HAROLD JOHANESSEN JR. (NPI# 1184915621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184915621 |
| Entity Type | Individual |
| Full Name | HAROLD JOHANESSEN JR. |
| Credential | BCBA |
| Practice Address |
5 Ryker Ln Palm Coast FL 32164-3411 |
| Practice Telephone | 3868466256 |
| Mailing Telephone | 3868466256 |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2013-04-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | BCBA 1-01-0582 | FL | Behavioral Health & Social Service Providers |
| Street Address |
5 RYKER LN |
| City | PALM COAST |
| State | FL |
| Zip Code | 32164-3411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561044 | Ereka Manangan | Pharmacist | 5000 E, Fl-100, Palm Coast, FL 32164 | 2020-09-01 |
| 1427661735 | George Allen Parker | Pharmacist | 5000 E Hwy 100, Palm Coast, FL 32164 | 2020-08-26 |
| 1891318424 | Faithangel Corp | In Home Supportive Care | 125 Pine Grove Dr, Palm Coast, FL 32164 | 2020-05-18 |
| 1578101481 | Sweetie Peetie LLC | Hearing Instrument Specialist | 160 Cypress Point Parkway, Ste A108, Palm Coast, FL 32164 | 2019-12-11 |
| 1831656610 | Dolphin Medical Transport LLC | Taxi | 30 Westmoreland Dr, Palm Coast, FL 32164 | 2019-02-27 |
| 1003389024 | Southeast Snoring & Sleep Apnea Group | Durable Medical Equipment & Medical Supplies | 108 Pennacles Dr. #101, Palm Coast, FL 32164 | 2019-01-03 |
| 1801388137 | Lily Michelle King | Licensed Practical Nurse | 8 Regent Ln, Palm Coast, FL 32164 | 2018-06-01 |
| 1558880120 | Bryan Mendes | Physical Therapist | 1 Westrock Ln, Palm Coast, FL 32164 | 2017-09-14 |
| 1477077451 | Sharon Denise Astrologo | Case Manager/Care Coordinator | 421 S. Keech St., Daytona Beach, FL 32164 | 2017-08-01 |
| 1952825283 | Emily Guarino | Behavior Technician | 136a Wellwood Lane, Palm Coast, FL 32164 | 2017-07-28 |
| Find all providers in zip 32164 | ||||
| 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 |
|---|---|---|---|---|
| 1184162232 | Lindsay Michele Dibella | Behavioral Analyst | 19 President Ln, Palm Coast, FL 32164-7428 | 2017-02-09 |
| 1043757628 | Elizabeth Broomfield | Behavioral Analyst | 16 Warner Pl, Palm Coast, FL 32164-7660 | 2017-01-20 |
| 1972057578 | Gessica Joseph | Behavioral Analyst | 35 Prairie Ln, Palm Coast, FL 32164-4723 | 2016-08-11 |
| 1528417284 | Phillip King Jr. | Behavioral Analyst | 31 Lamour Ln, Palm Coast, FL 32137-9616 | 2016-06-03 |
| 1770949836 | Alicyn Dickey | Behavioral Analyst | 17 Unique Ct, Palm Coast, FL 32164-5764 | 2016-01-05 |
| 1972905339 | Christy Rose Reiter | Behavioral Analyst | 6 Cute Ct, Palm Coast, FL 32137-9001 | 2014-09-17 |
| 1457691636 | Lance Jordan Webber | Behavioral Analyst | 10 Louisiana Dr, Palm Coast, FL 32137-9705 | 2013-02-25 |
| 1447558564 | Teresa Lago | Behavioral Analyst | 51 Fallen Oak Ln, Palm Coast, FL 32137-9132 | 2011-03-14 |
| 1417564998 | Emily F Tyskowski | Behavioral Analyst | 515 Palm Coast Pkwy Sw Ste 6, Palm Coast, FL 32137-5700 | 2020-09-28 |
| 1447890355 | Ashley Nicole Stuart | Behavioral Analyst | 515 Palm Coast Pkwy Sw Ste 6, Palm Coast, FL 32137-5700 | 2020-01-08 |
| Find all providers in PALM COAST | ||||
| City | PALM COAST |
| Zip Code | 32164 |
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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.