STACEY GOUZOS (NPI# 1265961544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265961544 |
| Entity Type | Individual |
| Full Name | STACEY GOUZOS |
| Practice Address |
29 Bernard Street Farmingdale NY 11735 |
| Mailing Address |
29 Bernard St Farmingdale NY 11735-3023 |
| Practice Telephone | (516) 376-7522 |
| Mailing Telephone | 5163767522 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-12 |
| 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 |
29 BERNARD STREET |
| City | FARMINGDALE |
| State | NY |
| Zip Code | 11735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073151197 | Center Island Massage PC | Massage Therapist | 34 Hempstead Turnpike, Suite E, Farmingdale, NY 11735 | 2019-12-19 |
| 1447736434 | Melanie Clampitt | Occupational Therapy Assistant | 158 Sunset Ave, Farmingdale, NY 11735 | 2018-07-13 |
| 1841789120 | I-ting Lin | Acupuncturist | 376 Fulton St. The Phoenix Eastern Medicine Center, Farmingdale, NY 11735 | 2018-05-02 |
| 1447767371 | Nashon Clark | Social Worker | 565 Broadhollow Rd Ste 6e, Farmingdale, NY 11735 | 2017-12-31 |
| 1336669639 | Robby Harris | Psychologist | 31 Lincoln Street, Farmingdale, NY 11735 | 2017-06-27 |
| 1962856450 | Integrated Medical Interventional Diagnostics PC | Registered Nurse | 1111 Broad Hollow Rd 110 Suite 114, Farmingdale, NY 11735 | 2016-04-20 |
| 1528433604 | Robert Gerard Jr. | Peer Specialist | 142-02 20th Aveune, Rosedale, NY 11735 | 2015-12-01 |
| 1750750329 | Glenda Lopez | Case Manager/Care Coordinator | 539 Broad Hollow Rd, Suite 202, Farmingdale, NY 11735 | 2015-09-24 |
| 1366849911 | Jeffrey Rosa | Counselor | 500 Bi-country Blvd, Suite 114, Farmingdale, NY 11735 | 2014-11-25 |
| 1871908749 | Pamela Scutellaro | Nurse Practitioner | 9 Elsie Lane, Farmingdale, NY 11735 | 2014-06-30 |
| Find all providers in zip 11735 | ||||
| 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 |
|---|---|---|---|---|
| 1023622099 | Juqueater Bryant | Behavior Technician | 3 Hynes Ct, Farmingdale, NY 11735-2259 | 2020-09-07 |
| 1871103820 | Patricia Lawrence | Behavior Technician | 500 Bi County Blvd Ste 450, Farmingdale, NY 11735-3995 | 2020-08-05 |
| 1770117251 | Ronnel Parham | Behavior Technician | 500 Bi County Blvd Ste 450, Farmingdale, NY 11735-3995 | 2020-02-24 |
| 1922630383 | Dominique Phillips | Behavior Technician | 500 Bi County Blvd Ste 450, Farmingdale, NY 11735-3995 | 2020-02-04 |
| 1407487929 | Cathy Skinner | Behavior Technician | 500 Bi County Blvd Ste 450, Farmingdale, NY 11735-3995 | 2020-02-03 |
| 1841821758 | Juan Gonzalez | Behavior Technician | 500 Bi County Blvd Ste 450, Farmingdale, NY 11735-3995 | 2020-01-29 |
| 1679103238 | Ruby Shridher | Behavior Technician | 500 Bi County Blvd Ste 450, Farmingdale, NY 11735-3995 | 2020-01-23 |
| 1881230613 | Kourtney Boles | Behavior Technician | 500 Bi County Blvd Ste 450, Farmingdale, NY 11735-3995 | 2019-11-27 |
| 1811533870 | Carla Nicolas | Behavior Technician | 500 Bi County Blvd Ste 450, Farmingdale, NY 11735-3995 | 2019-11-25 |
| 1174169130 | Kojo Pabi | Behavior Technician | 500 Bi County Blvd Ste 450, Farmingdale, NY 11735-3995 | 2019-11-25 |
| Find all providers in FARMINGDALE | ||||
| City | FARMINGDALE |
| Zip Code | 11735 |
Please comment or provide details below to improve the information on STACEY GOUZOS.
| 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.