WHITE INDUSTRIES, LLC (NPI# 1487148383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487148383 |
| Entity Type | Organization |
| Organization Name | WHITE INDUSTRIES, LLC |
| Other Organization Name | BACK 2 BASICS BEHAVIOR THERAPY |
| Practice Address |
2808 Hawks Landing Blvd Panama City FL 32405-6659 |
| Practice Telephone | 6159487203 |
| Mailing Telephone | 6159487203 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |
| Authorized Official Name | MRS. ALICIA N WHITE (OWNER/OPERATOR) |
| Authorized Official Telephone | 6159487203 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 017740500 | 05 |
| Other Name | Type Code |
|---|---|
| Back 2 Basics Behavior Therapy | Doing Business As Name - Organization |
| Street Address |
2808 HAWKS LANDING BLVD |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-6659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083910509 | Alicia N White | Spec/Tech, Health Info | 2808 Hawks Landing Blvd, Panama City, FL 32405 | 2011-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1811403710 | Sara Bond | Behavioral Analyst | 4324 W 20th St Apt J309, Panama City, FL 32405-1450 | 2017-12-14 |
| 1417462607 | Claudia Michelle Whitmarsh | Behavioral Analyst | 7120 Patronis Dr Apt 1701, Panama City, FL 32408-5754 | 2017-12-10 |
| 1679027189 | David Lawrence Angier | Behavioral Analyst | 904 Flower Ave, Panama City, FL 32401 | 2016-08-12 |
| 1063863231 | Focus On Behavior | Behavioral Analyst | 445 Grace Ave, Panama City, FL 32401-2721 | 2016-06-28 |
| 1144678855 | Faith Olivia Woerner | Behavioral Analyst | 4750 Collegiate Dr., Panama City, FL 32405 | 2016-06-03 |
| 1063867612 | Brian Ellis | Behavioral Analyst | 5535 Pinetree Rd, Panama City, FL 32404-5164 | 2016-05-02 |
| 1205207024 | Mariah Leeann Dodd | Behavioral Analyst | 4750 Collegiate Drive, Panama City, FL 32405 | 2015-10-20 |
| 1649640053 | Charles Brent Martin | Behavioral Analyst | 203 Forest Park Cir, Suite E, Panama City, FL 32405-4916 | 2015-09-28 |
| 1689087751 | Kuryn Patterson | Behavioral Analyst | 2404 Ruth Hentz Ave Bldg B, Panama City, FL 32405-2258 | 2014-06-06 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
Please comment or provide details below to improve the information on WHITE INDUSTRIES, LLC.
| 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.