ADDIS TARRERO MENDOZA


Address: 24801 Sw 130th Ave Apt 302, Princeton, FL 33032-4097
Phone: 7867201863

ADDIS TARRERO MENDOZA (NPI# 1487138871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487138871
Entity Type Individual
Full Name ADDIS TARRERO MENDOZA
Practice Address 24801 Sw 130th Ave Apt 302
Princeton
FL 33032-4097
Practice Telephone 7867201863
Mailing Telephone 7867201863
Enumeration Date 2018-09-20
Last Update Date 2020-07-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst FL Behavioral Health & Social Service Providers
N 106S00000X Behavior Technician 023263900 FL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 023263900 05

Office Location

Street Address 24801 SW 130TH AVE APT 302
City PRINCETON
State FL
Zip Code 33032-4097

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NPI Name Taxonomy Address Enumeration
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1366920878 Monica Elena Romero Behavior Technician 11503 Sw 239th Ter, Homestead, FL 33032 2018-08-06
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1780183830 Hilda Margarita Dominguez Nurse Practitioner 13464 Sw 277 Lane, Miami, FL 33032 2018-02-05
1053822759 Diane Jacqueline Macias Cuevas Behavior Technician 12833 Sw 252nd St Unit 203, Homestead, FL 33032 2017-10-20
1770094773 Nelly Rocio Sanchez Alvarez Behavior Technician 10921 Sw 244th Ter, Homestead, FL 33032 2017-10-17
1710496377 Yailen Degado Behavior Technician 13840 Sw 273 Ter, Homestead, FL 33032 2017-09-27
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043821770 Heather Whitney Cohen Behavioral Analyst 3208 Stillbrook Ln, Princeton, NJ 08540-6460 2020-08-15
1659832046 Amelia Guth Behavioral Analyst 201 Loetscher Pl Apt 202, Princeton, NJ 08540-5958 2019-03-27
1700357860 Autism and Behavioral Consultants, Inc. Behavioral Analyst 910 Highland Ave, Princeton, WV 24740-2906 2018-12-16
1396263786 Erin Ann Farreny Behavioral Analyst 1706 Muriel Ct, Princeton, NJ 08540-9570 2017-09-06
1760832752 Paris Day Henderson Behavioral Analyst 37 Goodnow Rd, Princeton, MA 01541-1602 2016-06-21
1235526997 Nicole Garmer Behavioral Analyst 2 Merwick Road, Princeton, NJ 08540 2015-04-21
1164700860 Sandra Giardino Behavioral Analyst 22 Mccomb Rd, Princeton, NJ 08540-1951 2011-07-28
1891282919 Christopher J Tallmadge Behavioral Analyst 2 Merwick Rd, Princeton, NJ 08540-5730 2018-04-13
1568968790 Ashley Wojno Behavioral Analyst 2 Merwick Rd, Princeton, NJ 08540-5730 2018-04-05
1386014231 Sarah Zambor Behavioral Analyst 2 Merwick Rd, Princeton, NJ 08540-5730 2015-10-05
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Competitor

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City PRINCETON
Zip Code 33032

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Dataset Information

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.

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