KELLY LOUISE FESTA I (NPI# 1306341755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306341755 |
| Entity Type | Individual |
| Full Name | KELLY LOUISE FESTA I |
| Practice Address |
4522 Executive Dr Ste 201 Naples FL 34119-9014 |
| Mailing Address |
175 Middle St Unit 1201 Lake Mary FL 32746-3625 |
| Practice Telephone | 2393303500 |
| Mailing Telephone | 8666100580 |
| Mailing Fax Number | 8666100580 |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |
| 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 |
4522 EXECUTIVE DR STE 201 |
| City | NAPLES |
| State | FL |
| Zip Code | 34119-9014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063961233 | Alexandra Goodman | Behavioral Analyst | 4522 Executive Dr Ste 201, Naples, FL 34119-9014 | 2016-09-28 |
| 1780283119 | Molly Murray | Behavior Technician | 4522 Executive Dr Ste 201, Naples, FL 34119-9014 | 2020-10-17 |
| 1679180319 | Crysta Alfonso | Behavior Technician | 4522 Executive Dr Ste 201, Naples, FL 34119-9014 | 2020-09-27 |
| 1144854852 | Brittni Dean Colas | Behavior Technician | 4522 Executive Dr Ste 201, Naples, FL 34119-9014 | 2020-03-03 |
| 1982238051 | Daisy Gonzalez | Behavior Technician | 4522 Executive Dr Ste 201, Naples, FL 34119-9014 | 2020-02-27 |
| 1689205403 | Mari Elizabeth Ochoa | Behavior Technician | 4522 Executive Dr Ste 201, Naples, FL 34119-9014 | 2020-01-30 |
| 1972134807 | Evangeline Marie Herbert | Behavior Technician | 4522 Executive Dr Ste 201, Naples, FL 34119-9014 | 2020-01-29 |
| 1780227223 | Cherith Cole | Behavioral Analyst | 4522 Executive Dr Ste 201, Naples, FL 34119-9014 | 2019-10-28 |
| 1528615093 | Charlie Hernandez | Behavior Technician | 4522 Executive Dr Ste 201, Naples, FL 34119-9014 | 2019-08-20 |
| 1154974210 | Gianna Dubay | Behavior Technician | 4522 Executive Dr Ste 201, Naples, FL 34119-9014 | 2019-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553005 | Michael Spicuzza | Emergency Medical Technician, Intermediate | 3315 Grand Cypress Drive, #201, Naples, FL 34119 | 2020-03-23 |
| 1033771993 | Stephanie N Chandler | Nurse Practitioner | 6340 Pine Ridge Rd, Suite 201, Naples, FL 34119 | 2019-07-01 |
| 1174041701 | Bradley W. Coleman | Pharmacist | 3917 Upolo Lane, Naples, FL 34119 | 2017-09-04 |
| 1437676350 | Brenda A Schlueter | Clinic/Center | 7070 Venice Way Apt 2904, Naples, FL 34119 | 2017-08-23 |
| 1457760548 | Loving Care Home Health Agency, Inc. | Home Health | 2590 Northbrooke Plaza Drive, Suite 208, Naples, FL 34119 | 2014-08-04 |
| 1578971826 | Maria Rienzi | Physician Assistant | Physicians Regional Medical Group, 6101 Pine Ridge Rd, Naples, FL 34119 | 2014-07-31 |
| 1861832941 | Queanh N Phan | Dentist | 8855 Immokalee Rd, Suite 10, Naples, FL 34119 | 2013-07-03 |
| 1144505199 | Isabelle Faucher | Dietitian, Registered | 4522 Executive Dr Unit 103, Naples, FL 34119 | 2011-10-20 |
| 1528340973 | Amy Hemsworth | Pharmacist | 13520 Tamiami Trail N, Naples, FL 34119 | 2011-09-12 |
| 1437469970 | Marika Walker | Physician Assistant | 4513 Executive Dr., Naples, FL 34119 | 2010-10-18 |
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| 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 |
|---|---|---|---|---|
| 1467068684 | Armando Pichel | Behavior Technician | 4521 Beechwood Lake Dr, Naples, FL 34112-5263 | 2020-09-22 |
| 1811502321 | Ashley Andujar | Behavior Technician | 90 Cypress Way E Ste 60a, Naples, FL 34110-9275 | 2020-09-11 |
| 1750992897 | Erianny Del Rio Acosta | Behavior Technician | 5290 23rd Ave Sw, Naples, FL 34116-6822 | 2020-08-12 |
| 1902416449 | Yuri Alberto Padron | Behavior Technician | 5238 Johns St, Naples, FL 34113-8733 | 2020-08-07 |
| 1134737679 | Javier Alberto Fonseca Capote | Behavior Technician | 7635 Tara Cir Apt 108, Naples, FL 34104-7418 | 2020-07-21 |
| 1861017980 | Tania Gomez Matos | Behavior Technician | 118 7th St, Naples, FL 34113-8539 | 2020-06-15 |
| 1841825882 | Carol Quiroz Quiroz | Behavior Technician | 3210 La Costa Cir Apt 104, Naples, FL 34105-6618 | 2020-03-10 |
| 1023658762 | Amanda Lynn Hensley | Behavior Technician | 821 16th Ave Sw, Naples, FL 34117-2244 | 2020-01-10 |
| 1255974036 | Melisa Alvarez Leyva | Behavior Technician | 1195 Wildwood Lakes Blvd Apt 101, Naples, FL 34104-5814 | 2019-10-23 |
| 1275184160 | Mary Josephine Carney | Behavior Technician | 5050 Tamiami Trl N, Naples, FL 34103-2853 | 2019-09-23 |
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| 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.