DELTA ROOSEVELT (NPI# 1750828091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750828091 |
| Entity Type | Individual |
| Full Name | DELTA ROOSEVELT |
| Practice Address |
1809 E Broadway St # 122 Oviedo FL 32765-8597 |
| Mailing Address |
12112 Goldenstar Ln Clermont FL 34711-6679 |
| Practice Telephone | 4073595693 |
| Practice Fax Number | 4077925693 |
| Mailing Telephone | 3528740002 |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1809 E BROADWAY ST # 122 |
| City | OVIEDO |
| State | FL |
| Zip Code | 32765-8597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093950826 | Michelle Denise Matolka | Speech-Language Pathologist | 1809 E Broadway St # 122, Oviedo, FL 32765-8597 | 2008-12-08 |
| 1811442411 | Mariam Kiriakos | Behavior Technician | 1809 E Broadway St # 122, Oviedo, FL 32765-8597 | 2016-08-24 |
| 1376999862 | Alyssa Gould | Physical Therapy Assistant | 1809 E Broadway St # 122, Oviedo, FL 32765-8597 | 2016-05-13 |
| 1376997601 | Michelle Nicole Spivey | Occupational Therapy Assistant | 1809 E Broadway St # 122, Oviedo, FL 32765-8597 | 2016-04-22 |
| 1811388317 | Emily James | Contractor | 1809 E Broadway St # 122, Oviedo, FL 32765-8597 | 2015-02-05 |
| 1346649332 | Kristen Marie Morrison | Speech-Language Pathologist | 1809 E Broadway St # 122, Oviedo, FL 32765-8597 | 2014-08-15 |
| 1922348309 | Cyndel Surdovel | Speech-Language Pathologist | 1809 E Broadway St # 122, Oviedo, FL 32765-8597 | 2013-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576663 | Robby Hoffmann | Physical Therapist | 800 Red Bug Lake Road, Oviedo, FL 32765 | 2020-04-07 |
| 1366096836 | Brian Timothy Lowney | Pharmacist | 2871 Clayton Crossing Way #1001, Oviedo, FL 32765 | 2019-08-01 |
| 1083184634 | Ashley Grace Fuller | Speech-Language Pathologist | 251 Plaza Drive Suite C, Oviedo, FL 32765 | 2018-11-27 |
| 1164904678 | Katharine Albarella | Dietitian, Registered | 905 S. Lake Jessup Ave, Oviedo, FL 32765 | 2018-08-30 |
| 1871082396 | Catherine Victoria Wahl | Behavior Technician | 1350 San Remo Pt Apt 102, Oviedo, FL 32765 | 2018-05-10 |
| 1366943953 | Oviedo Smiles Dentistry, Pa | Dentist | 65 W. Mitchell Hammock Rd., Suite 1511, Oviedo, FL 32765 | 2018-02-28 |
| 1407385792 | Affordable Dentist | Dentist | 3228, W State Road 426, Suite 1000, Oviedo, FL 32765 | 2017-06-08 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1174078281 | Dermatology and Skin Cancer Surgery Center, LLC | Dermatology | 7250 Red Bug Lake Rd Ste 1020, Oviedo, FL 32765 | 2016-08-18 |
| 1780038463 | Matthew Christo | Counselor | 5076 Sugberry Trail, Oviedo, FL 32765 | 2016-04-19 |
| Find all providers in zip 32765 | ||||
| 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 |
|---|---|---|---|---|
| 1417597899 | Frances Gabriella Feliciano | Behavior Technician | 3671 Caruso Pl, Oviedo, FL 32765-9036 | 2020-01-13 |
| 1154972842 | Yasleny Sanchez | Behavior Technician | 1009 Conley Dr, Oviedo, FL 32765-7050 | 2019-09-24 |
| 1720631252 | Steven Attallah | Behavior Technician | 7524 Brightwater Pl, Oviedo, FL 32765-5648 | 2019-07-23 |
| 1811481401 | Ashley Marie Perez | Behavior Technician | 4250 Trident Pt, Oviedo, FL 32765-8569 | 2018-06-18 |
| 1871082396 | Catherine Victoria Wahl | Behavior Technician | 1350 San Remo Pt Apt 102, Oviedo, FL 32765 | 2018-05-10 |
| 1346746633 | Kayla Klouser | Behavior Technician | 4290 Heirloom Rose Pl, Oviedo, FL 32766-6680 | 2018-04-04 |
| 1013426410 | Lauren Mckenzie Phillips | Behavior Technician | 3650 Caruso Pl, Oviedo, FL 32765-9039 | 2017-09-28 |
| 1124553045 | Darleny Arias | Behavior Technician | 150 Boardwalk Ave, 130, Oviedo, FL 32765-6158 | 2017-04-28 |
| 1902403843 | Stefanie A Horvath | Behavior Technician | 848 Executive Dr, Oviedo, FL 32765-7699 | 2020-10-05 |
| 1356948137 | Stephany Oliveros | Behavior Technician | 848 Executive Dr, Oviedo, FL 32765-7699 | 2020-10-05 |
| Find all providers in OVIEDO | ||||
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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.