SOURCE ROUTE PRODUCTS, LLC (NPI# 1639423247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639423247 |
| Entity Type | Organization |
| Organization Name | SOURCE ROUTE PRODUCTS, LLC |
| Other Organization Name | SRP, LLC |
| Practice Address |
3795 E Parsons Point Rd Box 1047 Hernando FL 34442-7701 |
| Practice Telephone | 2024809234 |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |
| Authorized Official Name | DR. KIMBERLY MILLS (MEMBER) |
| Authorized Official Telephone | 2024809234 |
| Authorized Official Credential | PH.D, BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-12-12087 | FL | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| SRP, LLC | Doing Business As Name - Organization |
| Street Address |
3795 E PARSONS POINT RD BOX 1047 |
| City | HERNANDO |
| State | FL |
| Zip Code | 34442-7701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678436 | Advn Dental Partners Pa | Dentist | 2460 N Essex Avenue, Hernando, FL 34442 | 2020-01-15 |
| 1306020599 | Nicole Fay Wall | Occupational Therapist | 778 West Cockatiel Loop, Hernando, FL 34442 | 2007-12-24 |
| 1164560124 | West Florida Medical Associates P A | Clinic/Center | 2669 N Florida Ave, Hernando, FL 34442 | 2007-02-02 |
| 1366540502 | Shiriskumar G Patel | Family Medicine | 2669 N. Florida Ave., Hernando, FL 34442 | 2006-09-20 |
| 1043315377 | Citrus Hills Medical Center | Pain Medicine | 2484 N Essex Ave, Hernando, FL 34442 | 2006-09-13 |
| 1710959002 | Stephen Jo Calvin | Preventive Medicine | 1292 East Bluebird Court, Hernando, FL 34442 | 2006-02-02 |
| 1659472355 | Elizabeth J Collins | Nurse Practitioner | 2484 N Essex Ave, Hernando, FL 34442 | 2006-09-26 |
| 1134220825 | Mary Leah Stringer | Nurse Practitioner | 2484 N Essex Ave, Hernando, FL 34442 | 2006-09-26 |
| 1669573457 | Bradley H Ruben | Family Medicine | 2484 N Essex Ave, Hernando, FL 34442 | 2006-09-26 |
| 1750677035 | Shauna Lori Parrish | Speech-Language Pathologist | 1561 E Cousins Ln, Hernando, FL 34442-2007 | 2011-06-24 |
| Find all providers in zip 34442 | ||||
| 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 |
|---|---|---|---|---|
| 1174124978 | Jelenny Marquez | Behavioral Analyst | 529 Se Palm Beach Rd Ste 103, Stuart, FL 34994-2477 | 2020-11-06 |
| 1295336246 | Harold Santiso Laureiro | Behavioral Analyst | 5870 S 38th Ct, Greenacres, FL 33463-4724 | 2020-11-05 |
| 1326649286 | Treetop Therapy Fl | Behavioral Analyst | 709 S Federal Hwy Ste 2, Boynton Beach, FL 33435-5610 | 2020-11-05 |
| 1245831676 | Clr Behavior LLC | Behavioral Analyst | 2621 Se 4th Ave, Cape Coral, FL 33904-2765 | 2020-11-03 |
| 1245830843 | Mg Puzzle Pieces Corp | Behavioral Analyst | 4400 N Federal Hwy Ste 5, Boca Raton, FL 33431-3424 | 2020-11-01 |
| 1023618949 | Gerardo Veiga Iparraguirre | Behavioral Analyst | 5789 S 37th St, Greenacres, FL 33463-3271 | 2020-10-29 |
| 1861092751 | Lester Castillo | Behavioral Analyst | 9952 Sw 8th St, Miami, FL 33174-2878 | 2020-10-29 |
| 1437759214 | Minssu Pena | Behavioral Analyst | 2615 Fairways Dr Fl 33035, Homestead, FL 33035-1173 | 2020-10-29 |
| 1447850482 | Yisell Ferreira | Behavioral Analyst | 2315 W 66th Pl, Hialeah, FL 33016-3902 | 2020-10-28 |
| 1447850540 | Janellene Lopez | Behavioral Analyst | 14422 Sw 10th St, Miami, FL 33184-3113 | 2020-10-28 |
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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.