CASEY MORGAN CLARK (NPI# 1477072809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477072809 |
| Entity Type | Individual |
| Full Name | CASEY MORGAN CLARK |
| Practice Address |
2101 Arc Dr St Augustine FL 32084-0512 |
| Practice Telephone | (904) 824-7249 |
| Mailing Telephone | 9048247249 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |
| 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 |
|---|---|---|---|---|
| 1841853694 | Casey Clark | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Ambulatory Care Center 1st Floor, Toledo, OH 43608 | 2019-04-17 |
| 1174534085 | Casey Ryan Clark | Nurse Anesthetist, Certified Registered | 22234 Kennemer Ln, Athens, AL 35613-8162 | 2006-08-10 |
| 1306340286 | Casey Lane Clark | Student in an Organized Health Care Education/Training Program | 900 S Limestone Ctw 304, Lexington, KY 40536-0001 | 2018-03-23 |
| 1225542558 | Casey Daniel Clark | Nurse Practitioner | 230 Sheraton Blvd, Macon, GA 31210-1358 | 2017-11-22 |
| 1518308923 | Casey Clark | Registered Nurse | 815 Oberlin Rd, Raleigh, NC 27605-1300 | 2013-07-13 |
| 1184929648 | Casey M Clark | Physical Therapist | 100 Park St, Glens Falls, NY 12801-4413 | 2011-01-14 |
| 1174528871 | Casey J. Clark | Physical Therapist | 2170 S Lamar Blvd, Oxford, MS 38655-5224 | 2005-06-17 |
| Street Address |
2101 ARC DR |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32084-0512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568536274 | The Arc of The St Johns | Community/Behavioral Health | 2101 Arc Dr, St Augustine, FL 32084-0512 | 2006-11-17 |
| 1750923249 | Patrick Raymond Sparks | Assistant Behavior Analyst | 2101 Arc Dr, St Augustine, FL 32084-0512 | 2019-10-16 |
| 1073169009 | Mckenzie Lee Reilly | Behavior Technician | 2101 Arc Dr, St Augustine, FL 32084-0512 | 2019-08-15 |
| 1427604529 | Kelsey Feehan | Behavior Technician | 2101 Arc Dr, St Augustine, FL 32084-0512 | 2019-08-14 |
| 1891267324 | Jazmine Audrey Mcghee | Behavior Technician | 2101 Arc Dr, St Augustine, FL 32084-0512 | 2018-12-21 |
| 1861960775 | Erin Marie Harper | Behavior Technician | 2101 Arc Dr, St Augustine, FL 32084-0512 | 2018-11-08 |
| 1942784350 | Brandi Ciera Myles | Behavior Technician | 2101 Arc Dr, St Augustine, FL 32084-0512 | 2018-09-20 |
| 1730662560 | James Mcmillian Jr. | Behavior Technician | 2101 Arc Dr, St Augustine, FL 32084-0512 | 2018-09-07 |
| 1154808426 | Jude Dobbing | Behavior Technician | 2101 Arc Dr, St Augustine, FL 32084-0512 | 2018-07-19 |
| 1992200034 | Alexis Session | Behavior Technician | 2101 Arc Dr, St Augustine, FL 32084-0512 | 2018-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347599 | Cody Martyn | Pharmacist | 955 Fl-16, St. Augustine, FL 32084 | 2020-08-18 |
| 1912562471 | Kjcares Suportive Living Services | Case Manager/Care Coordinator | 20 First Street, Apt 5, St. Augustine, FL 32084 | 2019-05-09 |
| 1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
| 1568954576 | Gwendolyn Marie Spong | Nurse Practitioner | 2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, FL 32084 | 2018-06-05 |
| 1770940116 | Marian L. Turner-sharpton, Lcsw | Social Worker | 17 Pacific St., Suite 2 (growth Pointe), St. Augustine, FL 32084 | 2016-01-15 |
| 1710358932 | Florida Laboratory Analysis, LLC | Clinical Medical Laboratory | 1690 Us Highway 1 S Ste D, St Augustine, FL 32084 | 2015-10-14 |
| 1780064774 | J Mae Transportation | Non-emergency Medical Transport (VAN) | 28 N Whitney St Apt 404, St Augustine, FL 32084 | 2015-06-04 |
| 1497154520 | Suzanne Smith Weed | Nurse Practitioner | 32 Mulberry Street, Saint Augustine, FL 32084 | 2014-08-14 |
| 1447684469 | Rachel Moran | Counselor | 162 Oneida Street, St. Augustine, FL 32084 | 2013-08-27 |
| 1932545993 | Matrix Medical, LLC | Durable Medical Equipment & Medical Supplies | 56 S Dixie Hwy Ste 1, St Augustine, FL 32084 | 2013-05-17 |
| Find all providers in zip 32084 | ||||
| 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 |
|---|---|---|---|---|
| 1639782022 | Cathleen Cotton | Behavior Technician | 3440 Us Highway 1 S Ste 202, St Augustine, FL 32086-6363 | 2020-08-26 |
| 1821607235 | Teresa Lynn Rodriguez | Behavior Technician | 581 Porta Rosa Cir, St Augustine, FL 32092-4765 | 2020-07-31 |
| 1366083743 | Olivia Hernandez | Behavior Technician | 3440 Us 1 S Ste 201, St Augustine, FL 32086-6363 | 2019-10-07 |
| 1821575549 | Haley Mundy | Behavior Technician | 3440 Us 1 S Ste 202, St Augustine, FL 32086-6363 | 2018-07-25 |
| 1972029452 | Lori Ann Gahles | Behavior Technician | 124 Capulet Dr Ste 102, St Augustine, FL 32092-4538 | 2017-08-16 |
| 1588101109 | Kelly Marie Hankins | Behavior Technician | 200 Summer Breeze Way, Apartment 113, St Augustine, FL 32086-1834 | 2017-01-20 |
| 1275134827 | Erin Holtz | Behavior Technician | 124 Capulet Dr, St Augustine, FL 32092-4537 | 2020-11-02 |
| 1326653353 | Sarah Ashley Lewis | Behavior Technician | 124 Capulet Dr Ste 102, St Augustine, FL 32092-4538 | 2020-09-15 |
| 1952914210 | Sara Foreman | Behavior Technician | 124 Capulet Dr Ste 102, St Augustine, FL 32092-4538 | 2020-08-26 |
| 1386261394 | Alexandra Lindsay Hahn | Behavior Technician | 124 Capulet Dr Ste 102, St Augustine, FL 32092-4538 | 2020-06-26 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32084 |
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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.