MATTHEW J BERTRAM (NPI# 1720618051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720618051 |
| Entity Type | Individual |
| Full Name | MATTHEW J BERTRAM |
| Practice Address |
2100 N Alafaya Trl Ste 300 Orlando FL 32826-4748 |
| Mailing Address |
300 International Pkwy Lake Mary FL 32746-5035 |
| Practice Telephone | 4077204101 |
| Mailing Telephone | 8666100580 |
| Enumeration Date | 2020-01-26 |
| Last Update Date | 2020-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659381861 | Matthew Bertram | Anesthesiology | 525 E 68th St, New York, NY 10021-4870 | 2006-08-09 |
| Street Address |
2100 N ALAFAYA TRL STE 300 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32826-4748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033646112 | Shayna Anne Ellery | Behavior Technician | 2100 N Alafaya Trl Ste 300, Orlando, FL 32826 | 2017-05-19 |
| 1306445887 | Grace Karen Mccleskey | Behavior Technician | 2100 N Alafaya Trl Ste 300, Orlando, FL 32826-4748 | 2020-10-26 |
| 1902405939 | Courtenay Michele Smith | Behavior Technician | 2100 N Alafaya Trl Ste 300, Orlando, FL 32826-4748 | 2020-10-21 |
| 1891307468 | Patrick Essau Mohammed | Behavior Technician | 2100 N Alafaya Trl Ste 300, Orlando, FL 32826-4748 | 2020-08-17 |
| 1134730187 | Catherine Aimee Sanchez | Behavior Technician | 2100 N Alafaya Trl Ste 300, Orlando, FL 32826-4748 | 2020-08-13 |
| 1568096105 | Lindsey Morgan Mai | Behavior Technician | 2100 N Alafaya Trl Ste 300, Orlando, FL 32826-4748 | 2020-02-22 |
| 1043841638 | Krystal Rene Harrington | Behavior Technician | 2100 N Alafaya Trl Ste 300, Orlando, FL 32826-4748 | 2020-01-31 |
| 1427688860 | Brooke Elizabeth Lowe | Behavior Technician | 2100 N Alafaya Trl Ste 300, Orlando, FL 32826-4748 | 2020-01-24 |
| 1053941823 | Tonie Brown | Behavior Technician | 2100 N Alafaya Trl Ste 300, Orlando, FL 32826-4748 | 2020-01-21 |
| 1306489513 | Brittanie Francis | Behavior Technician | 2100 N Alafaya Trl Ste 300, Orlando, FL 32826-4748 | 2019-10-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908859 | Deja Duclos | Student in an Organized Health Care Education/Training Program | 12201 Research Pakwy, Suite 300, Orlando, FL 32826 | 2020-09-24 |
| 1407330145 | Providence Dental LLC | Dentist | 12450 E. Colonial Drive Suite 124, Orlando, FL 32826 | 2018-09-19 |
| 1013404391 | Maria Elena Burgett | Massage Therapist | 1858 N Alafaya Trl Ste 209, Orlando, FL 32826 | 2018-04-22 |
| 1003341769 | Samantha Justyn | Pharmacist | 12612 Challenger Parkway, Suite 365, Orlando, FL 32826 | 2017-05-01 |
| 1083152946 | Brenda Garcia | Counselor | 3157 N. Alafaya Trail, Orlando, FL 32826 | 2017-02-10 |
| 1588106017 | Christina Marie Calamis | Behavior Technician | 2100 N Alafaya Trl, Orlando, FL 32826 | 2016-11-15 |
| 1427406115 | Leslie Selina Bennett | Behavioral Analyst | 13645 E Colonial Dr Apt D390, Orlando, FL 32826 | 2016-06-02 |
| 1003219130 | Helen Waller | Social Worker | 12080 Mendel Dr, Orlando, FL 32826 | 2014-10-03 |
| 1992070783 | Erin Jean Pearce | Nurse Practitioner | 3151 North Alafaya Trail Suite 101, Orlando, FL 32826 | 2012-03-13 |
| 1023380466 | Amy Singleton | Counselor | 12001 Research Pkwy Ste 236, Orlando, FL 32826 | 2012-02-01 |
| Find all providers in zip 32826 | ||||
| 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 |
|---|---|---|---|---|
| 1639770860 | Kailye L Marsh | Behavior Technician | 768 E Michigan St Unit 75, Orlando, FL 32806-4682 | 2020-11-04 |
| 1740887397 | Sabrina Nicole Demski | Behavior Technician | 11476 S Apopka Vineland Rd Unit 118, Orlando, FL 32836-7006 | 2020-10-07 |
| 1609482728 | Maria Belen Bengolea | Behavior Technician | 10920 Moss Park Rd. Suite 130, Orlando, FL 32832 | 2020-09-23 |
| 1053927558 | Moesha Young | Behavior Technician | 907 Outer Rd Ste D, Orlando, FL 32814-6601 | 2020-09-20 |
| 1053926733 | Sylvia Marie Stecher | Behavior Technician | 6831 Slaven Dr, Orlando, FL 32819-4725 | 2020-09-10 |
| 1104430230 | Liliana M. Felipe | Behavior Technician | 12221 E Colonial Dr, Orlando, FL 32826-4718 | 2020-09-05 |
| 1952915696 | Thalia Corrales Pino | Behavior Technician | 5962 Village Cir # 5962, Orlando, FL 32822-4130 | 2020-09-01 |
| 1578175584 | Yansel Rosado Ocasio | Behavior Technician | 14001 Sanctuary Creek Way Unit 303, Orlando, FL 32832-6615 | 2020-08-20 |
| 1407467103 | Cayla Thomas | Behavior Technician | 1728 E Crystal Lake Ave, Orlando, FL 32806-4906 | 2020-08-14 |
| 1689284135 | Maria Isabel Primera | Behavior Technician | 8617 E Colonial Dr Ste 1600, Orlando, FL 32817-3937 | 2020-08-08 |
| Find all providers in ORLANDO | ||||
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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.