JAIME SANTOS MEDINA (NPI# 1356940241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356940241 |
| Entity Type | Individual |
| Full Name | JAIME SANTOS MEDINA |
| Practice Address |
1881 Nw 123rd Ave Pembroke Pines FL 33026-3825 |
| Mailing Address |
2514 Adams St Hollywood FL 33020-5325 |
| Practice Telephone | 9545895697 |
| Mailing Telephone | 7864997778 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-138120 | FL | Behavioral Health & Social Service Providers |
| Street Address |
1881 NW 123RD AVE |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891206595 | Rescatadores De Angeles, LLC. | Community/Behavioral Health | 1881 Nw 123rd Ave, Pembroke Pines, FL 33026-3825 | 2017-10-20 |
| 1568060556 | Addis Roque Cabrera | Behavior Technician | 1881 Nw 123rd Ave, Pembroke Pines, FL 33026-3825 | 2020-10-13 |
| 1902404114 | Cinthia Planes Rodriguez | Behavior Technician | 1881 Nw 123rd Ave, Pembroke Pines, FL 33026-3825 | 2020-10-12 |
| 1376140095 | Kirenia Oliver Romero | Behavior Technician | 1881 Nw 123rd Ave, Pembroke Pines, FL 33026-3825 | 2020-10-06 |
| 1407462484 | Laurent Alexander Manaure | Behavior Technician | 1881 Nw 123rd Ave, Pembroke Pines, FL 33026-3825 | 2020-09-16 |
| 1366058281 | Rosa Perez Rangel | Behavior Technician | 1881 Nw 123rd Ave, Pembroke Pines, FL 33026-3825 | 2020-09-16 |
| 1881209906 | Danay Sardinas | Behavior Technician | 1881 Nw 123rd Ave, Pembroke Pines, FL 33026-3825 | 2020-09-15 |
| 1972118644 | Oramis Rodriguez | Behavior Technician | 1881 Nw 123rd Ave, Pembroke Pines, FL 33026-3825 | 2020-09-10 |
| 1801408968 | Judith Chavez | Behavior Technician | 1881 Nw 123rd Ave, Pembroke Pines, FL 33026-3825 | 2020-08-20 |
| 1538770946 | Adriano Fernandez | Behavior Technician | 1881 Nw 123rd Ave, Pembroke Pines, FL 33026-3825 | 2020-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| 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 |
|---|---|---|---|---|
| 1235745399 | Christina Viard | Behavior Technician | 310 Nw 76th Ave, Pembroke Pines, FL 33024-7012 | 2020-09-23 |
| 1619584794 | Yelissa Roca Mendez | Behavior Technician | 7780 Nw 13th St, Pembroke Pines, FL 33024-5266 | 2020-09-23 |
| 1386259398 | Patricia Alvarez | Behavior Technician | 13250 Sw 7th Ct Apt 402l, Pembroke Pines, FL 33027-6474 | 2020-09-15 |
| 1033724695 | May Grissell Caro | Behavior Technician | 228 Sw 83rd Way Unit 204, Pembroke Pines, FL 33025-5414 | 2020-09-10 |
| 1003421926 | Virginia Rojas | Behavior Technician | 510 Sw 176th Ave, Pembroke Pines, FL 33029-4007 | 2020-09-09 |
| 1982218319 | Ricardo D Rivero | Behavior Technician | 19435 Sw 14th St, Pembroke Pines, FL 33029-6123 | 2020-09-02 |
| 1265044457 | Tarah Mysorewala | Behavior Technician | 19420 Nw 3rd Ct, Pembroke Pines, FL 33029-3238 | 2020-08-19 |
| 1023629573 | Maria Del Pilar Luna Salgado | Behavior Technician | 21701 Nw 3rd St, Pembroke Pines, FL 33029-1038 | 2020-08-10 |
| 1265043731 | Noale J Goodwin | Behavior Technician | 611 Sw 71st Ave, Pembroke Pines, FL 33023-1043 | 2020-08-10 |
| 1215548730 | Janyle Chen | Behavior Technician | 2201 Nw 188th Ave, Pembroke Pines, FL 33029-3829 | 2020-08-10 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
Please comment or provide details below to improve the information on JAIME SANTOS MEDINA.
| 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.