BLAKELY FICHTNER (NPI# 1255958393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255958393 |
| Entity Type | Individual |
| Full Name | BLAKELY FICHTNER |
| Practice Address |
13553 Atlantic Blvd Ste 100 Jacksonville FL 32225-4227 |
| Mailing Address |
300 International Pkwy Ste 200 Lake Mary FL 32746-5028 |
| Practice Telephone | 9044207030 |
| Mailing Telephone | 8666100580 |
| Enumeration Date | 2020-07-05 |
| Last Update Date | 2020-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
13553 ATLANTIC BLVD STE 100 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32225-4227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033754718 | Camila De Prado Campos Ferreira | Behavior Technician | 13553 Atlantic Blvd Ste 100, Jacksonville, FL 32225-4227 | 2019-11-17 |
| 1871192369 | Mary Venne | Behavior Technician | 13553 Atlantic Blvd Ste 100, Jacksonville, FL 32225-4227 | 2020-10-26 |
| 1962015586 | Kajal Rakesh Patel | Behavior Technician | 13553 Atlantic Blvd Ste 100, Jacksonville, FL 32225-4227 | 2020-08-24 |
| 1073123584 | Kristen Atkins | Behavior Technician | 13553 Atlantic Blvd Ste 100, Jacksonville, FL 32225-4227 | 2020-08-10 |
| 1699391144 | Madeline Gramling | Behavior Technician | 13553 Atlantic Blvd Ste 100, Jacksonville, FL 32225-4227 | 2020-06-21 |
| 1346875267 | Rachel Ann Hollingsworth | Behavior Technician | 13553 Atlantic Blvd Ste 100, Jacksonville, FL 32225-4227 | 2020-03-11 |
| 1164056719 | Hannah Marie Hunt | Behavior Technician | 13553 Atlantic Blvd Ste 100, Jacksonville, FL 32225-4227 | 2020-02-22 |
| 1275166449 | Ja'kira Thomas | Behavior Technician | 13553 Atlantic Blvd Ste 100, Jacksonville, FL 32225-4227 | 2020-02-17 |
| 1255961496 | Sotera Spencer | Behavior Technician | 13553 Atlantic Blvd Ste 100, Jacksonville, FL 32225-4227 | 2020-01-15 |
| 1467091579 | Makayla J Etheridge | Behavior Technician | 13553 Atlantic Blvd Ste 100, Jacksonville, FL 32225-4227 | 2020-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700356367 | Ajay S Lewis | Counselor | 3010 Cobblewood Ln East, Jacksonville, FL 32225 | 2018-11-27 |
| 1467921569 | Heart To Heart LLC | Assisted Living Facility | 9378 Arlignton Expressway, Ste 218, Jacksonville, FL 32225 | 2018-11-19 |
| 1285122036 | National Vision, Inc. | Technician/Technologist | 11770 Atlantic Boulevard, Suite 300, Jacksonville, FL 32225 | 2018-04-27 |
| 1346757432 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 9422 Arlington Expressway, Jacksonville, FL 32225 | 2018-01-10 |
| 1831629690 | Family First Vision Care, Pllc | Optometrist | 9398 Arlington Expresway, Suite 1, Jacksonville, FL 32225 | 2017-06-14 |
| 1437689205 | West Point Optical Group | Optometrist | 9398-1 Arlington Expresway, Jacksonville, FL 32225 | 2017-06-14 |
| 1477087815 | Naila Ortega | Dentist | 984 Chapeltown Circle N, Jacksonville, FL 32225 | 2017-04-12 |
| 1487186342 | Sidnetta Rosemond | Durable Medical Equipment & Medical Supplies | 9501 Arlington Expy Ste160, Jacksonville, FL 32225 | 2017-03-30 |
| 1669925913 | Frances Mcmiller | Counselor | 9550 Regency Square Blvd Ste 706, Jacksonville, FL 32225 | 2016-08-03 |
| 1891143103 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 1211 St. Johns Bluff Rd North, Jacksonville, FL 32225 | 2016-05-26 |
| Find all providers in zip 32225 | ||||
| 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 |
|---|---|---|---|---|
| 1215544424 | Brianna Rene Lavoie | Behavior Technician | 113g N Marine Blvd, Jacksonville, NC 28540-6508 | 2020-09-30 |
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1558977330 | Samantha Jo Gilmore | Behavior Technician | 2893 Post St Apt 4, Jacksonville, FL 32205-7447 | 2020-09-17 |
| 1639784135 | Rhianna Fiona Valencia | Behavior Technician | 7718 Tunica Ct, Jacksonville, FL 32244-8169 | 2020-09-11 |
| 1710590302 | Olivia Link | Behavior Technician | 2525 Dunn Ave Ste 2, Jacksonville, FL 32218-4680 | 2020-08-25 |
| 1821600768 | Emily Mary Ross | Behavior Technician | 2869 Post St, Jacksonville, FL 32205-7456 | 2020-08-21 |
| 1639789290 | April Elaine Crews | Behavior Technician | 9000 Southside Blvd, Jacksonville, FL 32256-0793 | 2020-08-07 |
| 1225656937 | Roxana Maldonado | Behavior Technician | 2425 Dunn Ave # Sre2, Jacksonville, FL 32218-4603 | 2020-07-09 |
| 1023639747 | Maaria Chehab | Behavior Technician | 7668 Saw Timber Ln, Jacksonville, FL 32256-2354 | 2020-05-05 |
| 1255966024 | Okeya Johnson | Behavior Technician | 7960 103rd St Apt 1205, Jacksonville, FL 32210-6659 | 2020-03-11 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32225 |
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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.