MICHELLE R GAGNE


Address: 1176 Pelican Bay Dr, Daytona Beach, FL 32119-1381
Phone: 3867673752

MICHELLE R GAGNE (NPI# 1255844718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255844718
Entity Type Individual
Full Name MICHELLE R GAGNE
Credential LCSW
Practice Address 1176 Pelican Bay Dr
Daytona Beach
FL 32119-1381
Mailing Address 1176 Pelican Bay Dr Bay
Daytona Beach
FL 32119-1381
Practice Telephone 3867673752
Practice Fax Number 3867674319
Mailing Telephone 3867673752
Mailing Fax Number 3867674319
Enumeration Date 2017-11-07
Last Update Date 2017-11-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1041C0700X Social Worker
Specialization: Clinical
SW14790 FL Behavioral Health & Social Service Providers
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Office Location

Street Address 1176 PELICAN BAY DR
City DAYTONA BEACH
State FL
Zip Code 32119-1381

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861638827 Strategies, Inc. Behavior Analysis & Therapeutic Services Community/Behavioral Health 1176 Pelican Bay Dr, Daytona Beach, FL 32119-1381 2008-12-22
1932682366 Jeremy Glenn Mcmurrian Behavior Technician 1176 Pelican Bay Dr, Daytona Beach, FL 32119-1381 2018-09-11
1659884005 Jamie L Parker Behavior Technician 1176 Pelican Bay Dr, Daytona Beach, FL 32119-1381 2017-11-08
1437662889 Christina S Smiley Behavior Technician 1176 Pelican Bay Dr, Daytona Beach, FL 32119-1381 2017-11-08
1639682081 Christina M Clark Behavior Technician 1176 Pelican Bay Dr, Daytona Beach, FL 32119-1381 2017-11-08
1013420439 Telecia L Willis Behavior Technician 1176 Pelican Bay Dr, Daytona Beach, FL 32119-1381 2017-11-07
1871003228 Maggie Mae Roberts Behavior Technician 1176 Pelican Bay Dr, Daytona Beach, FL 32119-1381 2017-10-11
1700396728 Victoria L Bentley Behavior Technician 1176 Pelican Bay Dr, Daytona Beach, FL 32119-1381 2017-10-04
1215447248 Frederik C Edwards Behavior Technician 1176 Pelican Bay Dr, Daytona Beach, FL 32119-1381 2017-10-04
1316461411 Sarah Fishkind Behavior Technician 1176 Pelican Bay Dr, Daytona Beach, FL 32119-1381 2017-07-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710509476 Peaceful Healing Solutions, LLC Social Worker 1655 Restarrick Ave, South Daytona, FL 32119 2020-05-15
1124570585 Kunning Li Acupuncturist 2135 S Ridgewood Ave, South Daytona, FL 32119 2016-11-01
1720451040 Tyler M Mckinniss Chiropractor 1614 S Ridgewood Ave Ste 200, South Daytona, FL 32119 2015-11-09
1821428954 Jesse Robert Hodges Jr. Chiropractor 1780 S Nova Rd Ste 4, South Daytona, FL 32119 2013-11-27
1831347350 Pamela Marie Lavigna Counselor 1635 S. Ridgewood Ave, Suite 225, South Daytona, FL 32119 2008-09-09
1922214279 Karen Sue Pulaski Physical Therapist 401 Venture Ave. Suite C, South Daytona, FL 32119 2007-05-15
1245369180 Cathryn C Cucchiaro Marriage & Family Therapist 2001 S Ridgewood Ave, South Daytona, FL 32119 2007-03-05
1629136775 Dennis Andrew Kuack Dentist 2644 S Ridgewood Ave, South Daytona, FL 32119 2006-12-04
1639246630 Robert J Amara Chiropractor 2750 S Ridgewood Ave #c, South Daytona, FL 32119 2006-11-29
1306910385 Filutowski Eye Institute Pa Clinic/Center 110 Yorktowne Drive, Daytona Beach, FL 32119 2006-11-20
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982160412 The Arc of Volusia, Inc. Behavioral Analyst 100 Jimmy Huger Cir, Daytona Beach, FL 32117-5108 2019-02-20
1609397843 Nia Ruth Behavioral Analyst 312 Sutton Cir Apt 84, Daytona Beach, FL 32114-7812 2017-06-28
1407302599 Christine Lapila Behavioral Analyst 201 Thornberg Branch Lane, Daytona Beach, FL 32124 2016-08-29
1710360045 Raven Johnson Behavioral Analyst 524 Arnold Dr, Daytona Beach, FL 32114-5775 2015-07-06
1760898241 Takeisha R Myers Behavioral Analyst 1128 Beville Rd., Daytona Beach, FL 32114 2014-07-07
1649695628 Amy L. Wagner Behavioral Analyst 1128 Beville Road, Suite A, Daytona Beach, FL 32114 2014-02-27
1235554676 Ashli N. Ford Behavioral Analyst 1128 Beville Road, Suite A, Daytona Beach, FL 32114 2014-02-21
1760785430 Stephanie Ann Swinton Behavioral Analyst 1128 Beville Rd Ste A, Daytona Beach, FL 32114-5769 2010-12-17
1720398894 Allison Marie Berard Behavioral Analyst 1128 Beville Rd, Daytona Beach, FL 32114-5747 2010-10-07
1699393025 Victoria Rose Sirianni Behavioral Analyst 1128 Beville Rd Ste A, Daytona Beach, FL 32114-5769 2020-07-13
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Competitor

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City DAYTONA BEACH
Zip Code 32119

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Dataset Information

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.

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