CRYSTAL FAIRCLOTH (NPI# 1659737617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659737617 |
| Entity Type | Individual |
| Full Name | CRYSTAL FAIRCLOTH |
| Other Name | CRYSTAL HALLMARK |
| Credential | BCBA |
| Practice Address |
5154 Bayou Blvd Pensacola FL 32504 |
| Mailing Address |
1523 Heritage Rd Fort Walton Beach FL 32547-1207 |
| Practice Telephone | 8504614681 |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-15-20833 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 103 Lewis St, Fort Walton Beach, FL 325473142 | 8503626824 |
| Street Address |
5154 BAYOU BLVD |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720126287 | Kristina Marie Albrecht | Speech-Language Pathologist | 5154 Bayou Blvd, Pensacola, FL 32503-2102 | 2007-02-04 |
| 1396217204 | Kimberly Apongan | Behavioral Analyst | 5154 Bayou Blvd, Pensacola, FL 32503-2102 | 2018-12-18 |
| 1205301991 | Shasta Brianne Tew | Behavioral Analyst | 5154 Bayou Blvd, Pensacola, FL 32503-2102 | 2018-10-09 |
| 1720568439 | Frederick Joseph Gilliard Jr. | Behavioral Analyst | 5154 Bayou Blvd, Pensacola, FL 32503-2102 | 2018-08-21 |
| 1114405149 | Lacey Russell Woods | Occupational Therapist | 5154 Bayou Blvd, Pensacola, FL 32503-2102 | 2018-08-01 |
| 1558851550 | Astrid Jackson | Behavioral Analyst | 5154 Bayou Blvd, Pensacola, FL 32503-2102 | 2018-05-15 |
| 1851898340 | Carleigh Harrison | Behavioral Analyst | 5154 Bayou Blvd, Pensacola, FL 32503-2102 | 2018-04-10 |
| 1194262626 | Brandi Nelson | Speech-Language Pathologist | 5154 Bayou Blvd, Pensacola, FL 32503-2102 | 2017-01-23 |
| 1386091403 | Jessica Cooper | Behavior Technician | 5154 Bayou Blvd, Pensacola, FL 32503-2102 | 2016-05-18 |
| 1881030294 | Dana Simmons | Behavioral Analyst | 5154 Bayou Blvd, Pensacola, FL 32503-2102 | 2013-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| 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 |
|---|---|---|---|---|
| 1295333227 | Allen Enterprises and Investments | Behavioral Analyst | 7689 Burnside Loop, Pensacola, FL 32526-9182 | 2020-10-12 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1881199529 | Tristan Oscar Lara | Behavioral Analyst | 2008 Cypress St, Pensacola, FL 32502-5230 | 2018-03-26 |
| 1639670839 | Bloomspark Behavior Services, LLC | Behavioral Analyst | 4241 Spanish Trail Pl, Pensacola, FL 32504-8561 | 2018-02-22 |
| 1578074902 | Rebecca S Tytke | Behavioral Analyst | 9608 N Palafox St, Pensacola, FL 32534-1221 | 2017-10-12 |
| 1639695760 | Danielle Medolla | Behavioral Analyst | 1510 Airport Blvd Ste 5, Pensacola, FL 32504-8639 | 2017-08-21 |
| 1376081026 | Michael Sowa II | Behavioral Analyst | 1314 E Leonard St, Pensacola, FL 32503-4048 | 2017-02-02 |
| 1366990517 | Behavior Quest LLC | Behavioral Analyst | 6041 Firefly Dr, Pensacola, FL 32507-8146 | 2016-09-16 |
| 1861849853 | Darlene Robbins | Behavioral Analyst | 5190 Bayou Blvd Ste 2, Pensacola, FL 32503-2162 | 2016-05-19 |
| 1568834182 | Kalia Belessis | Behavioral Analyst | 30 S. 3rd Street, Pensacola, FL 32507 | 2015-10-22 |
| Find all providers in PENSACOLA | ||||
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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.