ATHENA BEHAVIOR ANALYSIS, LLC


Address: 1230 Fargo Dr, Melbourne, FL 32940-6901
Phone: 4243023643

ATHENA BEHAVIOR ANALYSIS, LLC (NPI# 1629687686) 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) 1629687686
Entity Type Organization
Organization Name ATHENA BEHAVIOR ANALYSIS, LLC
Practice Address 1230 Fargo Dr
Melbourne
FL 32940-6901
Practice Telephone 4243023643
Mailing Telephone 4243023643
Enumeration Date 2020-07-27
Last Update Date 2020-07-27
Authorized Official Name MAUREEN GAMACHE (OWNER)
Authorized Official Telephone 4243023643
Authorized Official Credential BCBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 105117700 05

Office Location

Street Address 1230 FARGO DR
City MELBOURNE
State FL
Zip Code 32940-6901

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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336788611 Paloma Academy Inc Behavioral Analyst 2740 N Harbor City Blvd, Melbourne, FL 32935-6291 2020-01-03
1124676820 Abbi Dell Lee Behavioral Analyst 3251 Engineering St, Melbourne, FL 32901 2019-08-27
1902461155 Robert Moraleda II Behavioral Analyst 635 Autumn Glen Dr, Melbourne, FL 32940-6405 2019-05-03
1497240303 Sonshine Behavior Services Bcba, LLC Behavioral Analyst 1984 Madison Ave, Melbourne, FL 32935-4048 2018-06-25
1124511795 Lisett Irina Wilson Behavioral Analyst 1728 Pinewood Rd, Melbourne, FL 32934-9022 2018-06-08
1215427638 Abracadabra Aba Pllc Behavioral Analyst 1737 Croghan Dr, Melbourne, FL 32940-6014 2018-05-10
1770007833 Ame Lemon Behavioral Analyst 4100 Lake Washington Rd, Melbourne, FL 32934-7669 2017-07-31
1750819520 Priscilla Baer Schimkus Behavioral Analyst 1051 Eber Blvd Ste 108, Melbourne, FL 32904-8768 2017-05-24
1083088025 Jenna Conn Behavioral Analyst 305 East Dr Ste L, Melbourne, FL 32904-1033 2015-11-13
1295108520 Loren Collarile Behavioral Analyst 305 East Dr, Suite L, Melbourne, FL 32904-1033 2015-11-09
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Competitor

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City MELBOURNE
Zip Code 32940

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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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