DAVID WIEDERMAN (NPI# 1699384222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
Street Address |
4797 WILLOW DR |
City | BOCA RATON |
State | FL |
Zip Code | 33487-2148 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386261741 | Kendall Hackenberg | Nurse Practitioner | 810 Nw 82nd Pl, Boca Raton, FL 33487 | 2020-07-01 |
1275187015 | Trusted Home Care Agency | Home Health | 1200 S. Rogers Circle, Suite #4, Boca Raton, FL 33487 | 2019-07-30 |
1972064475 | West Palm Beac Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 902 Clint Moore Road, Ste 144, Boca Raton, FL 33487 | 2019-03-27 |
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 |
1205292653 | Abigail Goodwin Sladek | Nurse Practitioner | 902 Clint Moore Rd # 227, Boca Raton, FL 33487 | 2016-01-14 |
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 |
1144600321 | Hear Again LLC | Audiologist-Hearing Aid Fitter | 851 Broken Sound Pkwy Nw Ste 120, Boca Raton, FL 33487 | 2015-06-03 |
1457759193 | Element Lab Partners, LLC | Clinical Medical Laboratory | 1101 Holland Dr., Ste. 30, Boca Raton, FL 33487 | 2014-12-11 |
Find all providers in zip 33487 |
Taxonomy Code | 106S00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Behavior Technician |
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] |
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 |
City | BOCA RATON |
Zip Code | 33487 |
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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.