STACY PETERSON (NPI# 1730627571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730627571 |
| Entity Type | Individual |
| Full Name | STACY PETERSON |
| Practice Address |
355 Citrus Tower Blvd Suite 116 Clermont FL 34711-6501 |
| Mailing Address |
20650 Sugarloaf Mountain Rd Clermont FL 34715-7782 |
| Practice Telephone | 3522231999 |
| Practice Fax Number | 3526003119 |
| Mailing Telephone | 4077391501 |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |
| Gender Code | F |
| 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 |
|---|---|---|---|---|
| 1992259519 | Stacy Peterson | Counselor | 2 5th St N Ste 202, Great Falls, MT 59401-4011 | 2016-08-11 |
| 1518234913 | Stacy Elizabeth Peterson | Speech-Language Pathologist | 1004 Inwood Dr, Hurst, TX 76053-4129 | 2011-11-29 |
| 1922522838 | Stacy Peterson | Social Worker | 9409 N Haggerty Rd, Plymouth, MI 48170-4696 | 2017-08-01 |
| 1295167922 | Stacy Lashunn Peterson | Counselor | 501 W Columbus St, Bakersfield, CA 93301 | 2013-08-05 |
| 1821314774 | Stacy M. Peterson | Social Worker | 405 Clement St, Suite #2, San Francisco, CA 94118-2317 | 2010-04-18 |
| 1942460563 | Stacy Peterson | Developmental Therapist | 8615 Crawford Ave, Skokie, IL 60076-2125 | 2008-06-17 |
| 1356515704 | Stacy Peterson | Anesthesiology | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2008-04-16 |
| 1316030638 | Stacy L Peterson | Surgery | 818 N Emporia St, Suite 305, Wichita, KS 67214-3729 | 2006-09-30 |
| 1952416489 | Stacy Peterson | Emergency Medicine | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2006-08-21 |
| Street Address |
355 CITRUS TOWER BLVD SUITE 116 |
| City | CLERMONT |
| State | FL |
| Zip Code | 34711-6501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578683900 | Graham Sego Corporation | Durable Medical Equipment & Medical Supplies | 355 Citrus Tower Blvd, Suite 102, Clermont, FL 34711-6501 | 2007-03-30 |
| 1982236410 | Natalie Waldo | Behavior Technician | 355 Citrus Tower Blvd, Clermont, FL 34711-6501 | 2020-02-12 |
| 1932749124 | Samantha Buxbaum | Behavior Technician | 355 Citrus Tower Blvd, Clermont, FL 34711-6501 | 2020-01-15 |
| 1679041289 | Megan Augusta Pauling | Behavioral Analyst | 355 Citrus Tower Blvd, Clermont, FL 34711-6501 | 2018-11-13 |
| 1588180657 | Andrea Elliott | Behavioral Analyst | 355 Citrus Tower Blvd, Clermont, FL 34711-6501 | 2017-08-20 |
| 1285179812 | Alexandra Whittaker | Behavioral Analyst | 355 Citrus Tower Blvd, Suite 116, Clermont, FL 34711-6501 | 2017-01-05 |
| 1619331063 | Michelle Edwards | Behavioral Analyst | 355 Citrus Tower Blvd, 116, Clermont, FL 34711-6501 | 2016-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
| 1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
| 1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
| 1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
| 1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
| 1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
| 1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
| 1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
| 1306353842 | Center of Change Inc. | General Practice | 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 | 2018-01-05 |
| 1003328642 | Clermont Radiology LLC | Clinic/Center | 3725 South Highway 27, Suite 104, Clermont, FL 34711 | 2017-11-03 |
| Find all providers in zip 34711 | ||||
| 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 |
|---|---|---|---|---|
| 1811459886 | Dayanara Rivera | Behavior Technician | 11802 Highland Point Dr, Clermont, FL 34711-8503 | 2019-04-01 |
| 1619445541 | Anita Boykins-allen | Behavior Technician | 16437 Nelson Park Dr Apt 301, Clermont, FL 34714-5856 | 2018-11-08 |
| 1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
| 1730677634 | Kaydee Mae Matherly | Behavior Technician | 11154 Scenic Vista Dr, Clermont, FL 34711-8619 | 2018-04-25 |
| 1346746005 | Julitza Otano | Behavior Technician | 16815 Sarahs Pl Apt 301, Clermont, FL 34714-7038 | 2018-04-02 |
| 1346745361 | Danielle Scott | Behavior Technician | 1098 W Magnolia St, Clermont, FL 34711-2849 | 2018-03-30 |
| 1376043018 | Charles Richard Vogl IIi | Behavior Technician | 2243 Majestic Eagle Cir, Clermont, FL 34714-6146 | 2018-02-20 |
| 1548768443 | Bryan Patrick Robinson | Behavior Technician | 16448 Nelson Park Dr Apt 207, Clermont, FL 34714-5872 | 2018-01-25 |
| 1164931945 | Lisa Hernandez | Behavior Technician | 3232 Callerton Rd, Clermont, FL 34714 | 2017-09-25 |
| 1164948790 | Marissa Jo Weis | Behavior Technician | 10700 Versailles Blvd, Clermont, FL 34711-7342 | 2017-08-15 |
| Find all providers in CLERMONT | ||||
Please comment or provide details below to improve the information on STACY PETERSON.
| 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.