BEHAVIOR MODIFICATION SOLUTIONS ABA, LLC (NPI# 1760923437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760923437 |
| Entity Type | Organization |
| Organization Name | BEHAVIOR MODIFICATION SOLUTIONS ABA, LLC |
| Other Organization Name | ON EAGLES WINGS ABA |
| Practice Address |
1941 Crape Myrtle Loop 205 Lutz FL 33549 |
| Mailing Address |
1941 Crape Myrtle Loop Apt 205 205 Lutz FL 33549-4008 |
| Practice Telephone | 9564548539 |
| Mailing Telephone | 9564548539 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |
| Authorized Official Name | MRS. PEARSON FOSS KLEIN (PRESIDENT) |
| Authorized Official Telephone | 9564548539 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-12-10524 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 017539500 | 05 |
| Other Name | Type Code |
|---|---|
| On Eagles Wings ABA | Doing Business As Name - Organization |
| Street Address |
1941 CRAPE MYRTLE LOOP 205 |
| City | LUTZ |
| State | FL |
| Zip Code | 33549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659901189 | Keri L Freeman | Counselor | 1550 Michelin Court, Lutz, FL 33549 | 2020-01-23 |
| 1699335794 | Michaela C Elza | Behavior Technician | 18288 Us-41 S, Lutz, FL 33549 | 2019-06-19 |
| 1417497157 | Donna Ford | Counselor | 1511 Michelin Court, Lutz, FL 33549 | 2017-02-28 |
| 1376957985 | Absolute Pharmacy, LLC | Pharmacy | 16011 N. Nebraska Ave, Suite 103, Lutz, FL 33549 | 2014-06-12 |
| 1144568544 | Christine Cook | Speech-Language Pathologist | 16102 N. Florida Ave., Tampa, FL 33549 | 2013-01-21 |
| 1174803001 | Jennifer Marie Martinc | Occupational Therapy Assistant | 16102 N. Florida Avenue, Lutz, FL 33549 | 2011-08-23 |
| 1871741975 | Joseph J. Ferrandino | Counselor | 16120 N. Florida Ave., Lutz, FL 33549 | 2008-09-03 |
| 1588835011 | Priti Nmi Bapna | Dentist | 1528 Land O'lakes Blvd, Suite 101, Lutz, FL 33549 | 2008-03-12 |
| 1831382381 | Denise N Sarco-stipe | Speech-Language Pathologist | 16102 N. Florida Ave, Suite 910, Lutz, FL 33549 | 2007-08-18 |
| 1427259837 | Alen Babakhani | Surgery | 19105 Us 41 North, Suite 300, Lutz, FL 33549 | 2007-05-31 |
| Find all providers in zip 33549 | ||||
| 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 |
|---|---|---|---|---|
| 1164982997 | Patrick Corrigan Tyler | Behavioral Analyst | 18715 Planners Way, Lutz, FL 33548-6421 | 2019-03-20 |
| 1568973147 | Applied Behavior Analysis Sports Innovations LLC | Behavioral Analyst | 2907 Cypress Bowl Rd, Lutz, FL 33558-5040 | 2017-10-23 |
| 1881041838 | Bryon Gabriel Miller | Behavioral Analyst | 16605 Windsor Park Dr, Lutz, FL 33549-6806 | 2016-05-19 |
| 1972977171 | Aracely Abreu | Behavioral Analyst | 16013 Stags Leap Dr, Lutz, FL 33559-2002 | 2015-11-25 |
| 1609255975 | Christopher Nieves | Behavioral Analyst | 18526 Avocet Dr, Lutz, FL 33558-2702 | 2015-05-20 |
| 1649608522 | Fernando Miguel Herrera | Behavioral Analyst | 2070 Sweetbroom Cir Apt 307, Lutz, FL 33559-8727 | 2013-10-31 |
| 1609200831 | Jeffrey Alan Schram | Behavioral Analyst | 18288 N Us Highway 41, Lutz, FL 33549-4400 | 2013-08-23 |
| 1558616078 | Pearson Klein | Behavioral Analyst | 1941 Crape Myrtle Loop Apt 205, 205, Lutz, FL 33549-4008 | 2012-07-20 |
| 1891060844 | Jennifer Eileen Bade | Behavioral Analyst | 4214 Sandy Shores Dr, Lutz, FL 33558-9700 | 2012-03-08 |
| 1508153701 | Marilyn Prcic | Behavioral Analyst | 17815 Hunting Bow Cir, Lutz, FL 33558-5401 | 2011-07-08 |
| Find all providers in LUTZ | ||||
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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.