DAXTON FULK (NPI# 1609312339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609312339 |
| Entity Type | Individual |
| Full Name | DAXTON FULK |
| Practice Address |
1501 N Belcher Rd Ste 249 Clearwater FL 33765-1300 |
| Practice Telephone | 7277993330 |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1501 N BELCHER RD STE 249 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33765-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154707412 | Marc Weeden | Behavioral Analyst | 1501 N Belcher Rd Ste 249, Clearwater, FL 33765-1300 | 2015-08-09 |
| 1679127468 | Sheila Elyse Akhavan | Behavior Technician | 1501 N Belcher Rd Ste 249, Clearwater, FL 33765-1300 | 2019-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023654449 | Seawa Enterprise LLC | Durable Medical Equipment & Medical Supplies | 1802 North Belcher Road, Suite 100, Clearwater, FL 33765 | 2019-11-20 |
| 1962996140 | Jeremy Scott Martin | Clinic/Center | 2481 N.e. Coachman Rd, Clearwater, FL 33765 | 2018-06-20 |
| 1891172078 | Comprehensive Surgery Center LLC | Clinic/Center | 407 Aurora Ave, Clearwater, FL 33765 | 2015-04-27 |
| 1184050411 | Anthony Richard Cheslock | Dentist | 1831 Belcher Road North, 1-b, Clearwater, FL 33765 | 2013-09-18 |
| 1548609522 | Andrew S Cormier | Optometrist | 2288 Drew Street, Suite B, Clearwater, FL 33765 | 2013-06-23 |
| 1124372412 | Kelly Ann Potts | Acupuncturist | 112 Evelyn Avenue, Clearwater, FL 33765 | 2012-11-08 |
| 1235402876 | Jerry N Karasick | Chiropractor | 901 N. Hercules Ave, Ste C, Clearwater, FL 33765 | 2012-02-13 |
| 1538329362 | Aei Diagnostic Imaging LLC | Clinic/Center | 1831 N Belcher Road, D Building, Clearwater, FLORIDA 33765 | 2008-06-16 |
| 1700053311 | Loredana Repetto | Social Worker | 2329 Sunset Point Road, Suite 203, Clearwater, FL 33765 | 2008-05-13 |
| 1679741920 | Kussel & Associates Inc. | Podiatrist | 2378 Sunset Point Rd, Clearwater, FL 33765 | 2008-02-20 |
| Find all providers in zip 33765 | ||||
| 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 |
|---|---|---|---|---|
| 1437750403 | Phong Hai Huynh | Behavior Technician | 4173 105th Ave N, Clearwater, FL 33762-5461 | 2020-11-05 |
| 1770184210 | Sandra Shanice Campisi | Behavior Technician | 29228 Us-19 N, Clearwater, FL 33761 | 2020-11-02 |
| 1053928135 | Barbara Y Santelices | Behavior Technician | 1799 N Highland Ave Apt M168, Clearwater, FL 33755-2132 | 2020-09-23 |
| 1780292102 | Anthony Michael Esparza | Behavior Technician | 2481 Ne Coachman Rd Apt 901, Clearwater, FL 33765-1712 | 2020-07-22 |
| 1770140873 | Sierra Lynn Krecker | Behavior Technician | 29228 Us 19 N, Clearwater, FL 33761-2101 | 2019-05-23 |
| 1639636848 | Megan Schron | Behavior Technician | 2081 Powderhorn Dr, Clearwater, FL 33755-1358 | 2019-02-24 |
| 1528539467 | Sharit Melissa Kelley | Behavior Technician | 2666 N Mcmullen Booth Rd Apt 1032, Clearwater, FL 33761-4048 | 2018-12-17 |
| 1063901403 | Sheleaha C Egly I | Behavior Technician | 29288 Us Highway 19 N, Clearwater, FL 33761 | 2018-05-01 |
| 1194213397 | Lakshmi Cruz Galan | Behavior Technician | 1409 Alpine Rd Apt 12, Clearwater, FL 33755-1209 | 2018-04-24 |
| 1750887485 | Kimberly Winstead | Behavior Technician | 3455 Countryside Blvd, 90, Clearwater, FL 33761-3376 | 2018-04-02 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33765 |
Please comment or provide details below to improve the information on DAXTON FULK.
| 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.