SHAKETRA MILLER (NPI# 1639533078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639533078 |
| Entity Type | Individual |
| Full Name | SHAKETRA MILLER |
| Practice Address |
4052 Eastridge Cir Pompano Beach FL 33064-1844 |
| Practice Telephone | 7865122960 |
| Mailing Telephone | 7865122960 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-08-4450 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010797300 | 05 |
| Street Address |
4052 EASTRIDGE CIR |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33064-1844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881132033 | William Johnson | Behavior Technician | 4052 Eastridge Cir, Pompano Beach, FL 33064-1844 | 2017-02-08 |
| 1417400532 | Claudette Moore | Behavioral Analyst | 4052 Eastridge Cir, Pompano Beach, FL 33064-1844 | 2016-07-25 |
| 1982057600 | Gennieve Knight Smith | Behavioral Analyst | 4052 Eastridge Cir, Pompano Beach, FL 33064-1844 | 2016-07-18 |
| 1003269705 | Adriana Uriarte | Behavioral Analyst | 4052 Eastridge Cir, Pompano Beach, FL 33064-1844 | 2016-07-18 |
| 1710330501 | Blossom Senior | Behavioral Analyst | 4052 Eastridge Cir, Pompano Beach, FL 33064-1844 | 2016-07-18 |
| 1699128314 | Eva Lee | Behavioral Analyst | 4052 Eastridge Cir, Pompano Beach, FL 33064-1844 | 2016-07-18 |
| 1134572837 | Tracy Hall | Behavioral Analyst | 4052 Eastridge Cir, Pompano Beach, FL 33064-1844 | 2016-07-18 |
| 1679920326 | Abundant Abilities LLC | Behavioral Analyst | 4052 Eastridge Cir, Pompano Beach, FL 33064-1844 | 2016-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398865 | I Heart Senior and Disable Services LLC | Day Training, Developmentally Disabled Services | 4331 Ne 6th Ave, Pompano Beach, FL 33064 | 2020-08-28 |
| 1912554437 | Nada Boskovic Md Pa | Internal Medicine | 1 W Sample Road, Suite 305, Pompano Beach, FL 33064 | 2019-08-20 |
| 1922562933 | Bless Medical Center Corp | Family Medicine | 440 E Sample Road Suite 107, Pompano Beach, FL 33064 | 2019-01-23 |
| 1568932598 | Cloann Joseph | Occupational Therapy Assistant | 401 E Sample Road, Deerfield Beach, FL 33064 | 2018-12-03 |
| 1255808788 | Select Rehab | Skilled Nursing Facility | 401 Sample Road, Pompano Beach, FL 33064 | 2018-11-02 |
| 1699283515 | Nancy Emilia Santiago | Behavior Technician | 600 Nw 33 St, Pompano Beach, FL 33064 | 2018-01-12 |
| 1194248112 | Mark Walter Gruber I | Counselor | 100 E Sample Rd., #320, Pompano Beach, FL 33064 | 2017-07-21 |
| 1699221531 | Precision Construction & Design Services Inc | Contractor | 1711 B Nw 33 Street, Pompano Beach, FL 33064 | 2016-08-31 |
| 1841645587 | Julia Kyung Yoo, Inc | Point of Service | 4510 N. Federal Hwy, Lighthouse Point, FL 33064 | 2016-05-02 |
| 1487050969 | Michael Sassine | Podiatrist | 2100 Ne 36th St Ste 203, Lighthouse Point, FL 33064 | 2014-11-12 |
| Find all providers in zip 33064 | ||||
| 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 |
|---|---|---|---|---|
| 1235755802 | Darlen Marrero Lamelas | Behavioral Analyst | 2021 W Atlantic Blvd, #307, Pompano Beach, FL 33069-2713 | 2020-06-19 |
| 1578123808 | Katia Voltaire | Behavioral Analyst | 3520 Oaks Way Apt 905, Pompano Beach, FL 33069-5387 | 2019-06-18 |
| 1336631985 | Smana Petit Frere | Behavioral Analyst | 4323 Nw 3rd Ter, Pompano Beach, FL 33064-2532 | 2018-05-30 |
| 1831699677 | Infinite Abilities Inc. | Behavioral Analyst | 2791 Ne 7th St, Pompano Beach, FL 33062-4903 | 2018-02-19 |
| 1073039210 | Linnette Bonilla | Behavioral Analyst | 6270 Sw 18th St, Pompano Beach, FL 33068-4902 | 2017-08-18 |
| 1487187043 | Diandra Tigner | Behavioral Analyst | 971 Ne 51st St, Pompano Beach, FL 33064-4845 | 2017-04-10 |
| 1184169880 | Broward Children's Center, Inc. | Behavioral Analyst | 25 Se 20th Ave, Pompano Beach, FL 33060-7544 | 2017-01-04 |
| 1134663305 | Diana Bencid | Behavioral Analyst | 800 Cypress Blvd Apt 204, Pompano Beach, FL 33069-4078 | 2016-12-07 |
| 1124479761 | Audra Waldren | Behavioral Analyst | 1250 Ne 33rd Ct, Pompano Beach, FL 33064-6228 | 2016-06-24 |
| 1962892828 | Christina Celia | Behavioral Analyst | 3520 Oaks Way #904, Pompano Beach, FL 33069 | 2015-01-30 |
| Find all providers in POMPANO BEACH | ||||
| City | POMPANO BEACH |
| Zip Code | 33064 |
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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.