KACI R ELLIS (NPI# 1477170454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477170454 |
| Entity Type | Individual |
| Full Name | KACI R ELLIS |
| Credential | RBT |
| Practice Address |
4907 Nw 43rd St Ste C Gainesville FL 32606-2007 |
| Mailing Address |
6010 Nw 53rd Ter Gainesville FL 32653-3325 |
| Practice Telephone | 3523720047 |
| Mailing Telephone | 3865035098 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | RBT-20-125139 | FL | Behavioral Health & Social Service Providers |
| Street Address |
4907 NW 43RD ST STE C |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32606-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275561672 | Kelly Simpson | Occupational Therapist | 4907 Nw 43rd St Ste C, Gainesville, FL 32606-2007 | 2006-06-28 |
| 1639779689 | Deontre Young | Behavior Technician | 4907 Nw 43rd St Ste C, Gainesville, FL 32606-2007 | 2020-10-29 |
| 1598364564 | Dominique Aaron Jones | Behavior Technician | 4907 Nw 43rd St Ste C, Gainesville, FL 32606-2007 | 2020-10-21 |
| 1972100709 | Patricia Lynn Poag | Behavior Technician | 4907 Nw 43rd St Ste C, Gainesville, FL 32606-2007 | 2020-10-05 |
| 1629684246 | Diana Mary La Santa | Behavior Technician | 4907 Nw 43rd St Ste C, Gainesville, FL 32606-2007 | 2020-09-18 |
| 1376152496 | Yoldinie Nicoleau | Behavior Technician | 4907 Nw 43rd St Ste C, Gainesville, FL 32606-2007 | 2020-07-24 |
| 1598380073 | Jenna E Franklin | Behavior Technician | 4907 Nw 43rd St Ste C, Gainesville, FL 32606-2007 | 2020-06-10 |
| 1972138147 | Tyran Jones | Behavior Technician | 4907 Nw 43rd St Ste C, Gainesville, FL 32606-2007 | 2020-03-09 |
| 1356994016 | Allyson Akenberger | Behavior Technician | 4907 Nw 43rd St Ste C, Gainesville, FL 32606-2007 | 2019-07-22 |
| 1194295584 | Kayla Miller | Occupational Therapist | 4907 Nw 43rd St Ste C, Gainesville, FL 32606-2007 | 2018-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652389 | Michael James Watkins | Massage Therapist | 6418 Nw 39th Ave, Gainesville, FL 32606 | 2020-09-06 |
| 1073134813 | Sun View Counseling LLC | Counselor | 3550 Nw 87 Ter., Gainesville, FL 32606 | 2020-05-04 |
| 1588283568 | Jeena Kar | Student in an Organized Health Care Education/Training Program | Uf Psychiatry Residency Training, 4101 Nw 89th Boulevard, Rm 1796, Gainesville, FL 32606 | 2020-04-10 |
| 1467917864 | Marquetta Lee | Social Worker | 2772 Nw 43rd St, Ste C, Gainesville, FL 32606 | 2019-02-10 |
| 1376025742 | Jacob Sanow | Student in an Organized Health Care Education/Training Program | 5200 Nw 43rd St Unit 401, Gainesville, FL 32606 | 2018-09-03 |
| 1750878393 | Taylor Brown | Occupational Therapist | 3850 Nw 83rd St # 201, Gainesville, FL 32606 | 2018-04-19 |
| 1568914471 | Bernard Mitchll | Behavior Technician | 3515 Nw 60th Terrace, Gainesville, FL 32606 | 2016-10-26 |
| 1760839534 | Nancy Christiana Collins | Counselor | 4907 Nw 43rd St C., Gainesville, FL 32606 | 2016-05-20 |
| 1730553140 | Dawn Johnson O'byrne | Counselor | 4041 Nw 37th Place, Suite A, Gainesville, FL 32606 | 2015-11-23 |
| 1225424815 | Dianne Voitle | Acupuncturist | 2727b N.w. 43rd St. Suite 8, Gainesville, FL 32606 | 2015-04-09 |
| Find all providers in zip 32606 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1093358541 | Florida Autism Center | Assistant Behavior Analyst | 1220 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2019-10-28 |
| 1265886139 | Steven Craig | Assistant Behavior Analyst | 1015 Nw 56th Terrace, Gainesville, FLORIDA 32605 | 2016-04-18 |
| 1275091399 | Fabian Reyes | Assistant Behavior Analyst | 1408 Nw 6th St, Gainesville, FL 32601-4020 | 2019-03-07 |
| 1467997247 | Vanessa Marie Larson | Assistant Behavior Analyst | 1015 Nw 56th Ter, Gainesville, FL 32605-4481 | 2017-01-03 |
| 1801331723 | Samuel Lane Morris | Assistant Behavior Analyst | 1015 Nw 56th Ter, Gainesville, FL 32605-4481 | 2017-01-02 |
| 1932568557 | Janelle Kirstie Bacotti | Assistant Behavior Analyst | 1015 Nw 56th Ter, Gainesville, FL 32605-4481 | 2016-02-11 |
| 1972971372 | Florida Autism Center | Assistant Behavior Analyst | 1015 Nw 56th Ter, Gainesville, FL 32605-4481 | 2015-09-02 |
| 1992188593 | Daniel Conine | Assistant Behavior Analyst | 945 Center Dr, Gainesville, FL 32611-2026 | 2015-07-01 |
| 1457740896 | Amanda Sagarian | Assistant Behavior Analyst | 2035 Sw 75th St Ste B, Gainesville, FL 32607-3425 | 2015-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305924 | Irialis Gonzalez Gutierrez | Assistant Behavior Analyst | 6261 W Flagler St Apt 22, Miami, FL 33144-3024 | 2020-10-28 |
| 1265031157 | Raquel Daetz Garcia | Assistant Behavior Analyst | 11262 Sw 230th Ter, Miami, FL 33170-7612 | 2020-10-21 |
| 1790383149 | Jorge L Hernandez Aguilar | Assistant Behavior Analyst | 14236 Sw 91st St, Miami, FL 33186-7802 | 2020-10-16 |
| 1114525839 | Stepping Stones Supports LLC | Assistant Behavior Analyst | 5221 Nw 81st Ter, Lauderhill, FL 33351-5050 | 2020-10-14 |
| 1912505884 | Maria Matilde Alonso Urquijo | Assistant Behavior Analyst | 7317 Sw 22nd St, Miami, FL 33155-1426 | 2020-10-13 |
| 1093312647 | Rody Blanco | Assistant Behavior Analyst | 18512 Field Club Way, Tampa, FL 33647-1823 | 2020-10-07 |
| 1699372870 | Karen Zhao | Assistant Behavior Analyst | 8303 Sw 107th Ave Apt A, Miami, FL 33173-3805 | 2020-10-01 |
| 1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
| 1689281453 | Betsy Escobar Lozada | Assistant Behavior Analyst | 601 Ludlam Dr Apt 1, Miami Springs, FL 33166-4971 | 2020-09-25 |
| 1710593991 | Odalis De Las Mercedes Marrero | Assistant Behavior Analyst | 6502 Blue Ribbon Ln Apt 301, Tampa, FL 33625-2480 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 32606 |
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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.