DAVID WIEDERMAN


Address: 4797 Willow Dr, Boca Raton, FL 33487-2148
Phone: 9176787473

DAVID WIEDERMAN (NPI# 1699384222) 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) 1699384222
Entity Type Individual
Full Name DAVID WIEDERMAN
Practice Address 4797 Willow Dr
Boca Raton
FL 33487-2148
Practice Telephone 9176787473
Mailing Telephone 9176787473
Enumeration Date 2020-07-29
Last Update Date 2020-07-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Office Location

Street Address 4797 WILLOW DR
City BOCA RATON
State FL
Zip Code 33487-2148

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NPI Name Taxonomy Address Enumeration
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1386153807 Michael Christopher Angelillo Internal Medicine 1601 Clint Moore Rd Ste 115, Boca Raton, FL 33487 2017-09-27
1942729645 Ronald Falk Chiropractor 6201 N Federal Hwy #5-6, Boca Raton, FL 33487 2017-09-13
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1538539879 Nancy Gonzalez Dental Hygienist 904 Clint Moore Rd, Boca Raton, FL 33487 2015-09-29
1083090138 John Hooper Griscom Internal Medicine 3752 Mykonos Court, Boca Raton, FL 33487 2015-07-30
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1457759193 Element Lab Partners, LLC Clinical Medical Laboratory 1101 Holland Dr., Ste. 30, Boca Raton, FL 33487 2014-12-11
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922609031 Yuliet Hernandez Manso Behavior Technician 55 Sw 2nd Ave, Boca Raton, FL 33432-4762 2020-11-04
1245830785 Keith Marley Thompson Behavior Technician 6885 B-5 Sw 18th St., Boca Raton, FL 33433 2020-10-26
1699399865 Marianela Leyva Gomez Behavior Technician 5622 Wellesley Park Dr Apt 301, Boca Raton, FL 33433-6763 2020-06-03
1568928232 Nicholas Brice Fisher Behavior Technician 1551 Nw 13th St Apt 710, Boca Raton, FL 33486-1101 2019-02-18
1124584560 Maidelin Santos Behavior Technician 660 Glouchester St Apt 207, Boca Raton, FL 33487-3222 2019-02-11
1760966014 Jacqueline L Doell Behavior Technician 9139 Sw 20th St Apt B, Boca Raton, FL 33428-7603 2018-09-23
1023592557 Nicole Leve Behavior Technician 9696 Richmond Cir, Boca Raton, FL 33434-2329 2018-09-20
1639659493 Marcha Merandieu Behavior Technician 123 Nw 13th St Ste 300, Boca Raton, FL 33432-1624 2018-08-20
1174016604 Eliane Dos Santos Lamarche Behavior Technician 11514 Country Sound Ct, Boca Raton, FL 33428 2018-06-09
1194227397 Raquel Sais Behavior Technician 300 E Yamato Rd, Boca Raton, FL 33431-4900 2018-03-02
Find all providers in BOCA RATON

Competitor

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City BOCA RATON
Zip Code 33487

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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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