GARY DONALD KOCISZEWSKI JR. (NPI# 1285148841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285148841 |
| Entity Type | Individual |
| Full Name | GARY DONALD KOCISZEWSKI JR. |
| Practice Address |
4920 Traskwood Ct Tampa FL 33624 |
| Mailing Address |
4920 Traskwood Ct Tampa FL 33624-1059 |
| Practice Telephone | 7272148041 |
| Mailing Telephone | 7272148041 |
| Enumeration Date | 2017-11-18 |
| Last Update Date | 2018-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 Fairway Dr Ste 102, Deerfield Beach, FL 334411817 | 8888809270 |
| Street Address |
4920 TRASKWOOD CT |
| City | TAMPA |
| State | FL |
| Zip Code | 33624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617380 | Transforming Treasures LLC | Behavioral Analyst | 4810 Centerbrook Ct, Tampa, FL 33624 | 2020-07-30 |
| 1467097642 | Sherryl Lynn Johnson-hanna | Dietitian, Registered | 4904 Rambling Rose Place, Tampa, FL 33624 | 2019-11-12 |
| 1679125926 | Nurse Practitioner On The Go | In Home Supportive Care | 16411 Oak Manor Drive, Tampa, FL 33624 | 2019-07-16 |
| 1427547587 | Sylicia Marks | Counselor | 4105 Brentwood Park Cir, Tampa, FL 33624 | 2018-05-04 |
| 1407352917 | Shelley Von Hightower | Pharmacist | 5008 W. Linebaugh Ave, Suite 35, Tampa, FL 33624 | 2018-04-03 |
| 1972002178 | Zachary Winterberg | Specialist/Technologist | 3821 Northgreen Ave Apt 1407, Tampa, FL 33624 | 2018-02-03 |
| 1013423268 | Beyond Care Home Health LLC | Home Health | 3903 Northdale Bvld, 100e, Tampa, FL 33624 | 2017-12-26 |
| 1932611944 | Valerie Lauren Martinez | Behavior Technician | 14039 Wolcott Dr, Tampa, FL 33624 | 2017-10-31 |
| 1073038287 | Mesfin T Araya | Non-emergency Medical Transport (VAN) | 4403 Akita Dr, Tampa, FL 33624 | 2017-08-09 |
| 1730536806 | Matilde Alejandra Torallas Huerta | Marriage & Family Therapist | 3903 North Dale Blvd. Suite 100e, Tampa, FL 33624 | 2016-05-18 |
| Find all providers in zip 33624 | ||||
| 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 |
|---|---|---|---|---|
| 1528669892 | Yendria Not Daisson I | Behavior Technician | 2522 Auburn Ave W, Tampa, FL 33614-2802 | 2020-11-03 |
| 1154922581 | Eidis Lopez Roque | Behavior Technician | 8502 Rivershire Ct, Tampa, FL 33634-1114 | 2020-11-03 |
| 1558961862 | Yeney Martin Stevenson | Behavior Technician | 1105 Teakwood Ave, Tampa, FL 33613-1727 | 2020-10-27 |
| 1629677372 | Elaine A Peyno | Behavior Technician | 9042 Grateful Thomas Trl Apt 408, Tampa, FL 33626-1675 | 2020-10-23 |
| 1780283440 | Yissed Ortega Izquierdo | Behavior Technician | 4535 Castaway Dr Apt 1, Tampa, FL 33615-5181 | 2020-10-22 |
| 1790384600 | Thalia Arteaga Ferro | Behavior Technician | 18002 Richmond Place Dr Apt 2123, Tampa, FL 33647-1732 | 2020-10-21 |
| 1265030043 | Yaquelin Sanchez Gines | Behavior Technician | 6910 N Himes Ave, Tampa, FL 33614-4034 | 2020-10-13 |
| 1003414103 | Roman Anthony Pinheiro | Behavior Technician | 8001 Beaty Grove Dr Fl 33626, Tampa, FL 33626-1602 | 2020-10-12 |
| 1790382067 | Zuriam Alonso | Behavior Technician | 4850 Foxshire Cir, Tampa, FL 33624-4316 | 2020-10-08 |
| 1912504606 | Erica Peckens O'connor | Behavior Technician | 15216 Alexis Dr, Tampa, FL 33624-2347 | 2020-10-06 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on GARY DONALD KOCISZEWSKI JR..
| 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.