TRACY BERTIL (NPI# 1225579204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225579204 |
| Entity Type | Individual |
| Full Name | TRACY BERTIL |
| Practice Address |
11228 Creek Haven Dr Riverview FL 33569-6201 |
| Practice Telephone | 5166423871 |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 103K00000X | FL | Behavioral Health & Social Service Providers |
| Street Address |
11228 CREEK HAVEN DR |
| City | RIVERVIEW |
| State | FL |
| Zip Code | 33569-6201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377907 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 11286 Boyett Rd, Suite 101, Riverview, FL 33569 | 2020-05-07 |
| 1730726472 | Peter James Wise | Occupational Therapist | 11286 Boyette Rd, Suite 101, Riverview, FL 33569 | 2019-12-02 |
| 1376023945 | Lithia Assisted Living LLC | Assisted Living Facility | 13470 Boyette Rd, Riverview, FL 33569 | 2018-08-14 |
| 1992223911 | Flobert Lubin | Registered Nurse | 11135 Lakeside Vista Dr, Riverview, FL 33569 | 2017-08-30 |
| 1467908087 | Publix Super Markets Inc | Pharmacy | 11460 S Us Highway 301, Riverview, FL 33569 | 2016-09-01 |
| 1669831004 | Sandra M Santos | Dentist | 11478 S Us Hwy 301 S, Riverview, FL 33569 | 2016-02-13 |
| 1740509876 | Balanced Home Healthcare, Inc. | Home Health | 10855 Boyette Road, Riverview, FL 33569 | 2010-05-28 |
| 1801114160 | Zahid I Choudary | Psychiatry & Neurology | American Telestroke and Neurology Inc, 11922 Boyette Rd, Riverview, FL 33569 | 2010-05-12 |
| 1033348974 | Keri Ann Herro | Chiropractor | 11974 Balm Riverview Road, Riverview, FL 33569 | 2009-07-14 |
| 1689838666 | Danoosh Shiravand Amrooei | Dentist | 10845 W Bloomingdale Ave, Riverview, FL 33569 | 2008-07-18 |
| Find all providers in zip 33569 | ||||
| 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 |
|---|---|---|---|---|
| 1740890292 | Elizabeth Wright | Behavior Technician | 2748 S Falkenburg Rd Ste C, Riverview, FL 33578-2561 | 2020-08-08 |
| 1750910444 | Jaimee Kayliece Chervony | Behavior Technician | 11333 Hudson Hills Ln, Riverview, FL 33579-2436 | 2020-04-03 |
| 1336786508 | Wenda Occide | Behavior Technician | 11036 Little Blue Heron Dr, Riverview, FL 33579-2418 | 2019-12-05 |
| 1760969828 | Nathaniel Duvert | Behavior Technician | 10133 Pink Palmata Ct, Riverview, FL 33578-3626 | 2018-07-22 |
| 1932694072 | Chester Ray Simpson | Behavior Technician | 12306 Shadow Run Blvd, Riverview, FL 33569-6458 | 2018-06-29 |
| 1699293449 | Lauren Brown | Behavior Technician | 5511 Legacy Crescent Pl, Riverview, FL 33578-2815 | 2017-08-31 |
| 1982140331 | Kathryn Sperber | Behavior Technician | 10103 Sherwood Lane Apt. 47, Riverview, FL 33578 | 2017-01-10 |
| 1407457781 | Allison Brett | Behavior Technician | 2748 S Falkenburg Rd Ste A, Riverview, FL 33578-2561 | 2020-11-04 |
| 1467059006 | Amanda Harrington | Behavior Technician | 2748 S Falkenburg Rd Ste A, Riverview, FL 33578-2561 | 2020-10-07 |
| 1346857828 | Joshua Puia | Behavior Technician | 2748 S Falkenburg Rd Ste A, Riverview, FL 33578-2561 | 2020-09-28 |
| Find all providers in RIVERVIEW | ||||
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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.