CATHERINE MARY CLARK (NPI# 1619584331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619584331 |
| Entity Type | Individual |
| Full Name | CATHERINE MARY CLARK |
| Credential | B.S. |
| Practice Address |
306 Anchors Pl Niceville FL 32578-2523 |
| Mailing Address |
7108 S Kanner Hwy Stuart FL 34997-7462 |
| Practice Telephone | 7124441578 |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2020-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-122133 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548826860 | Catherine Tagulao Clark | Assisted Living Facility | 9320 Cobble Mountain Rd, Bakersfield, CA 93313-5373 | 2019-05-13 |
| 1396226114 | Catherine Lynn Clark | Nurse Practitioner | 11866 Hastings Bridge Road, Lovejoy, GA 30250 | 2018-08-29 |
| 1477926954 | Catherine Clark | Occupational Therapist | 1 Olympic Place, Towson University Iwb, Suite 200, Towson, MD 21204 | 2015-11-05 |
| 1457755878 | Catherine Clark | Occupational Therapist | 1936 N Mohawk St, Apt 2, Chicago, IL 60614-5251 | 2014-10-14 |
| 1801126826 | Catherine Marie Clark | Licensed Practical Nurse | Bldg. 310, Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2010-01-14 |
| 1629220421 | Catherine Celeste Clark | Audiologist | 52 Lomb Memorial Dr, Rochester, NY 14623-5604 | 2008-10-13 |
| 1902029432 | Catherine Clark | Social Worker | 18 Lewis Ave, Great Barrington, MA 01230-1722 | 2007-04-11 |
| 1851414726 | Catherine M. Clark | Counselor | 3217 W Biddison St, Fort Worth, TX 76109-2906 | 2007-04-07 |
| 1861573156 | Catherine E Clark | Nurse Practitioner | 7887 E Belleview, Suite 1100, Englewood, CO 80111-6015 | 2006-10-17 |
| 1629609680 | Catherine Anne Clark | Clinical Nurse Specialist | 860 Potomac Cir, Aurora, CO 80011-6714 | 2020-01-29 |
| Street Address |
306 ANCHORS PL |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1518488949 | Michelle Sasala | Nurse Practitioner | 4550 E Highway 20, Niceville, FL 32578 | 2017-07-06 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| Find all providers in zip 32578 | ||||
| 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 |
|---|---|---|---|---|
| 1770191223 | Koralis Ayala | Behavior Technician | 1728 Lilaberry Ln, Niceville, FL 32578-8740 | 2020-07-21 |
| 1912524620 | Mandy M Letort | Behavior Technician | 4673 Fl-20, Niceville, FL 32578-3257 | 2020-06-29 |
| 1023525276 | April Chestnut Mcpherson | Behavior Technician | 4673 E Highway 20, Niceville, FL 32578-9796 | 2018-01-09 |
| 1235730656 | Jessica Percy | Behavior Technician | 80 College Blvd E, Niceville, FL 32578-1343 | 2020-11-03 |
| 1538769641 | Anna Harney | Behavior Technician | 80 College Blvd E, Niceville, FL 32578-1343 | 2020-10-28 |
| 1669072773 | Charlie Filson-dineen | Behavior Technician | 80 College Blvd E, Niceville, FL 32578-1343 | 2020-10-28 |
| 1750998563 | Brittney Engelbrecht | Behavior Technician | 80 College Blvd E, Niceville, FL 32578-1343 | 2020-09-25 |
| 1780290957 | Laura Ayotte | Behavior Technician | 1728 Lilaberry Ln, Niceville, FL 32578-8740 | 2020-09-22 |
| 1104432053 | Olivia Victor | Behavior Technician | 1728 Lilaberry Ln, Niceville, FL 32578-8740 | 2020-09-16 |
| 1295343861 | Giselle Guilles | Behavior Technician | 80 College Blvd E, Niceville, FL 32578-1343 | 2020-07-20 |
| Find all providers in NICEVILLE | ||||
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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.