THOMAS DYLAN BUTLER (NPI# 1750847463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750847463 |
| Entity Type | Individual |
| Full Name | THOMAS DYLAN BUTLER |
| Credential | RBT |
| Practice Address |
3415 W Lake Mary Blvd # 4045 Lake Mary FL 32795-7501 |
| Mailing Address |
4151 S Semoran Blvd Apt 7 Orlando FL 32822-2425 |
| Practice Telephone | 4079956106 |
| Mailing Telephone | 5189260882 |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-18-73526 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043645427 | Thomas John Butler | Specialist/Technologist | 11 Millridge Rd, Secaucus, NJ 07094-4303 | 2013-09-04 |
| 1356576615 | Thomas William Butler | Counselor | 1033 Ontario St Apt 3bn, Oak Park, IL 60302-1924 | 2009-05-15 |
| 1316082084 | Thomas M Butler | Counselor | 4770 Hoover Rd, Grove City, OH 43123-8504 | 2007-02-21 |
| 1336210723 | Thomas Edgar Butler Jr. | Dentist | 524 N Greensboro St, Liberty, NC 27298 | 2006-11-10 |
| 1679657522 | Thomas R Butler | Chiropractor | 811 Ranch House Plaza, Harrison, AR 72601 | 2006-10-25 |
| 1396787230 | Thomas Wayne Butler | Internal Medicine | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2006-06-12 |
| 1770535288 | Thomas Butler | Nurse Anesthetist, Certified Registered | 100 Dr Warren Tuttle Drive, Harrisburg, IL 62946 | 2006-05-16 |
| 1942277413 | Thomas Butler | Anesthesiology | 1500 S Dobson, Suite 203, Mesa, AZ 85202 | 2006-03-03 |
| 1831514405 | Thomas Jared Butler | Counselor | 1185 Falmouth Rd, Centerville, MA 02632 | 2014-02-19 |
| 1164845996 | Thomas Bryan Butler | Chiropractor | 601 Broad St Se, Suite C, Gainesville, GA 30501-3729 | 2014-01-30 |
| Street Address |
3415 W LAKE MARY BLVD # 4045 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32795-7501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918581 | Evaleonor Tiffany Taylor | Behavioral Analyst | 3415 W Lake Mary Blvd # 4045, Lake Mary, FL 32795-7501 | 2020-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407473424 | Yesenia Hernandez | Behavior Technician | 3451 W Lake Mary Blvd, Lake Mary, FL 32795 | 2020-06-26 |
| 1518097633 | Robert Saxman Cunningham Jr. | Chiropractor | 149 Estates Circle, Lake Mary, FL 32795 | 2007-03-07 |
| 1346622180 | Michael Saint Antonio Augustine | Pharmacist | 3415 W Lake Mary Blvd, Box 951261, Lake Mary, FL 32795-7501 | 2015-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436680 | Richard Ta | Pharmacist | 3687 Farm Bell Pl, Lake Mary, FL 32746-4107 | 2020-10-27 |
| 1710586102 | Holleigh Lynette Walker | Behavior Technician | 300 International Parkway Suite 200, 300 International Parkway Suite 200, Lake Mary, FL 32746-3625 | 2020-10-18 |
| 1194332288 | Karen H Cloninger | Counselor | 122 N 4th St Ste 2006, Lake Mary, FL 32746-2944 | 2020-09-23 |
| 1083227102 | Caroline Celine Miller | Nurse Practitioner | 517 Pickfair Ter, Lake Mary, FL 32746-5814 | 2020-08-28 |
| 1104436492 | Caretinuum Health | Clinic/Center | 3208 W Lake Mary Blvd Ste 1710, Lake Mary, FL 32746-3467 | 2020-08-03 |
| 1407473424 | Yesenia Hernandez | Behavior Technician | 3451 W Lake Mary Blvd, Lake Mary, FL 32795 | 2020-06-26 |
| 1902422090 | Eric Dustin Brisbon | Behavior Technician | 200 Waymont Ct Ste 122, Lake Mary, FL 32746-3413 | 2020-06-24 |
| 1710503495 | Stefanie Allison Quinones | Registered Nurse | 199 Main Rd, Lake Mary, FL 32746-3996 | 2020-06-18 |
| 1629693965 | Danielle Silva | Nurse Practitioner | 725 Primera Blvd Ste 140, Lake Mary, FL 32746-2130 | 2020-06-12 |
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| Find all providers in LAKE MARY | ||||
| 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 |
|---|---|---|---|---|
| 1710586102 | Holleigh Lynette Walker | Behavior Technician | 300 International Parkway Suite 200, 300 International Parkway Suite 200, Lake Mary, FL 32746-3625 | 2020-10-18 |
| 1407473424 | Yesenia Hernandez | Behavior Technician | 3451 W Lake Mary Blvd, Lake Mary, FL 32795 | 2020-06-26 |
| 1902422090 | Eric Dustin Brisbon | Behavior Technician | 200 Waymont Ct Ste 122, Lake Mary, FL 32746-3413 | 2020-06-24 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1982238424 | Didem Hacioglu | Behavior Technician | 791 Rinehart Rd # 4856, Lake Mary, FL 32746-4876 | 2020-02-24 |
| 1336770254 | Leslie Ann Rodriguez | Behavior Technician | 300 International Pkwy Ste 20, Lake Mary, FL 32746-5035 | 2020-01-29 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1811403843 | Jason Lief | Behavior Technician | 108 Wagon Wheel Way, Lake Mary, FL 32746-3906 | 2017-12-28 |
| 1174043475 | Kimberly Ann Tabachka | Behavior Technician | 255 Primera Boulevard, Suite 160b, Lake Mary, FL 32746 | 2017-06-27 |
| 1558893032 | Breanna Calhoun | Behavior Technician | 175 Middle Street, Suite 1201, Lake Mary, FL 32746 | 2017-04-03 |
| Find all providers in LAKE MARY | ||||
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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.