BLAKE SIMMONS (NPI# 1245673771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245673771 |
| Entity Type | Individual |
| Full Name | BLAKE SIMMONS |
| Credential | M.S. |
| Practice Address |
11011 Sheridan St Suite 304 Hollywood FL 33026-1505 |
| Practice Telephone | 9545891038 |
| Practice Fax Number | 8668839515 |
| Mailing Telephone | 9545891038 |
| Mailing Fax Number | 8668839515 |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003909482 | Blake G. Simmons | Optometrist | 320 E Fontanero St Ste 201, Colorado Springs, CO 80907-7525 | 2006-09-30 |
| 1891298584 | Blake E Simmons | Counselor | 6711 Forest Park Dr, Savannah, GA 31406-2507 | 2018-03-09 |
| Street Address |
11011 SHERIDAN ST SUITE 304 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33026-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073979191 | Kristina Slog | Occupational Therapist | 11011 Sheridan St, Suite 209, Hollywood, FL 33026-1505 | 2016-01-05 |
| 1235595471 | Marissa Sherman | Speech-Language Pathologist | 11011 Sheridan St, Suite 209, Hollywood, FL 33026-1505 | 2016-01-04 |
| 1992177844 | Nicole Elizabeth Conway | Physician Assistant | 11011 Sheridan St, Suite 302, Hollywood, FL 33026-1505 | 2015-10-30 |
| 1538537808 | Shandi Roxanne Brito | Physician Assistant | 11011 Sheridan St, Suite 302, Hollywood, FL 33026-1505 | 2015-09-03 |
| 1598148009 | Chirocare of Cooper City, LLC | Chiropractor | 11011 Sheridan St, Hollywood, FL 33026-1505 | 2015-07-01 |
| 1568864676 | Antonio Rodriguez | Chiropractor | 11011 Sheridan St, Suite #214, Hollywood, FL 33026-1505 | 2014-09-19 |
| 1568871705 | Pieces of Inspiration Inc | Occupational Therapy Assistant | 11011 Sheridan St, Suite 209, Hollywood, FL 33026-1505 | 2014-08-12 |
| 1508271248 | Plantation Open Mri LLC | Clinic/Center | 11011 Sheridan St, Hollywood, FL 33026-1505 | 2014-06-20 |
| 1851631659 | Gcpa Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 11011 Sheridan St, Suite 106, Hollywood, FL 33026-1505 | 2013-02-15 |
| 1407102247 | Hollywood Eye Institute, Pa | Ophthalmology | 11011 Sheridan St, Suite 215, Hollywood, FL 33026-1505 | 2012-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| 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 |
|---|---|---|---|---|
| 1306456090 | Odalys Gomez | Behavioral Analyst | 7130 Meade St, Hollywood, FL 33024-1636 | 2020-08-06 |
| 1447860200 | Rising Development L.L.C. | Behavioral Analyst | 7380 Stirling Rd Apt 308, Hollywood, FL 33024-1675 | 2020-08-06 |
| 1669098877 | Camilo Ernesto Marcaida | Behavioral Analyst | 3830 Nw 79th Ave, Hollywood, FL 33024-8328 | 2020-06-23 |
| 1710503123 | Erelis Morin Palmero | Behavioral Analyst | 1401 N 68th Ter, Hollywood, FL 33024-5605 | 2020-06-22 |
| 1477176295 | Jodie Love | Behavioral Analyst | 4000 Hollywood Blvd Ste 5000-s, Hollywood, FL 33021-6751 | 2020-05-27 |
| 1912530544 | Marlene Terezinha Macedo Papa | Behavioral Analyst | 3908 Jefferson St, Hollywood, FL 33021-7314 | 2020-02-21 |
| 1720623150 | Alexandra Nekhankin | Behavioral Analyst | 2170 N 29th Ave Apt 301, Hollywood, FL 33020-1718 | 2019-11-08 |
| 1417508557 | Olga Volosatova | Behavioral Analyst | 1776 Polk St Apt 1412, Hollywood, FL 33020-4683 | 2019-09-20 |
| 1215583315 | Isidora Paz Chevesich | Behavioral Analyst | 927 N 14th Ave, Hollywood, FL 33020-3712 | 2019-08-14 |
| 1285100370 | Abigail Brooke Ehrlich | Behavioral Analyst | 3800 N Hills Dr Apt 307, Hollywood, FL 33021-2542 | 2018-10-16 |
| Find all providers in HOLLYWOOD | ||||
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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.