TATIANA CORDOVA (NPI# 1366913436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366913436 |
| Entity Type | Individual |
| Full Name | TATIANA CORDOVA |
| Practice Address |
3151 Hardin Combee Rd Fl 33801 Lakeland FL 33801-3019 |
| Practice Telephone | 8636657300 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548537350 | Tatiana Cordova | Family Medicine | 903 W Martin St, San Antonio, TX 78207-0903 | 2011-11-22 |
| Street Address |
3151 HARDIN COMBEE RD FL 33801 |
| City | LAKELAND |
| State | FL |
| Zip Code | 33801-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
| 1932719242 | Jimia Watkins | Home Health Aide | 2410 Lakeview St, Lakeland, FL 33801 | 2020-08-03 |
| 1396366886 | Erin Zimmer | Health Educator | 491 Lake Parker Ave, Lakeland, FL 33801 | 2020-05-06 |
| 1013473206 | Madelyn Claire Burley | Occupational Therapist | 1215 East Orange Street, Lakeland, FL 33801 | 2019-02-13 |
| 1992260319 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 1617 Us Highway 98 S, Lakeland, FL 33801 | 2019-02-11 |
| 1669908836 | Integrative Physical Medicine of Lakeland LLC | Specialist | 1205 East Magnolia St, Suite 105, Lakeland, FL 33801 | 2017-05-10 |
| 1689111502 | Daryl Dowding | Counselor | 390 Alcaia Rd., Lakeland, FL 33801 | 2017-01-30 |
| 1023481926 | Joseph D'alessandro | Specialist/Technologist | 111 Lake Hollingsworth Dr Box 4334, Lakeland, FL 33801 | 2015-11-02 |
| 1588030894 | Donna Lee Buckner | Specialist/Technologist | 111 Mosswood Road, Lakeland, FL 33801 | 2015-08-20 |
| 1144635780 | Donna Paige Mccraney | Nurse Practitioner | 111 Lake Hollingsworth Drive, Florida Southern College Student Health Center, Lakeland, FL 33801 | 2014-06-23 |
| Find all providers in zip 33801 | ||||
| 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 |
|---|---|---|---|---|
| 1851990154 | Caitlin Shultz | Behavior Technician | 1604 Unitah Ave, Lakeland, FL 33803-1946 | 2020-10-19 |
| 1881202034 | Yenisleidy Alonso Herrera | Behavior Technician | 4040 Marie Dr, Lakeland, FL 33813-3932 | 2020-07-14 |
| 1356965297 | Deyshawnta Gardner | Behavior Technician | 2920 Morgan Combee Rd, Lakeland, FL 33801-2940 | 2020-06-06 |
| 1720549116 | Joy Marie Dresser | Behavior Technician | 1284 Devin Oaks Ct Fl 33811, Lakeland, FL 33811-2383 | 2019-03-27 |
| 1124584305 | Katherine Harris | Behavior Technician | 600 Lake Hollingsworth Dr, Lakeland, FL 33803-2364 | 2019-02-13 |
| 1891261970 | Juneelym Figueroa | Behavior Technician | 921 E Parker St Ste 1, Lakeland, FL 33801-1901 | 2018-10-16 |
| 1396242020 | Mabel V Aportela | Behavior Technician | 2346 Sebago Dr, Lakeland, FL 33805-8005 | 2018-04-09 |
| 1154828887 | Elena Antonia Garces Quintana | Behavior Technician | 10950 Sportsman Trl, Lakeland, FL 33809-1160 | 2018-04-09 |
| 1124527163 | Ashley Lois Jenkins | Behavior Technician | 4922 Wildflower Dr, Lakeland, FL 33811-1565 | 2018-02-05 |
| 1093228710 | Amauris Matias Mayo | Behavior Technician | 738 Park Hill Ave, Lakeland, FL 33801-5533 | 2017-11-16 |
| Find all providers in LAKELAND | ||||
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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.