CHRISTINA KACZMAREK (NPI# 1700318896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700318896 |
| Entity Type | Individual |
| Full Name | CHRISTINA KACZMAREK |
| Practice Address |
6816 Southpoint Pkwy Ste 500 Jacksonville FL 32216 |
| Mailing Address |
10175 Fortune Pkwy Suite 903 Jacksonville FL 32256-6746 |
| Practice Telephone | 9046839515 |
| Practice Fax Number | 9045380714 |
| Mailing Telephone | 9045380713 |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-16-25036 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 322566746 | 9045380713 |
| Street Address |
6816 SOUTHPOINT PKWY STE 500 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679187959 | Dylan Spruill | Behavioral Analyst | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 | 2020-09-03 |
| 1316557820 | Brandon Stadnicki | Behavioral Analyst | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 | 2020-08-10 |
| 1033683016 | Allyson Lummus | Developmental Therapist | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 | 2019-01-14 |
| 1952886384 | Laura Arrington | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 | 2018-10-02 |
| 1699265181 | Danica Tan | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 | 2018-05-10 |
| 1265921597 | Angela Jevince | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 | 2018-05-02 |
| 1467940460 | Megan Mclean | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 | 2018-04-25 |
| 1578066478 | Ryan Moore | Assistant Behavior Analyst | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 | 2018-03-16 |
| 1487155289 | Margaret Sanders | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 | 2018-02-27 |
| 1316448434 | Osborn Blount | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 | 2018-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| 1356889232 | Sheila Casabar | Registered Nurse | 3615 University Blvd S, Jacksonville, FL 32216 | 2017-02-10 |
| Find all providers in zip 32216 | ||||
| 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 |
|---|---|---|---|---|
| 1215544424 | Brianna Rene Lavoie | Behavior Technician | 113g N Marine Blvd, Jacksonville, NC 28540-6508 | 2020-09-30 |
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1558977330 | Samantha Jo Gilmore | Behavior Technician | 2893 Post St Apt 4, Jacksonville, FL 32205-7447 | 2020-09-17 |
| 1639784135 | Rhianna Fiona Valencia | Behavior Technician | 7718 Tunica Ct, Jacksonville, FL 32244-8169 | 2020-09-11 |
| 1710590302 | Olivia Link | Behavior Technician | 2525 Dunn Ave Ste 2, Jacksonville, FL 32218-4680 | 2020-08-25 |
| 1821600768 | Emily Mary Ross | Behavior Technician | 2869 Post St, Jacksonville, FL 32205-7456 | 2020-08-21 |
| 1639789290 | April Elaine Crews | Behavior Technician | 9000 Southside Blvd, Jacksonville, FL 32256-0793 | 2020-08-07 |
| 1225656937 | Roxana Maldonado | Behavior Technician | 2425 Dunn Ave # Sre2, Jacksonville, FL 32218-4603 | 2020-07-09 |
| 1023639747 | Maaria Chehab | Behavior Technician | 7668 Saw Timber Ln, Jacksonville, FL 32256-2354 | 2020-05-05 |
| 1255966024 | Okeya Johnson | Behavior Technician | 7960 103rd St Apt 1205, Jacksonville, FL 32210-6659 | 2020-03-11 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on CHRISTINA KACZMAREK.
| 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.