EMILY TISDALE (NPI# 1275987497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275987497 |
| Entity Type | Individual |
| Full Name | EMILY TISDALE |
| Practice Address |
13815 Devan Lee Dr E Jacksonville FL 32226-5868 |
| Practice Telephone | 9046135005 |
| Practice Fax Number | 9046969868 |
| Mailing Telephone | 9046135005 |
| Mailing Fax Number | 9046969868 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2018-10-27 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 782 Foxridge Center Dr, Orange Park, FL 320655776 | 9045380713 | 9045380714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366957011 | Emily Jane Tisdale | Behavioral Analyst | 1203 Us Highway 98 Ste 2a9, Daphne, AL 36526 | 2017-12-04 |
| Street Address |
13815 DEVAN LEE DR E |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32226-5868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417066614 | Amy Lynn Flood | Behavioral Analyst | 13815 Devan Lee Dr E, Jacksonville, FL 32226-5868 | 2006-08-30 |
| 1477173656 | Natalie Victoria Cotton | Behavior Technician | 13815 Devan Lee Dr E, Jacksonville, FL 32226-5868 | 2020-04-17 |
| 1396383915 | Kaitlyn Fox | Behavior Technician | 13815 Devan Lee Dr E, Jacksonville, FL 32226-5868 | 2019-12-13 |
| 1598303117 | Jordan Freeman | Behavior Technician | 13815 Devan Lee Dr E, Jacksonville, FL 32226-5868 | 2019-12-13 |
| 1275171894 | Mikaiah Truitt | Behavior Technician | 13815 Devan Lee Dr E, Jacksonville, FL 32226-5868 | 2019-12-13 |
| 1538707153 | Sean Vercellone | Behavior Technician | 13815 Devan Lee Dr E, Jacksonville, FL 32226-5868 | 2019-12-13 |
| 1972152247 | Brittany Burks | Behavior Technician | 13815 Devan Lee Dr E, Jacksonville, FL 32226-5868 | 2019-09-09 |
| 1881255651 | Rebecca Chafin | Behavior Technician | 13815 Devan Lee Dr E, Jacksonville, FL 32226-5868 | 2019-06-24 |
| 1164993572 | Ashley Polage | Behavior Technician | 13815 Devan Lee Dr E, Jacksonville, FL 32226-5868 | 2018-12-10 |
| 1124595210 | Maraschina Harris | Behavior Technician | 13815 Devan Lee Dr E, Jacksonville, FL 32226-5868 | 2018-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909501 | A1 Staffing, Inc | Acupuncturist | 17982 North Main Street, Jacksonvile, FL 32226 | 2020-07-20 |
| 1518422294 | Brittany Fennell | Dentist | 13201 New Berlin Rd, Jacksonville, FL 32226 | 2019-02-06 |
| 1922554252 | Debra Richards | Custodial Care Facility | 14121 Devan Lee Dr W, Jacksonville, FL 32226 | 2016-08-28 |
| 1750672333 | Kristen Duffney | Behavioral Analyst | 12665 White Cedar Trail, Jacksonville, FL 32226 | 2011-04-29 |
| 1780782466 | Alisha Stanford | Dentist | 3118 New Berlin Road, Suite 1, Jacksonville, FL 32226 | 2006-09-20 |
| 1760454037 | Christopher B Scuderi | Family Medicine | 3122 New Berlin Road, Uf New Berlin Family Medicin Center, Jacksonville, FL 32226 | 2006-02-02 |
| 1902418262 | Hannah Lynn Skipper | Pharmacist | 12387 Yellow Bluff Rd, Jacksonville, FL 32226 | 2020-08-18 |
| 1720500093 | Hope and A Future Ministries Inc | Counselor | 7334 Berry Ave, Jacksonville, FL 32226 | 2017-07-08 |
| 1447350988 | Kristan David Podvia | Dentist | 3118 New Berlin Road, Suite 1, Jacksonville, FL 32226 | 2006-09-24 |
| 1568560118 | Podvia and Stanford Dmds | Dentist | 3118 New Berlin Road, Suite 1, Jacksonville, FL 32226 | 2006-09-20 |
| Find all providers in zip 32226 | ||||
| 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 | 32226 |
Please comment or provide details below to improve the information on EMILY TISDALE.
| 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.