ANDREA MENDEZ (NPI# 1700403987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700403987 |
| Entity Type | Individual |
| Full Name | ANDREA MENDEZ |
| Practice Address |
6196 Lake Gray Blvd Ste 116 Jacksonville FL 32244-5867 |
| Mailing Address |
5 Revere Dr Ste 120 Northbrook IL 60062-8005 |
| Practice Telephone | 8003564049 |
| Practice Fax Number | 9414850519 |
| Mailing Telephone | 8003564049 |
| Mailing Fax Number | 9414850519 |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-108903 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871939702 | Andrea Lucia Mendez | Marriage & Family Therapist | 4147 Palm Forest Dr S, Delray Beach, FL 33445-5711 | 2013-05-19 |
| 1497218176 | Andrea Natalie Mendez | Behavior Technician | 1151 A St, Hayward, CA 94541-4113 | 2019-04-10 |
| 1841659281 | Andrea Mendez | Social Worker | 13240 Executive Park Ter, Germantown, MD 20874-2640 | 2016-02-13 |
| 1396070223 | Andrea Michelle Mendez | Social Worker | 3800 Coolidge Ave, Oakland, CA 94602-3311 | 2009-10-09 |
| Street Address |
6196 LAKE GRAY BLVD STE 116 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32244-5867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215176946 | Jennifer Jones | Counselor | 6196 Lake Gray Blvd Ste 116, Jacksonville, FL 32244-5867 | 2009-02-19 |
| 1710585211 | Stacey Metayer | Behavior Technician | 6196 Lake Gray Blvd Ste 116, Jacksonville, FL 32244-5867 | 2020-10-16 |
| 1538775077 | Sidney Kennedy | Behavior Technician | 6196 Lake Gray Blvd Ste 116, Jacksonville, FL 32244-5867 | 2020-09-21 |
| 1447866983 | Kelsey Jernigan | Behavior Technician | 6196 Lake Gray Blvd Ste 116, Jacksonville, FL 32244-5867 | 2020-09-21 |
| 1972119410 | Alexander Gendreau | Behavior Technician | 6196 Lake Gray Blvd Ste 116, Jacksonville, FL 32244-5867 | 2020-09-21 |
| 1699381624 | Katelyn Mclain | Behavior Technician | 6196 Lake Gray Blvd Ste 116, Jacksonville, FL 32244-5867 | 2020-09-16 |
| 1033723481 | Nicole Eller | Behavior Technician | 6196 Lake Gray Blvd Ste 116, Jacksonville, FL 32244-5867 | 2020-09-03 |
| 1073121539 | Rachel Sheppard | Behavior Technician | 6196 Lake Gray Blvd Ste 116, Jacksonville, FL 32244-5867 | 2020-07-21 |
| 1497371561 | Toni Tillman | Behavior Technician | 6196 Lake Gray Blvd Ste 116, Jacksonville, FL 32244-5867 | 2020-06-24 |
| 1407479256 | Carmen Johnson | Behavior Technician | 6196 Lake Gray Blvd Ste 116, Jacksonville, FL 32244-5867 | 2020-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013478247 | Saul Medina | Contractor | 8421 Cheswick Oak Ave, Jacksonville, FL 32244 | 2019-03-29 |
| 1447765748 | Sudduth Vision Pllc | Optometrist | 8000 Parramore Rd., Jacksonville, FL 32244 | 2017-12-08 |
| 1144735556 | Costco Wholesale Corporation | Pharmacy | 8000 Parramore Rd, Jacksonville, FL 32244 | 2017-12-07 |
| 1003287814 | South Jacksonville Dental Pllc | Dentist | 8440 Blanding Blvd, Jacksonville, FL 32244 | 2015-10-20 |
| 1326444340 | Laurie Lynn Scheid | Nurse Practitioner | 7855 Argyle Forest Blvd Ste 601, Jacksonville, FL 32244 | 2014-11-18 |
| 1114322260 | Candy Sharon Lucero | Occupational Therapist | 8563-2 Argyle Business Loop, Jacksonville, FL 32244 | 2014-10-31 |
| 1780959817 | Senior Helpers | In Home Supportive Care | 6327 Argyle Forest Blvd, Suite 3, Jacksonville, FL 32244 | 2012-03-22 |
| 1093831505 | Eduardo R Paat Sr. | Marriage & Family Therapist | 63394 Argyle Forest Blvd, Jacksonville, FL 32244 | 2007-03-22 |
| 1760524060 | Lauren Claxton Shivers | Nurse Practitioner | 8351 Westport Road, Jacksonville, FL 32244 | 2007-02-13 |
| 1427113968 | John F Bibb | Dentist | 6001 4 Argyle Forest Blvd, Jacksonville, FL 32244 | 2006-12-26 |
| Find all providers in zip 32244 | ||||
| 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 | 32244 |
Please comment or provide details below to improve the information on ANDREA MENDEZ.
| 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.