ASHLEY STEPHANIE CUSTODIO (NPI# 1710593678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710593678 |
| Entity Type | Individual |
| Full Name | ASHLEY STEPHANIE CUSTODIO |
| Practice Address |
1495 N Park Dr Weston FL 33326-3215 |
| Mailing Address |
5044 Nw 125th Ave Coral Springs FL 33076-3438 |
| Practice Telephone | 9543562878 |
| Mailing Telephone | 5619005828 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821643339 | Ashley Custodio | Nurse Practitioner | 1305 S Fort Harrison Ave Ste C, Clearwater, FL 33756-3301 | 2019-08-02 |
| Street Address |
1495 N PARK DR |
| City | WESTON |
| State | FL |
| Zip Code | 33326-3215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598717548 | Jon Jean Pierre Bissonnette | Physical Therapist | 1495 N Park Dr, Weston, FL 33326-3215 | 2006-05-17 |
| 1568071611 | Julia Mendoza | Technician | 1495 N Park Dr, Weston, FL 33326-3215 | 2020-07-24 |
| 1093323628 | Cleidy Acosta | Behavior Technician | 1495 N Park Dr, Weston, FL 33326-3215 | 2020-07-20 |
| 1932723004 | Alejandro Torres | Behavior Technician | 1495 N Park Dr, Weston, FL 33326-3215 | 2020-06-03 |
| 1558996306 | Megan Elise Carril | Behavior Technician | 1495 N Park Dr, Weston, FL 33326-3215 | 2020-03-11 |
| 1841824554 | Helen Mashburn | Behavior Technician | 1495 N Park Dr, Weston, FL 33326-3215 | 2020-03-03 |
| 1881228583 | Jessica Caridad Zorrilla | Behavior Technician | 1495 N Park Dr, Weston, FL 33326-3215 | 2020-03-03 |
| 1174157283 | Jesus Miguel Fernandez | Behavior Technician | 1495 N Park Dr, Weston, FL 33326-3215 | 2020-02-27 |
| 1255965364 | Ashey Hernandez | Behavior Technician | 1495 N Park Dr, Weston, FL 33326-3215 | 2020-02-27 |
| 1861026924 | Tanique S Powell | Behavior Technician | 1495 N Park Dr, Weston, FL 33326-3215 | 2020-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739327 | Rosi Gimeno Therapy, Inc | Counselor | 304 Indian Trace, Suite 933, Weston, FL 33326 | 2020-10-28 |
| 1003425919 | Austin Lee Williams | Counselor | 1398 Sw 160th, Sunrise, FL 33326 | 2020-07-27 |
| 1467086272 | Myriam Taveras D.m.d P.a | Clinic/Center | 15810 West Sr 84, Sunrise, FL 33326 | 2020-03-02 |
| 1487288288 | Marcella Patino | Nurse Practitioner | 2300 North Commerce Parkway, Suite 313, Weston, FL 33326 | 2020-03-02 |
| 1194375451 | Heather Silversmith | Dietitian, Registered | 1875 North Corporate Lakes Blvd, Suite 300, Weston, FL 33326 | 2019-09-18 |
| 1669039285 | Jennifer Mann | Dietitian, Registered | 1647 Island Way, Weston, FL 33326 | 2019-05-20 |
| 1194283820 | Focused Home Health Agency, Inc. | Home Health | 2394 Weston Rd, Weston, FL 33326 | 2019-03-12 |
| 1083100796 | Comfort Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1398 Sw 160th Avenue, Suite 101, Sunrise, FL 33326 | 2018-07-05 |
| 1356839120 | Vision Optique II LLC | Optometrist | 2200 N Commerce Pkwy Ste 110, Weston, FL 33326 | 2018-04-27 |
| 1033654678 | Sirahaydee Pena-alcantara | Registered Nurse | 1571 Fairlake Trace Apt 1608, Weston, FL 33326 | 2017-01-05 |
| Find all providers in zip 33326 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1548719958 | Maria Angeles Cereijo | Assistant Behavior Analyst | 1513 Blue Jay Cir, Weston, FL 33327-2011 | 2016-09-26 |
| 1447748900 | Brianna Gonzalez | Assistant Behavior Analyst | 2800 Weston Rd Ste 100, Weston, FL 33331-3638 | 2018-04-30 |
| 1710316989 | Alejandro Werner | Assistant Behavior Analyst | 1495 N Park Dr, Weston, FL 33326 | 2013-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305924 | Irialis Gonzalez Gutierrez | Assistant Behavior Analyst | 6261 W Flagler St Apt 22, Miami, FL 33144-3024 | 2020-10-28 |
| 1265031157 | Raquel Daetz Garcia | Assistant Behavior Analyst | 11262 Sw 230th Ter, Miami, FL 33170-7612 | 2020-10-21 |
| 1790383149 | Jorge L Hernandez Aguilar | Assistant Behavior Analyst | 14236 Sw 91st St, Miami, FL 33186-7802 | 2020-10-16 |
| 1114525839 | Stepping Stones Supports LLC | Assistant Behavior Analyst | 5221 Nw 81st Ter, Lauderhill, FL 33351-5050 | 2020-10-14 |
| 1912505884 | Maria Matilde Alonso Urquijo | Assistant Behavior Analyst | 7317 Sw 22nd St, Miami, FL 33155-1426 | 2020-10-13 |
| 1093312647 | Rody Blanco | Assistant Behavior Analyst | 18512 Field Club Way, Tampa, FL 33647-1823 | 2020-10-07 |
| 1699372870 | Karen Zhao | Assistant Behavior Analyst | 8303 Sw 107th Ave Apt A, Miami, FL 33173-3805 | 2020-10-01 |
| 1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
| 1689281453 | Betsy Escobar Lozada | Assistant Behavior Analyst | 601 Ludlam Dr Apt 1, Miami Springs, FL 33166-4971 | 2020-09-25 |
| 1710593991 | Odalis De Las Mercedes Marrero | Assistant Behavior Analyst | 6502 Blue Ribbon Ln Apt 301, Tampa, FL 33625-2480 | 2020-09-22 |
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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.