JARED CHRISTIAN BLAKELY (NPI# 1538645064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538645064 |
| Entity Type | Individual |
| Full Name | JARED CHRISTIAN BLAKELY |
| Practice Address |
2431 Creighton Rd Pensacola FL 32504-7337 |
| Mailing Address |
3771 Stefani Rd Cantonment FL 32533-7795 |
| Practice Telephone | 8506076910 |
| Practice Fax Number | 8506076932 |
| Mailing Telephone | 8506076910 |
| Mailing Fax Number | 8506076932 |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 18-57505 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2431 CREIGHTON RD |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-7337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699282210 | Paul Villaruel | Behavior Technician | 2431 Creighton Rd, Pensacola, FL 32504-7337 | 2018-01-04 |
| 1487251252 | Kandia Latai Cooper | Behavior Technician | 2431 Creighton Rd, Pensacola, FL 32504-7337 | 2020-10-05 |
| 1043829559 | Francesca Mata | Behavioral Analyst | 2431 Creighton Rd, Pensacola, FL 32504-7337 | 2020-07-30 |
| 1700409604 | Jasmine Moronta | Behavior Technician | 2431 Creighton Rd, Pensacola, FL 32504-7337 | 2020-05-26 |
| 1881158152 | Georgia Jones | Behavior Technician | 2431 Creighton Rd, Pensacola, FL 32504-7337 | 2019-01-30 |
| 1497248074 | Dhivyaa Manickam | Behavior Technician | 2431 Creighton Rd, Pensacola, FL 32504-7337 | 2018-06-08 |
| 1205343738 | Robert Murray Jr. | Behavioral Analyst | 2431 Creighton Rd, Pensacola, FL 32504-7337 | 2018-01-05 |
| 1043727555 | Tyler Russell Steverson | Behavior Technician | 2431 Creighton Rd, Pensacola, FL 32504-7337 | 2018-01-05 |
| 1144737644 | Julie Ringer | Behavioral Analyst | 2431 Creighton Rd, Pensacola, FL 32504-7337 | 2018-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| 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 |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1093332942 | Abigail Irene Dudek | Behavior Technician | 6800 West Us-98, Pensacola, FL 32506 | 2020-06-26 |
| 1538655303 | Jessica Mooningham | Behavior Technician | 1003 Vernon St, Pensacola, FL 32504-7055 | 2018-07-05 |
| 1780191254 | Briana Jackson | Behavior Technician | 6800 W Highway 98, Pensacola, FL 32506-8969 | 2018-01-05 |
| 1699282210 | Paul Villaruel | Behavior Technician | 2431 Creighton Rd, Pensacola, FL 32504-7337 | 2018-01-04 |
| 1861905481 | Kendra Leah Garrett | Behavior Technician | 2500 Gulf Breeze Ave, Pensacola, FL 32507-2655 | 2017-11-06 |
| 1386184760 | Jessica Evans | Behavior Technician | 2500 Gulf Beach Hwy, Pensacola, FL 32507-2831 | 2017-03-03 |
| 1487251252 | Kandia Latai Cooper | Behavior Technician | 2431 Creighton Rd, Pensacola, FL 32504-7337 | 2020-10-05 |
| 1558976225 | Madison Posey | Behavior Technician | 1100 Airport Blvd Ste B, Pensacola, FL 32504-8622 | 2020-09-10 |
| 1447864715 | Patrick B Arrigo | Behavior Technician | 6800 W Highway 98, Pensacola, FL 32506-8969 | 2020-09-03 |
| Find all providers in PENSACOLA | ||||
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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.