MACKENZIE HODGE (NPI# 1326646001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326646001 |
| Entity Type | Individual |
| Full Name | MACKENZIE HODGE |
| Practice Address |
12505 Starkey Rd Ste K Largo FL 33773-2617 |
| Mailing Address |
1200 4th St N Apt 411 St Petersburg FL 33701-1728 |
| Practice Telephone | 7272806643 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| 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 |
12505 STARKEY RD STE K |
| City | LARGO |
| State | FL |
| Zip Code | 33773-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679938187 | Leann Sarah Avila | Behavioral Analyst | 12505 Starkey Rd Ste K, Largo, FL 33773-2617 | 2015-12-28 |
| 1336740133 | Jourdan Rapaport | Behavior Technician | 12505 Starkey Rd Ste K, Largo, FL 33773-2617 | 2020-11-06 |
| 1245830959 | Brian Hasten | Behavior Technician | 12505 Starkey Rd Ste K, Largo, FL 33773-2617 | 2020-10-30 |
| 1457950602 | Elena Sakosky | Behavior Technician | 12505 Starkey Rd Ste K, Largo, FL 33773-2617 | 2020-10-20 |
| 1831796176 | Larissa Gray | Behavior Technician | 12505 Starkey Rd Ste K, Largo, FL 33773-2617 | 2020-10-08 |
| 1891300083 | Tiara Rowell | Behavior Technician | 12505 Starkey Rd Ste K, Largo, FL 33773-2617 | 2020-09-14 |
| 1043836240 | Chad Lada | Behavior Technician | 12505 Starkey Rd Ste K, Largo, FL 33773-2617 | 2020-06-23 |
| 1336765528 | Mallory Bizeau | Behavior Technician | 12505 Starkey Rd Ste K, Largo, FL 33773-2617 | 2020-06-23 |
| 1851927453 | Linda Arufe | Behavior Technician | 12505 Starkey Rd Ste K, Largo, FL 33773-2617 | 2020-03-16 |
| 1447885512 | Krista Burge | Behavior Technician | 12505 Starkey Rd Ste K, Largo, FL 33773-2617 | 2020-03-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144719 | Rosabelle Magloire Chism | Nurse Practitioner | 11542 92nd Street North, Largo, FL 33773 | 2020-08-10 |
| 1265040976 | Gulf Coast Mental Health Services LLC | Clinic/Center | 10641 Whittngton Court, Largo, FL 33773 | 2020-07-20 |
| 1770930190 | Albert H Thurlow IIi | Nurse Practitioner | 10471 Whittington Ct, Largo, FL 33773 | 2016-05-16 |
| 1700264660 | Logan Kienholz | Behavioral Analyst | 12505 Sarky Rd, Suite G, Largo, FL 33773 | 2015-05-12 |
| 1093121998 | Dorit Morecraft | Nurse Practitioner | 10641 Whittington Court, Largo, FL 33773 | 2014-07-11 |
| 1891135281 | Shameka Jones | Pharmacist | 12091 Starkey Rd, Largo, FL 33773 | 2013-06-28 |
| 1427496942 | Kim Hoang T Vo | Podiatrist | 12685 Starkey Road, Largo, FL 33773 | 2013-06-06 |
| 1104165729 | Aaron Rigali | Pharmacist | 11701 S Belcher Rd Ste 126, Largo, FL 33773 | 2013-02-01 |
| 1518249648 | Jolynn Renee Dyer | Occupational Therapist | 8254 118th Ave Unit 100, Unit 100, Largo, FL 33773 | 2011-09-14 |
| 1366720161 | Sally Donna Plink | Massage Therapist | 10671 104th Ave N, Seminole, FL 33773 | 2011-07-27 |
| Find all providers in zip 33773 | ||||
| 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 |
|---|---|---|---|---|
| 1700498151 | Christine Colon | Behavior Technician | 11474 119th Ter, Largo, FL 33778-2531 | 2020-08-18 |
| 1659858751 | Rachel Knapp | Behavior Technician | 7381 114th Avenue, Ste 405, Largo, FL 33773-5023 | 2018-07-23 |
| 1851805923 | Catherine Rosa | Behavior Technician | 11711 Leisure Ln E, Largo, FL 33773-4752 | 2017-11-27 |
| 1043737109 | Keleigh E Devlin | Behavior Technician | 12505 Starkey Road, Suite G, Largo, FL 33776 | 2017-08-29 |
| 1922520006 | Theresa L Mack | Behavior Technician | 2733 21st Avenue Sw, Largo, FL 33774-3377 | 2017-07-11 |
| 1609315910 | Dominique J Clark | Behavior Technician | 11216 108th Way, Largo, FL 33778-3320 | 2017-02-20 |
| 1336740133 | Jourdan Rapaport | Behavior Technician | 12505 Starkey Rd Ste K, Largo, FL 33773-2617 | 2020-11-06 |
| 1245830959 | Brian Hasten | Behavior Technician | 12505 Starkey Rd Ste K, Largo, FL 33773-2617 | 2020-10-30 |
| 1457950602 | Elena Sakosky | Behavior Technician | 12505 Starkey Rd Ste K, Largo, FL 33773-2617 | 2020-10-20 |
| 1831796176 | Larissa Gray | Behavior Technician | 12505 Starkey Rd Ste K, Largo, FL 33773-2617 | 2020-10-08 |
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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.