DONNA BEARDEN


Address: 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746
Phone: 9045380713

DONNA BEARDEN (NPI# 1588107312) 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) 1588107312
Entity Type Individual
Full Name DONNA BEARDEN
Credential QASP
Practice Address 10175 Fortune Pkwy
Suite 903
Jacksonville
FL 32256-6746
Mailing Address 782 Foxridge Center Dr
Orange Park
FL 32065-5776
Practice Telephone 9045380713
Practice Fax Number 9045380714
Mailing Telephone 9045380713
Mailing Fax Number 9045380714
Enumeration Date 2016-11-28
Last Update Date 2016-11-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Other Providers DONNA BEARDEN

NPI Name Taxonomy Address Enumeration
1245589514 Donna Kaye Bearden Nurse Practitioner 6734 Lee Hwy, Chattanooga, TN 37421-2423 2012-09-02
1790843894 Donna Bearden Technician 1600 Gratiot Blvd, Marysville, MI 48040-1145 2006-12-04
1023063559 Donna Bearden Internal Medicine 619 19th Street South, Birmingham, AL 35233 2006-05-23

Office Location

Street Address 10175 FORTUNE PKWY
SUITE 903
City JACKSONVILLE
State FL
Zip Code 32256-6746

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730100587 Mohammad Farooque Psychiatry & Neurology 10175 Fortune Pkwy, Suite #1106, Jacksonville, FL 32256-6746 2006-07-21
1902430614 Delana Dampier Technician 10175 Fortune Pkwy, Jacksonville, FL 32256-6746 2020-03-03
1336780907 Sunshine Medical Specialists, LLC Pediatrics 10175 Fortune Pkwy, Jacksonville, FL 32256-6746 2019-10-03
1376079905 Ashley Raynor Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2017-05-02
1952834434 Mollie Gibson Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2017-04-11
1720511728 Desiree Adams Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2017-04-06
1538691555 Meghan Rhegness Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2017-03-29
1568906048 Alicia Miller Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2016-12-19
1417491036 Mary Moore Behavioral Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2016-12-16
1720522352 Lavyn Taylor Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2016-12-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841890464 Alice Sanchez Dietitian, Registered 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 2020-11-01
1093327702 Oaktree Dental LLC Clinic/Center 14595 Philips Highway, Jacksonville, FL 32256 2020-08-24
1538787866 Tywanna Council Massage Therapist 4720 Salisbury Road #102, Jacksonville, FL 32256 2020-07-13
1275155368 Christy Orellana Social Worker 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 2020-05-11
1376175117 Diane Stover Case Manager/Care Coordinator 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 2020-02-10
1982235859 Sandra Josefina Baez Nunez Nurse Practitioner 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 2020-01-30
1205476496 Point Meadows Dental Center, Inc. Dentist 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 2020-01-15
1598324113 Dhaval Yogeshkumar Shah Dentist 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 2019-06-07
1003472499 Dade Medical, Inc. Durable Medical Equipment & Medical Supplies 9143 Philips Highway Suite 270, Jacksonville, FL 32256 2019-05-13
1003479726 Nichole Bashara Behavior Technician 8383 Baymeadows Rd, Jacksonville, FL 32256 2019-04-18
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215544424 Brianna Rene Lavoie Behavior Technician 113g N Marine Blvd, Jacksonville, NC 28540-6508 2020-09-30
1013524925 Renee Cherie Titus Behavior Technician Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 2020-09-24
1558977330 Samantha Jo Gilmore Behavior Technician 2893 Post St Apt 4, Jacksonville, FL 32205-7447 2020-09-17
1639784135 Rhianna Fiona Valencia Behavior Technician 7718 Tunica Ct, Jacksonville, FL 32244-8169 2020-09-11
1710590302 Olivia Link Behavior Technician 2525 Dunn Ave Ste 2, Jacksonville, FL 32218-4680 2020-08-25
1821600768 Emily Mary Ross Behavior Technician 2869 Post St, Jacksonville, FL 32205-7456 2020-08-21
1639789290 April Elaine Crews Behavior Technician 9000 Southside Blvd, Jacksonville, FL 32256-0793 2020-08-07
1225656937 Roxana Maldonado Behavior Technician 2425 Dunn Ave # Sre2, Jacksonville, FL 32218-4603 2020-07-09
1023639747 Maaria Chehab Behavior Technician 7668 Saw Timber Ln, Jacksonville, FL 32256-2354 2020-05-05
1255966024 Okeya Johnson Behavior Technician 7960 103rd St Apt 1205, Jacksonville, FL 32210-6659 2020-03-11
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Competitor

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City JACKSONVILLE
Zip Code 32256

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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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