ERNISHA M SISTRUNK


Address: 6816 Southpoint Pkwy Ste 202, Jacksonville, FL 32216-1701
Phone: 9044197792

ERNISHA M SISTRUNK (NPI# 1275175408) 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) 1275175408
Entity Type Individual
Full Name ERNISHA M SISTRUNK
Credential BCABA
Practice Address 6816 Southpoint Pkwy Ste 202
Jacksonville
FL 32216-1701
Mailing Address 5717 Ortega Park Blvd
Jacksonville
FL 32244-4525
Practice Telephone 9044197792
Mailing Telephone 9045547818
Enumeration Date 2019-10-09
Last Update Date 2019-10-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106E00000X Assistant Behavior Analyst 0-19-10172 FL Behavioral Health & Social Service Providers

Office Location

Street Address 6816 SOUTHPOINT PKWY STE 202
City JACKSONVILLE
State FL
Zip Code 32216-1701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467605493 Adrienne Leigh Desantis King Psychologist 6816 Southpoint Pkwy Ste 202, Jacksonville, FL 32216-1701 2008-11-04
1770838872 Beacon Pediatric Behavioral Health Behavioral Analyst 6816 Southpoint Pkwy Ste 202, Jacksonville, FL 32216-1701 2012-07-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524925 Renee Cherie Titus Behavior Technician Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 2020-09-24
1811546575 First Coast Orthopedic Center, LLC Clinic/Center 4035 Southpoint Boulevard, Jacksonville, FL 32216 2019-09-05
1922578558 Fatima Hussain Crofton Optometrist 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 2018-11-27
1154802833 John-paul Pham Internal Medicine 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 2018-08-22
1790279479 Joseph Richard Kennedy Physician Assistant 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 2018-06-18
1801304357 Kelli M. Tyson Nurse Practitioner 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 2018-01-18
1376054809 Angela M Whittinghill Counselor 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 2017-10-24
1629508072 Zoryana Yufan Dentist 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 2017-06-19
1700318896 Christina Kaczmarek Behavior Technician 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 2017-03-29
1932640422 Loudine Racius Nurse Practitioner 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 2017-03-16
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Taxonomy Information

Taxonomy Code 106E00000X
Grouping Behavioral Health & Social Service Providers
Classification Assistant Behavior Analyst

Taxonomy Definition

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699319210 Elizabeth Mack Assistant Behavior Analyst 7929 Eaton Ave, Jacksonville, FL 32211-7848 2019-11-06
1093259095 Sherri Stinson Assistant Behavior Analyst 3011d John Paul Jones Ct, Jacksonville, FL 32221-2406 2016-12-09
1578066478 Ryan Moore Assistant Behavior Analyst 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 2018-03-16
1376079905 Ashley Raynor Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2017-05-02
1497280945 Thomas Ulwelling Assistant Behavior Analyst 9000 Cypress Green Dr, Jacksonville, FL 32256-7791 2017-04-21
1952834434 Mollie Gibson Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2017-04-11
1720511728 Desiree Adams Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2017-04-06
1538691555 Meghan Rhegness Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2017-03-29
1568906048 Alicia Miller Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2016-12-19
1720522352 Lavyn Taylor Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2016-12-16
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32216

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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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