CHARLES RUSSEL HOMER (NPI# 1265992879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265992879 |
| Entity Type | Individual |
| Full Name | CHARLES RUSSEL HOMER |
| Credential | RBT |
| Practice Address |
1340 Kenwood Rd West Palm Beach FL 33401-7408 |
| Practice Telephone | 5619323938 |
| Mailing Telephone | 5619323938 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-79673 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336260587 | Charles J Homer | Pediatrics | Nichq, 20 University Road, Cambridge, MA 02138 | 2007-04-03 |
| Street Address |
1340 KENWOOD RD |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33401-7408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831609254 | Mountaineer's Therapeutic Center, Inc. | Behavior Technician | 1340 Kenwood Rd, West Palm Beach, FL 33401-7408 | 2017-10-11 |
| 1528666799 | Meagan Leigh Del Valle | Occupational Therapist | 1340 Kenwood Rd, West Palm Beach, FL 33401-7408 | 2020-10-11 |
| 1477176162 | Mountaineer's School of Autism, Inc | Behavioral Analyst | 1340 Kenwood Rd, West Palm Beach, FL 33401-7408 | 2020-05-28 |
| 1700410933 | John Francis Lee Jr. | Behavior Technician | 1340 Kenwood Rd, West Palm Beach, FL 33401-7408 | 2020-02-26 |
| 1417410564 | Kiana A'launtra Favors | Behavior Technician | 1340 Kenwood Rd, West Palm Beach, FL 33401-7408 | 2019-04-07 |
| 1568929354 | Nicole Hunnings | Behavioral Analyst | 1340 Kenwood Rd, West Palm Beach, FL 33401-7408 | 2019-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1699338152 | Carly N Lupo | Social Worker | 700 S Rosemary Ave, Suite 204 Ofc 101, West Palm Beach, FL 33401 | 2019-04-19 |
| 1740752625 | Latasha Harper | Specialist | 512 N St, West Palm Beach, FL 33401 | 2018-12-17 |
| 1124595640 | Elin Nordegren | Counselor | 1555 Palm Beach Lakes Blvd Suite 1560, West Palm Beach, FL 33401 | 2018-11-02 |
| 1205318664 | Phanette Turene | Behavior Technician | 1720 N Congress Ave Apt B207, West Palm Beach, FL 33401 | 2018-09-02 |
| 1790277002 | Ashley Zarda | Developmental Therapist | 253 8th St, West Palm Beach, FL 33401 | 2018-06-01 |
| 1487162988 | Pinnacle Counseling Service Pllc | Social Worker | 1900 S Olive Avenue, West Palm Beach, FL 33401 | 2018-01-18 |
| 1245754027 | Patricia Caroscio | Dental Hygienist | 800 Clematis Street, West Palm Beach, FL 33401 | 2017-08-02 |
| 1255852562 | Dermnow Pa | Dermatology | 1500 N Flasler Dr #, 101, West Palm Beach, FL 33401 | 2017-06-28 |
| 1699204289 | Edward Gerardo Ortiz | Counselor | 1639 Forum Place Suite #7, West Palm Beach, West Palm Beach, FL 33401 | 2017-06-07 |
| Find all providers in zip 33401 | ||||
| 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 |
|---|---|---|---|---|
| 1861092736 | Meylin Hernadez Sr. | Behavior Technician | 4208 Palm Bay Cir Aprto, West Palm Beach, FL 33406 | 2020-10-29 |
| 1427658327 | Yused Ortega Izquierdo | Behavior Technician | 4208 Palm Bay Cir Apt C, West Palm Beach, FL 33406-9075 | 2020-10-29 |
| 1790384485 | Nadadja Hernandez Sanchez | Behavior Technician | 550 Toxaway Dr, West Palm Beach, FL 33413-1158 | 2020-10-22 |
| 1346849486 | Eilen Silador Utrera | Behavior Technician | 125 Dorothy Dr, West Palm Beach, FL 33415-1903 | 2020-10-20 |
| 1144829268 | Carlos J Lamadrid Hernandez | Behavior Technician | 711 Fernwood Dr, West Palm Beach, FL 33405-3509 | 2020-10-20 |
| 1336747112 | Perla Maria Salgado | Behavior Technician | 6800 Patricia Dr, West Palm Beach, FL 33413-3433 | 2020-10-13 |
| 1790383735 | Denice Suarez Machin | Behavior Technician | 5308 Bosque Ln Apt 76, West Palm Beach, FL 33415-2631 | 2020-10-12 |
| 1154928000 | Gerard Joseph Valerius Jr. | Behavior Technician | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-10-05 |
| 1043817034 | Breno William Laredo | Behavior Technician | 431 Executive Center Dr Apt 201, West Palm Beach, FL 33401-2966 | 2020-10-03 |
| 1265047963 | Dainerys Teresa Lopez | Behavior Technician | 2427 Florida St, West Palm Beach, FL 33406-4406 | 2020-09-10 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33401 |
Please comment or provide details below to improve the information on CHARLES RUSSEL HOMER.
| 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.