CHRYSALIS ABA THERAPY CORP (NPI# 1760838015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760838015 |
| Entity Type | Organization |
| Organization Name | CHRYSALIS ABA THERAPY CORP |
| Practice Address |
5180 W Atlantic Ave Suite 114 Delray Beach FL 33484-8103 |
| Practice Telephone | 5616749996 |
| Mailing Telephone | 5616749996 |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2017-03-19 |
| Authorized Official Name | BEATRIZ E KOURACLES (CLINICAL DIR. BCBA) |
| Authorized Official Telephone | 6174709827 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 017416600 | 05 |
| Street Address |
5180 W ATLANTIC AVE SUITE 114 |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33484-8103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461903 | Life Quality Home Health Care, Inc | Durable Medical Equipment & Medical Supplies | 5180 W Atlantic Ave, Ste 101, Delray Beach, FL 33484-8103 | 2005-07-19 |
| 1831716836 | Fabiola Mercedes Rodriguez | Behavior Technician | 5180 W Atlantic Ave, Delray Beach, FL 33484-8103 | 2020-06-25 |
| 1710500715 | Keissy Gabriela Josefik | Behavior Technician | 5180 W Atlantic Ave, Delray Beach, FL 33484-8103 | 2020-05-26 |
| 1245874155 | Matthew Steven Winnik | Behavior Technician | 5180 W Atlantic Ave, Delray Beach, FL 33484-8103 | 2019-11-04 |
| 1245799220 | Ivonne Cordoves Soler | Behavior Technician | 5180 W Atlantic Ave, Delray Beach, FL 33484-8103 | 2019-03-18 |
| 1538635040 | Sophonie Delizin | Behavior Technician | 5180 W Atlantic Ave, 114, Delray Beach, FL 33484 | 2018-10-23 |
| 1013497049 | Michlee Anglade | Behavior Technician | 5180 W Atlantic Ave, Delray Beach, FL 33484-8103 | 2018-08-20 |
| 1700375771 | Courtney Iaccarino | Assistant Behavior Analyst | 5180 W Atlantic Ave, Delray Beach, FL 33484-8103 | 2018-05-05 |
| 1447757505 | Yadira Almaguer Oquendo | Developmental Therapist | 5180 W Atlantic Ave, Delray Beach, FL 33484-8103 | 2018-04-06 |
| 1184156705 | Leonor Alvarez | Behavior Technician | 5180 W Atlantic Ave, Suite 114, Delray Beach, FL 33484-8103 | 2017-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576127 | Christian Travis Wade Maxwell | Student in an Organized Health Care Education/Training Program | Fair Oaks Pavilion Rm 247, 5440 Linton Boulevard, Delray Beach, FL 33484 | 2020-04-03 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1164905741 | Dana Correnti | Physician Assistant | 5210 Linton Blvd Ste 301, Delray Beach, FL 33484 | 2018-09-10 |
| 1891207924 | Philip Craig Davidoff | Music Therapist | 13859b Via Aurora, Delray Beach, FL 33484 | 2017-10-30 |
| 1265943963 | Megan Elizabeth Garvey-henaka | Social Worker | 14000 S. Military Trail Suite 204a, Delray Beach, FL 33484 | 2017-10-20 |
| 1558726984 | Nena Reloj Neron | Physical Therapist | 16089 Poppyseed Cir Unit 2018, Delray Beach, FL 33484 | 2015-12-30 |
| 1427430354 | Hannah Ilene Cardarelli | Physician Assistant | 14555 Springside Ln, Delray Beach, FL 33484 | 2015-06-27 |
| 1689055782 | Genesis Critical Care Associates, LLC | Internal Medicine | 5352 Linton Boulevard, Delray Beach, FL 33484 | 2015-06-15 |
| 1679980288 | Ashley Susan Lennan | Chiropractor | 14590 S Military Trl Bay Stee5, Delray Beach, FL 33484 | 2014-07-15 |
| 1104257211 | Jaime Agustin Catala | Internal Medicine | 5130 Linton Blvd Ste G1, Delray Beach, FL 33484 | 2013-11-29 |
| Find all providers in zip 33484 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457088 | New Hope Jd LLC | Behavioral Analyst | 100 E Linton Blvd Ste 413b, Delray Beach, FL 33483-3343 | 2019-09-20 |
| 1881252948 | Three Dots LLC | Behavioral Analyst | 1300 Nw 17th Ave Ste 272, Delray Beach, FL 33445 | 2019-06-04 |
| 1447710603 | Annette Loynaz | Behavioral Analyst | 4795 S Citation Dr Apt 206, Delray Beach, FL 33445-6544 | 2019-03-23 |
| 1861985160 | Elevations Behavioral Therapy, Inc | Behavioral Analyst | 2885 Sw 22nd Ave Apt 208, Delray Beach, FL 33445-7216 | 2018-06-11 |
| 1306344734 | Autism Worldwide, LLC | Behavioral Analyst | 9754 Napoli Woods Ln, Delray Beach, FL 33446-9743 | 2018-01-31 |
| 1952817066 | Heather Lilholt | Behavioral Analyst | 15200 S Jog Rd # A-3, Delray Beach, FL 33446-1247 | 2017-12-27 |
| 1285179333 | Sara Davis-larkins | Behavioral Analyst | 2061 Coral Trace Circle, Delray Beach, FL 33445 | 2016-12-28 |
| 1104371210 | Lauren Blair | Behavioral Analyst | 5180 W Atlantic Ave Ste 110, Delray Beach, FL 33484-8103 | 2016-08-18 |
| 1053774315 | Andrea Nadine Protentis | Behavioral Analyst | 673 Brittany O, Delray Beach, FL 33446-1065 | 2016-04-03 |
| 1972985752 | Kaley Robinson | Behavioral Analyst | 3089 Cardinal Dr, Delray Beach, FL 33444-1834 | 2015-06-29 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33484 |
Please comment or provide details below to improve the information on CHRYSALIS ABA THERAPY CORP.
| 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.