SADIE NOELLE WALLACE (NPI# 1538657051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538657051 |
| Entity Type | Individual |
| Full Name | SADIE NOELLE WALLACE |
| Practice Address |
445 Grace Ave Panama City FL 32401-2721 |
| Practice Telephone | 8508180095 |
| Mailing Telephone | 8508180095 |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
445 GRACE AVE |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32401-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063863231 | Focus On Behavior | Behavioral Analyst | 445 Grace Ave, Panama City, FL 32401-2721 | 2016-06-28 |
| 1669989489 | Elizabeth Anderson | Behavior Technician | 445 Grace Ave, Panama City, FL 32401-2721 | 2018-01-02 |
| 1235645342 | Savannah Faircloth | Behavior Technician | 445 Grace Ave, Panama City, FL 32401-2721 | 2017-12-27 |
| 1023524121 | Tami Hunter | Behavior Technician | 445 Grace Ave, Panama City, FL 32401-2721 | 2017-12-27 |
| 1639685738 | Malayna Martin | Behavior Technician | 445 Grace Ave, Panama City, FL 32401-2721 | 2017-12-27 |
| 1083120182 | Melissa Kunz | Behavior Technician | 445 Grace Ave, Panama City, FL 32401-2721 | 2017-12-27 |
| 1497108526 | Mary Somers | Behavioral Analyst | 445 Grace Ave, Panama City, FL 32401-2721 | 2016-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760946727 | Panama City Drugs | Pharmacy | 3127 East Bus 98, Panama City, FL 32401 | 2019-01-24 |
| 1154813418 | Karl Roger Metzger | Pharmacist | 306 S Macarthur Ave, Panama City, FL 32401 | 2018-06-03 |
| 1942703905 | Muhammad Eckhaus | Acupuncturist | 2401 West 15th Street, Panama City, FL 32401 | 2018-03-15 |
| 1922534171 | Wolford Family Practice Inc | Nurse Practitioner | 1027 E Business Hwy 98, Panama City, FL 32401 | 2017-05-10 |
| 1508397381 | Shoreline Medical Solutions & Dme, LLC | Durable Medical Equipment & Medical Supplies | 405 W Oak Ave Ste B, Panama City, FL 32401 | 2017-03-23 |
| 1679027189 | David Lawrence Angier | Behavioral Analyst | 904 Flower Ave, Panama City, FL 32401 | 2016-08-12 |
| 1427422369 | Kathy Purdessy | Nurse Practitioner | 801 E 6th St Ste 604, Panama City, FL 32401 | 2015-11-16 |
| 1881015154 | Anesthesia Unlimited Inc | Nurse Anesthetist, Certified Registered | 801 E 6th Stret, Ste 205, Panama City, FL 32401 | 2014-01-03 |
| 1598193765 | Lashunda Sherese Thomas | Social Worker | 2711 W. 15th St., Panama City, FL 32401 | 2013-10-24 |
| 1144654153 | Raymond Dretti Pacheco | Licensed Practical Nurse | 509 N Center Ave, Panama City, FL 32401 | 2013-08-27 |
| Find all providers in zip 32401 | ||||
| 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 |
|---|---|---|---|---|
| 1205462884 | Sarahi Berrios | Assistant Behavior Analyst | 3208 W 23rd St Unit 4, Panama City, FL 32405-1830 | 2020-03-16 |
| 1831695907 | Marcus Lakeith Young Sr. | Assistant Behavior Analyst | 626 N Gay Ave, Panama City, FL 32404-6110 | 2018-04-05 |
| 1043730591 | Auzoiya Williams | Assistant Behavior Analyst | 706 Mckenzie Ave Unit D, Panama City, FL 32401-2914 | 2017-06-26 |
| 1932649886 | Kerrie Russell | Assistant Behavior Analyst | 14732 Old Spikes Rd, Panama City, FL 32409-4637 | 2017-02-26 |
| 1841738184 | Alayna Kay Fife | Assistant Behavior Analyst | 1940 Karly Ct, Panama City, FL 32405-1469 | 2017-02-07 |
| 1922515444 | Christiana Elizabeth Vedder-abrams | Assistant Behavior Analyst | 4750 Collegiate Dr, Panama City, FL 32405-1000 | 2018-01-05 |
| 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 | PANAMA CITY |
| Zip Code | 32401 |
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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.