JAMES DOUGLAS JR. (NPI# 1184162927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184162927 |
| Entity Type | Individual |
| Full Name | JAMES DOUGLAS JR. |
| Credential | BA |
| Practice Address |
7138 S Military Trl Lake Worth FL 33463-7812 |
| Mailing Address |
116 S Longport Cir Unit C116c Delray Beach FL 33444-3416 |
| Practice Telephone | 5615427795 |
| Mailing Telephone | 3042034551 |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2020-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Q00000X | Developmental Therapist | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 106S00000X | Behavior Technician | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1818 S Australian Ave, West Palm Beach, FL 334096452 | 8558326727 | |
| 4800 N Federal Hwy, Suite 101d, Boca Raton, FL 334315188 | 6174709827 | 5613722651 |
| 8785 Sw 165th Ave Ste 103, Miami, FL 331935827 | 7862066500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710460456 | James Allison Douglas | Counselor | 406 Bridgton Rd, Westbrook, ME 04092-3722 | 2018-09-10 |
| 1285952879 | James Joshua Douglas | Internal Medicine | 425 E 84th St, Apt 2b, New York, NY 10028-6225 | 2010-05-06 |
| 1619144672 | James Alvin Douglas | Dentist | 820 E Colfax Ave, South Bend, IN 46617-2804 | 2008-05-09 |
| 1205903218 | James Michael Douglas | Dentist | 13450 S Hawthorne Blvd, Hawthorne, CA 90250-5806 | 2006-11-29 |
| 1265525802 | James Edward Douglas | Psychiatry & Neurology | 1809 Maple St., Forest Grove, OR 97116 | 2006-10-02 |
| 1982180063 | James Alexander Miller Douglas IIi | Student in an Organized Health Care Education/Training Program | Emory Healthcare 1364 Clifton Road Ne, Atlanta, GA 30322-0001 | 2018-07-12 |
| 1811440373 | James Douglas | Physical Therapist | 71 Cowardly Lion Dr, Unit D, Hedgesville, WV 25427-6785 | 2016-08-01 |
| 1780886077 | James Douglas | Counselor | 6330 Thornton Ave, Newark, CA 94560-3734 | 2007-05-31 |
| 1164590055 | James Edward Douglas | Counselor | 143 Pottle Rd, Oxford, ME 04270-3362 | 2006-12-01 |
| 1770541732 | James R Douglas Jr. | Anesthesiology | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2006-05-01 |
| Street Address |
7138 S MILITARY TRL |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33463-7812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952687824 | Supreme Care Dental Associates, LLC | Dentist | 7138 S Military Trl, Lake Worth, FL 33463-7812 | 2011-10-24 |
| 1952944621 | Alexandra Pericles | Behavioral Analyst | 7138 S Military Trl, Lake Worth, FL 33463-7812 | 2019-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647215 | Matthew Inaba Pickron | Dentist | 6476 Lake Worth Rd, Lake Worth, FL 33463 | 2020-10-21 |
| 1750992228 | Janet Arlene Meikle | Nurse's Aide | 5500 Albin Drive, Greenacres, FL 33463 | 2020-08-10 |
| 1205478955 | Nadine Pierre Jean | Nurse Practitioner | 5333 Island Gypsy Drive, Green Acres, FL 33463 | 2019-10-15 |
| 1427537372 | Dorothy Carol Rose Smith | Speech-Language Pathologist | 6200 Grand Cypress Circle, Lake Worth, FL 33463 | 2018-08-11 |
| 1366930059 | Family Care Rx, LLC | Pharmacy | 6428 Melaleuca Ln, Greenacres, FL 33463 | 2018-04-27 |
| 1134616956 | Lianely Marciante | Nurse Practitioner | 6424 Grand Cypress Cir, Lake Worth, FL 33463 | 2018-04-17 |
| 1174039960 | Marigold Nursing, LLC | Registered Nurse | 3900 Woodlake Blvd., Suite 200-13, Lake Worth, FL 33463 | 2017-12-16 |
| 1295245512 | Jocelyn Augustin | Physical Therapist | 5026 Sabreline Terrace, Green Acres, FL 33463 | 2017-10-02 |
| 1922527662 | Victoria Johnson | Licensed Practical Nurse | 6166 Plains Drive, Lake Worth, FL 33463 | 2017-09-13 |
| 1346764123 | Tdc Lantana LLC | Clinic/Center | 6346 Lantana Rd Suite 68, Lake Worth, FL 33463 | 2017-08-02 |
| Find all providers in zip 33463 | ||||
| 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 |
|---|---|---|---|---|
| 1487252888 | Yasmi M Ferrer Acosta | Behavior Technician | 4177 Milner Cir Apt 302, Lake Worth, FL 33463-8178 | 2020-10-16 |
| 1619575206 | Odislaida Quintana Alvarez | Behavior Technician | 1908 High Ridge Rd, Lake Worth, FL 33461-6158 | 2020-10-15 |
| 1881291409 | Jessy Sacerio Corchon | Behavior Technician | 2206 Park St, Lake Worth, FL 33460-6134 | 2020-10-06 |
| 1821695016 | Mercedes Fernandez Castro | Behavior Technician | 4706 Penny Ln, Lake Worth, FL 33461-5124 | 2020-10-01 |
| 1376159202 | Lidice Martinez Noriega | Behavior Technician | 4143 Foss Rd, Lake Worth, FL 33461-4405 | 2020-09-16 |
| 1518576156 | Rosery Romero | Behavior Technician | 3898 Via Poinciana Ste 12, Lake Worth, FL 33467-2951 | 2020-07-29 |
| 1548878002 | Claudette Richards | Behavior Technician | 5836 Westfall Rd, Lake Worth, FL 33463-6731 | 2020-07-21 |
| 1063030831 | Hides Fleurmont Sr. | Behavior Technician | 5654 Barnstead Cir, Lake Worth, FL 33463-6683 | 2020-07-08 |
| 1679190458 | Mariela Ortiz | Behavior Technician | 4645 Carthage Cir S, Lake Worth, FL 33463-7245 | 2020-06-29 |
| 1053938928 | Yailyn Oliva Castillo | Behavior Technician | 3220 Vassallo Ave, Lake Worth, FL 33461-3701 | 2020-06-26 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33463 |
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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.