JOHN MORTENSEN (NPI# 1609315225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609315225 |
| Entity Type | Individual |
| Full Name | JOHN MORTENSEN |
| Credential | BCABA |
| Practice Address |
175 Industrial Loop S Orange Park FL 32073-6217 |
| Practice Telephone | 9042690773 |
| Practice Fax Number | 9042699667 |
| Mailing Telephone | 9042690773 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 0-03-0899 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982056552 | John Mortensen | Optometrist | 204 W Mariposa Rd, Suite 24, Nogales, AZ 85621-1007 | 2016-07-07 |
| 1164664439 | John Raymond Mortensen | Anesthesiology | 300 S Arlington Ave, Reno, NV 89501-2002 | 2009-04-01 |
| 1023057130 | John W Mortensen | Radiology | 2 W Fern Ave, Redlands, CA 92373-5916 | 2006-06-05 |
| 1407802564 | John A Mortensen | Audiologist | 2255 S 108th St, West Allis, WI 53227-1107 | 2006-05-26 |
| Street Address |
175 INDUSTRIAL LOOP S |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-6217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| 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 |
|---|---|---|---|---|
| 1215450192 | Behavioral Solutions of Ne Fl Inc | Behavioral Analyst | 5472 Jackson Ave, Orange Park, FL 32073-7236 | 2017-07-21 |
| 1841657475 | Elena Labissiere | Behavioral Analyst | 2301 Park Ave Ste 201, Orange Park, FL 32073-5558 | 2016-01-27 |
| 1982077665 | Christina Riley | Behavioral Analyst | 782 Foxridge Center Dr, Orange Park, FL 32065-5776 | 2015-11-03 |
| 1518367572 | Jo Anne Hall | Behavioral Analyst | 2295 Richard Lee St, Orange Park, FL 32073-8588 | 2014-08-27 |
| 1982023834 | Marissa Chunn | Behavioral Analyst | 2015 Doctors Lake Dr, Orange Park, FL 32073-5410 | 2014-04-08 |
| 1063834059 | Maegan Howell | Behavioral Analyst | 1563 Kingsley Ave Ste 103, Orange Park, FL 32073 | 2014-01-10 |
| 1780938191 | Ashley Hooks | Behavioral Analyst | 3509 Us Highway 17, Orange Park, FL 32003-7122 | 2012-11-07 |
| 1881982759 | Pamela D Lively | Behavioral Analyst | 3543 Barrel Springs Dr, Orange Park, FL 32073-2238 | 2011-07-13 |
| 1003119504 | Kerri S. Licini | Behavioral Analyst | 1700 Wells Rd # 15-16, Orange Park, FL 32073-2337 | 2010-12-06 |
| 1003127481 | Florida Autism Consultants and Educational Services | Behavioral Analyst | 36 Knight Boxx Rd, Orange Park, FL 32065-7327 | 2010-06-30 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
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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.