MR. DERRICK MICHAEL KUGEL (NPI# 1619402187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619402187 |
| Entity Type | Individual |
| Full Name | MR. DERRICK MICHAEL KUGEL |
| Practice Address |
15004 Turtle Lake Ct Lutz FL 33559-7728 |
| Practice Telephone | 8137284276 |
| Mailing Telephone | 8137284276 |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | K240173944220 | FL | Behavioral Health & Social Service Providers |
| Street Address |
15004 TURTLE LAKE CT |
| City | LUTZ |
| State | FL |
| Zip Code | 33559-7728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286930 | Mark Cutler Behm | Dentist | 25464 Grand Cypress Dr, Lutz, FL 33559 | 2019-07-12 |
| 1659837656 | B&b Florida Eye Care Pllc | Optometrist | 25434 Sierra Center Boulevard, Lutz, FL 33559 | 2019-02-14 |
| 1457821076 | Roxanne Juliet Beaton | Counselor | 23540 State Rd. 54, Lutz, FL 33559 | 2018-11-26 |
| 1073097275 | Ivelisse Lopez Garcia | Social Worker | 4840 Tampa Downs Blvd Lutz, Tampa, FL 33559 | 2018-09-24 |
| 1134601735 | Brandon Baker | Specialist/Technologist | 15111 Buckhorn Court, Lutz, FL 33559 | 2018-08-30 |
| 1003314162 | Alpha and Omega Resource Center | Day Training, Developmentally Disabled Services | 15115 19th Street, Lutz, FL 33559 | 2018-01-24 |
| 1609391432 | Kristi Faye Steuber | Behavior Technician | 24021 Timberset Court, Lutz, FL 33559 | 2017-08-14 |
| 1245786185 | Costco Wholesale Corporation | Hearing Aid Equipment | 2225 Grand Cypress Drive, Lutz, FL 33559 | 2016-08-31 |
| 1245620632 | Tamara Ibrahim | Pharmacist | 14905 Deer Meadow Drive, Lutz, FL 33559 | 2015-01-23 |
| 1932520004 | Nueva Vida Alf II Inc | Respite Care | 2827 Max Smith Rd, Lutz, FL 33559 | 2013-12-17 |
| Find all providers in zip 33559 | ||||
| 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 |
|---|---|---|---|---|
| 1699335794 | Michaela C Elza | Behavior Technician | 18288 Us-41 S, Lutz, FL 33549 | 2019-06-19 |
| 1295233666 | Issac M Arroyo | Behavior Technician | 18288 Us 41, Lutz, FL 33548 | 2018-01-31 |
| 1437667573 | Jennifer Jones | Behavior Technician | 2501 Chateau Dr, Lutz, FL 33559-4006 | 2018-01-10 |
| 1609391432 | Kristi Faye Steuber | Behavior Technician | 24021 Timberset Court, Lutz, FL 33559 | 2017-08-14 |
| 1558807420 | Marlon Montero | Behavior Technician | 4612 Scott Rd, Lutz, FL 33558-4843 | 2017-01-16 |
| 1326648106 | Alexander Clayton Dabbs | Behavior Technician | 17815 Hunting Bow Cir, Lutz, FL 33558-5401 | 2020-10-29 |
| 1528668555 | Nyemba Musemuna | Behavior Technician | 18288 N Us Highway 41, Lutz, FL 33549-4400 | 2020-10-28 |
| 1265032734 | Elton De Jesus Perez | Behavior Technician | 17815 Hunting Bow Cir, Lutz, FL 33558-5401 | 2020-10-26 |
| 1033717244 | Alexa Sofia Gonzalez | Behavior Technician | 17815 Hunting Bow Cir, Lutz, FL 33558-5401 | 2020-10-12 |
| 1295341725 | Alexandra E Gingras | Behavior Technician | 18288 N Us Hwy 41, Lutz, FL 33549-4400 | 2020-09-21 |
| Find all providers in LUTZ | ||||
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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.