON (NPI# 1174177349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174177349 |
| Entity Type | Individual |
| Full Name | MAXWELL HENDERSON |
| Practice Address |
4101 Nw 22nd St Cape Coral FL 33993-3442 |
| Mailing Address |
4101 Nw 22nd St Fl 33993 Cape Coral FL 33993-3442 |
| Practice Telephone | 2399100712 |
| Practice Fax Number | 8552373130 |
| Mailing Telephone | 2399100712 |
| Mailing Fax Number | 8552373130 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-91772 | FL | Behavioral Health & Social Service Providers |
| Street Address |
4101 NW 22ND ST |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33993-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649668385 | Anjali Vandrie | Social Worker | 4101 Nw 22nd St, Cape Coral, FL 33993-3442 | 2015-01-05 |
| 1184271249 | Amanda Leigh Evanicki | Behavior Technician | 4101 Nw 22nd St, Cape Coral, FL 33993-3442 | 2019-08-23 |
| 1982056511 | David Brown Jr. | Social Worker | 4101 Nw 22nd St, Cape Coral, FL 33993-3442 | 2016-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386155596 | Matthew Hellier | Specialist/Technologist | 1100 Nw 12th Ave, Cape Coral, FL 33993 | 2017-10-14 |
| 1871869586 | Guardian Angel Home Caregivers Inc. | In Home Supportive Care | 2503 Nw Juanita Place, Cape Coral, FL 33993 | 2012-03-27 |
| 1396937355 | Sheila Diane Frost | Counselor | 2200 Nw 15th St, Cape Coral, FL 33993 | 2007-08-14 |
| 1700300902 | Dora Cario | Counselor | 1705 Nw 6th St, Cape Coral, FL 33993 | 2017-07-29 |
| 1659474260 | Catherine C Larned | Psychiatry & Neurology | 4707 Pine Island Rd, Matlacha, FL 33993-0281 | 2006-09-07 |
| 1053711614 | Bestfed With Love, LLC | Lactation Consultant, Non-RN | 222 Nw 15th Ter, Cape Coral, FL 33993-1146 | 2014-09-01 |
| 1093090532 | Lana L Johnson | Developmental Therapist | 324 Nw 10th St, Cape Coral, FL 33993-1163 | 2011-10-17 |
| 1689168692 | Ann Marjorie Smith | Nurse Anesthetist, Certified Registered | 936 Nw 5th Ave, Cape Coral, FL 33993-1165 | 2018-06-22 |
| 1598381790 | Marcia Kisha Mccleary | Nurse Practitioner | 1025 Nw 9th Ter, Cape Coral, FL 33993-2001 | 2020-06-23 |
| 1730704180 | Diamante Rosa Alfonso | Behavior Technician | 230 Nw 5th St, Cape Coral, FL 33993-2300 | 2020-06-11 |
| Find all providers in zip 33993 | ||||
| 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 |
|---|---|---|---|---|
| 1851992846 | Lumey Mendez | Behavior Technician | 1628 Nw 5th Pl, Cape Coral, FL 33993-5110 | 2020-11-05 |
| 1699376053 | Paige Johnson | Behavior Technician | 1427 Ne 43rd Ln, Cape Coral, FL 33909-6116 | 2020-11-03 |
| 1336746957 | Yanelys Barcelo Darias | Behavior Technician | 403 Nw 24th Pl, Cape Coral, FL 33993-7086 | 2020-10-06 |
| 1033726393 | Oscar Gonzalez Mendez | Behavior Technician | 1442 Nw 2nd St, Cape Coral, FL 33993-7754 | 2020-09-29 |
| 1235746769 | Gina Manrique | Behavior Technician | 2407 Caslotti Way, Cape Coral, FL 33909-5276 | 2020-09-29 |
| 1437769023 | Agnelio Artiles Nunez | Behavior Technician | 1412 Nw 10th Ave, Cape Coral, FL 33993-6009 | 2020-08-07 |
| 1316556954 | Lidia E Ryan | Behavior Technician | 1205 Nw 25th Ave, Cape Coral, FL 33993-4703 | 2020-07-29 |
| 1578172516 | Yeline Rubio | Behavior Technician | 1425 Sw 12th Ter, Cape Coral, FL 33991-4621 | 2020-07-27 |
| 1730704180 | Diamante Rosa Alfonso | Behavior Technician | 230 Nw 5th St, Cape Coral, FL 33993-2300 | 2020-06-11 |
| 1548882111 | Yaneidys Freire Alfonso | Behavior Technician | 427 Ne Pine Island Ln Apt 2, Cape Coral, FL 33909-2558 | 2020-05-17 |
| Find all providers in CAPE CORAL | ||||
| City | CAPE CORAL |
| Zip Code | 33993 |
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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.