KELLY A CANNON (NPI# 1437780004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437780004 |
| Entity Type | Individual |
| Full Name | KELLY A CANNON |
| Practice Address |
12537 Moon Rd Brooksville FL 34613-4154 |
| Practice Telephone | 3525847438 |
| Mailing Telephone | 3525847438 |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-01-31 |
| 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 |
|---|---|---|---|---|
| 1801494844 | Kelly Cannon | Massage Therapist | 83 Brokaw Blvd, Plainfield, NJ 07063-1067 | 2020-10-13 |
| 1992160451 | Kelly M Cannon | Nurse Practitioner | 205 N East Ave, Jackson, MI 49201-1753 | 2015-12-28 |
| 1558521245 | Kelly Schwartzenburg Cannon | Psychiatry & Neurology | 7777 Hennessy Blvd, Suite 6000, Baton Rouge, LA 70808-4300 | 2008-06-16 |
| 1891885661 | Kelly E Cannon | Nurse Anesthetist, Certified Registered | 690 Canton St, Suite 325, Westwood, MA 02090-2321 | 2006-10-13 |
| Street Address |
12537 MOON RD |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34613-4154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196836 | Izza Bazigh | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, Sr 50, Office of Graduate Medic, Brooksville, FL 34613 | 2020-05-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1407405822 | Medical Risk Solutions | Family Medicine | 12080 Cortez Blvd, Brooksville, FL 34613 | 2019-09-09 |
| 1528529245 | Edward Joseph Waseleski Jr. | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-26 |
| 1366903213 | Paresh Rangani | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-25 |
| 1225558034 | Whitney King | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, State Road 50, Brooksville, FL 34613 | 2017-06-22 |
| 1922450022 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 13217 Cortez Rd, Brooksville, FL 34613 | 2016-07-13 |
| 1992157408 | Arushi Goel | Internal Medicine | 11375 Cortez Boulevard, Oak Hill Hospital, Brooksville, FL 34613 | 2016-07-08 |
| 1366823122 | Monicka Stella Felix | Internal Medicine | 11375 Cortez Boulevard, Sr 50, Oak Hill Hospital, Gme Attn: Melissa Tammaro, Brooksville, FL 34613 | 2015-06-17 |
| 1790171700 | April Greer | Hearing Instrument Specialist | 13013 Cortez Blvd., Brooksville, FL 34613 | 2015-04-07 |
| Find all providers in zip 34613 | ||||
| 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 |
|---|---|---|---|---|
| 1710510912 | Nancy Anne Jacobs | Behavior Technician | 1268 Olmes Rd, Brooksville, FL 34601-2755 | 2020-02-16 |
| 1730710633 | Rebecca Aileen Fengarinas | Behavior Technician | 15287 Coot Rd, Brooksville, FL 34614-1630 | 2020-01-29 |
| 1376189332 | Laquakia Foy | Behavior Technician | 15 Shady Oak Villa Cir, Brooksville, FL 34601-3939 | 2019-11-25 |
| 1720634645 | Cassandrea Marie Bloxsom-joiner | Behavior Technician | 1211 Culbreath Rd, Brooksville, FL 34602-6003 | 2019-08-15 |
| 1427538909 | Haley Sabrina Haines | Behavior Technician | 27321 Azen Loop, Brooksville, FL 34602-7354 | 2018-08-15 |
| 1013412592 | Adam Gabriel Smith | Behavior Technician | 385 Union St Apt 39, Brooksville, FL 34601-3517 | 2018-03-27 |
| 1851806160 | Alexis Leigh Vojvodic | Behavior Technician | 20014 Wildwood Dr, Brooksville, FL 34601-1858 | 2017-12-08 |
| 1558874248 | Jesse Ramirez | Behavior Technician | 635 Iris St, Brooksville, FL 34601-3635 | 2017-11-16 |
| 1790300168 | Christine Marie Thomas | Behavior Technician | 1245 S Main St, Brooksville, FL 34601-5658 | 2020-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447099 | Allan Ramirez | Behavior Technician | 13805 Sw 26th Ter, Miami, FL 33175-6575 | 2020-11-08 |
| 1023619855 | Suselis Sanchez Gargallo | Behavior Technician | 65 E 34th St, Hialeah, FL 33013-2617 | 2020-11-06 |
| 1487255337 | Mabel Gonzalez | Behavior Technician | 95 E 34th St, Hialeah, FL 33013-2617 | 2020-11-06 |
| 1063013902 | Lisset Cruz Martinez | Behavior Technician | 671 E 63rd St, Hialeah, FL 33013-1152 | 2020-11-06 |
| 1144821984 | Lissette Maylene Garcia | Behavior Technician | 451 E 23rd St Apt 2, Hialeah, FL 33013-3949 | 2020-11-06 |
| 1750982518 | Jesus M Perez | Behavior Technician | 117 Nw 42nd Ave Apt 812, Miami, FL 33126-5430 | 2020-11-06 |
| 1922609783 | Ariday Sosa | Behavior Technician | 9600 Nw 25th St Ph Suite, Doral, FL 33172-1416 | 2020-11-06 |
| 1851992846 | Lumey Mendez | Behavior Technician | 1628 Nw 5th Pl, Cape Coral, FL 33993-5110 | 2020-11-05 |
| 1841891850 | Gicle Gonzalez | Behavior Technician | 10940 Sw 38th St, Miami, FL 33165-4442 | 2020-11-05 |
| 1437750403 | Phong Hai Huynh | Behavior Technician | 4173 105th Ave N, Clearwater, FL 33762-5461 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | BROOKSVILLE |
| Zip Code | 34613 |
Please comment or provide details below to improve the information on KELLY A CANNON.
| 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.