NICOLE IBANEZ (NPI# 1265043392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265043392 |
| Entity Type | Individual |
| Full Name | NICOLE IBANEZ |
| Practice Address |
121 N Highland St Mount Dora FL 32757-5764 |
| Practice Telephone | 3527205194 |
| Practice Fax Number | 4073867133 |
| Mailing Telephone | 3527205194 |
| Mailing Fax Number | 4073867133 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
121 N HIGHLAND ST |
| City | MOUNT DORA |
| State | FL |
| Zip Code | 32757-5764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225500465 | Lisa Feezle | Behavioral Analyst | 121 N Highland St, Mount Dora, FL 32757-5764 | 2018-12-28 |
| 1477151793 | Nicholas Ramirez | Behavior Technician | 121 N Highland St, Mount Dora, FL 32757-5764 | 2020-10-09 |
| 1194322289 | Lily Mackenzie | Behavior Technician | 121 N Highland St, Mount Dora, FL 32757-5764 | 2020-10-02 |
| 1417564493 | Kasey Titkemeyer | Behavior Technician | 121 N Highland St, Mount Dora, FL 32757-5764 | 2020-09-24 |
| 1942816046 | Rocio Lopez Dones | Behavior Technician | 121 N Highland St, Mount Dora, FL 32757-5764 | 2020-09-23 |
| 1447865001 | Florangel Vargas | Behavior Technician | 121 N Highland St, Mount Dora, FL 32757-5764 | 2020-09-10 |
| 1720692155 | Alexandria Coleman | Behavior Technician | 121 N Highland St, Mount Dora, FL 32757-5764 | 2020-09-02 |
| 1679199277 | Michele Mcdonough | Behavior Technician | 121 N Highland St, Mount Dora, FL 32757-5764 | 2020-06-19 |
| 1467073155 | Kelti Keister | Behavior Technician | 121 N Highland St, Mount Dora, FL 32757-5764 | 2020-05-04 |
| 1487284030 | Kathy Newkirk-pierre Paul | Behavior Technician | 121 N Highland St, Mount Dora, FL 32757-5764 | 2020-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324824 | Cypress Grove Counseling Center LLC | Counselor | 6551 N Orange Blossom Trail Suite 209 #1005, Mount Dora, FL 32757 | 2020-07-28 |
| 1790327286 | Alisha Dawn Bateman | Nurse Practitioner | 7678 Lake Ola Dr., Mount Dora, FL 32757 | 2019-10-16 |
| 1306496153 | Carehere LLC | Family Medicine | Carehere Clinic- City of Mount Dora, Fl, 2110 North Donnelly Street, Mt Dora, FL 32757 | 2019-09-13 |
| 1871008680 | Sonya Quiroz | Behavior Technician | 21038 Niles Ave, Mount Dora, FL 32757 | 2017-12-04 |
| 1043737661 | Erin N Booth | Behavior Technician | 411 N. Donnelly St., Suite 307, Mount Dora, FL 32757 | 2017-08-24 |
| 1053850073 | Sunshine Recovery Network, Inc | Community/Behavioral Health | 632 E 5th Ave, Mount Dora, FL 32757 | 2017-02-23 |
| 1336684661 | Catherine Lim Panlilio | Physical Therapist | 300 Brookfield Avenue, Mount Dora, FL 32757 | 2016-12-22 |
| 1659815306 | Mount Dora Modern Dentistry, Pa | Dentist | 17365 Us Hwy 441, Eustis, FL 32757 | 2016-12-15 |
| 1447603303 | Lake County Adult Activity Center Inc | Respite Care | 1934 N Donnelly St, Suite B, Mount Dora, FL 32757 | 2016-07-15 |
| 1871955724 | Sagir Patel | Dentist | 17365 Us Highway 441, Mount Dora, FL 32757 | 2016-03-22 |
| Find all providers in zip 32757 | ||||
| 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 |
|---|---|---|---|---|
| 1477169530 | Shivaun Markese Standley | Behavior Technician | 1718 Jefferson Dr, Mount Dora, FL 32757-4116 | 2020-09-23 |
| 1285266148 | Dorina Lea Kaplan | Behavior Technician | 30249 Cheval St, Mount Dora, FL 32757-7894 | 2020-02-09 |
| 1427527894 | Kelia Gomez | Behavior Technician | 411 N Donnelly St, Mount Dora, FL 32757-5598 | 2018-11-15 |
| 1679042097 | Anne Elyse Windham | Behavior Technician | 441 N Donnelly St, Mount Dora, FL 32757-5526 | 2018-11-14 |
| 1871008680 | Sonya Quiroz | Behavior Technician | 21038 Niles Ave, Mount Dora, FL 32757 | 2017-12-04 |
| 1043737661 | Erin N Booth | Behavior Technician | 411 N. Donnelly St., Suite 307, Mount Dora, FL 32757 | 2017-08-24 |
| 1215452644 | Luz Gabriella Cabrera | Behavior Technician | 411 N Donnelly St Ste 307, Mount Dora, FL 32757-5596 | 2017-08-07 |
| 1427593276 | Kenneth Stewart | Behavior Technician | 455 Belle Ayre Dr, Mount Dora, FL 32757-4621 | 2017-01-04 |
| 1609318286 | Samuel Mark Dickinson | Behavior Technician | 1134 E 10th Ave, Mount Dora, FL 32757-5129 | 2016-11-14 |
| 1477151793 | Nicholas Ramirez | Behavior Technician | 121 N Highland St, Mount Dora, FL 32757-5764 | 2020-10-09 |
| Find all providers in MOUNT DORA | ||||
| City | MOUNT DORA |
| Zip Code | 32757 |
Please comment or provide details below to improve the information on NICOLE IBANEZ.
| 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.