JACQUELINE L DOELL (NPI# 1760966014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760966014 |
| Entity Type | Individual |
| Full Name | JACQUELINE L DOELL |
| Practice Address |
9139 Sw 20th St Apt B Boca Raton FL 33428-7603 |
| Practice Telephone | 5619291496 |
| Practice Fax Number | 8007663139 |
| Mailing Telephone | 5619291496 |
| Mailing Fax Number | 8007663139 |
| Enumeration Date | 2018-09-23 |
| Last Update Date | 2018-09-23 |
| 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 |
9139 SW 20TH ST APT B |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33428-7603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016604 | Eliane Dos Santos Lamarche | Behavior Technician | 11514 Country Sound Ct, Boca Raton, FL 33428 | 2018-06-09 |
| 1447740840 | Wilzade Joseph | Assisted Living Facility | 22319 Sw 65th Ave, Boca Raton, FL 33428 | 2018-05-11 |
| 1477065316 | Pamela Manning | Nurse Practitioner | 9864 Grand Verde Way Apt 1507, Boca Raton, FL 33428 | 2017-11-01 |
| 1912428624 | Carole Mandat | Assistant Behavior Analyst | 11083 Baybreeze Way, Boca Raton, FL 33428 | 2017-07-03 |
| 1679025571 | Tam Thu Tran | Physician Assistant | 22864 Neptune Road, Boca Raton, FL 33428 | 2016-10-27 |
| 1922458355 | Zurab Akakievich Iosava | Specialist/Technologist, Other | 21644 State Road 7. (hwy 441), Boca Raton, FL 33428 | 2016-06-16 |
| 1497125280 | Robert Jay Drimmer | Internal Medicine | 21357 Bridgeview Drive, Boca Raton, FL 33428 | 2015-10-06 |
| 1710391966 | Pathway 2 Recovery Gold Coast | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428 | 2014-06-16 |
| 1134564727 | Mary Margaret Spitzer | Nurse Practitioner | 9980 Central Park Blvdn, Boca Ration, FL 33428 | 2013-05-08 |
| 1619312816 | Alan Wasserman | Dentist | 22053 S.r. 7, Boca Raton, FL 33428 | 2013-05-02 |
| Find all providers in zip 33428 | ||||
| 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 |
|---|---|---|---|---|
| 1922609031 | Yuliet Hernandez Manso | Behavior Technician | 55 Sw 2nd Ave, Boca Raton, FL 33432-4762 | 2020-11-04 |
| 1245830785 | Keith Marley Thompson | Behavior Technician | 6885 B-5 Sw 18th St., Boca Raton, FL 33433 | 2020-10-26 |
| 1699384222 | David Wiederman | Behavior Technician | 4797 Willow Dr, Boca Raton, FL 33487-2148 | 2020-07-29 |
| 1699399865 | Marianela Leyva Gomez | Behavior Technician | 5622 Wellesley Park Dr Apt 301, Boca Raton, FL 33433-6763 | 2020-06-03 |
| 1568928232 | Nicholas Brice Fisher | Behavior Technician | 1551 Nw 13th St Apt 710, Boca Raton, FL 33486-1101 | 2019-02-18 |
| 1124584560 | Maidelin Santos | Behavior Technician | 660 Glouchester St Apt 207, Boca Raton, FL 33487-3222 | 2019-02-11 |
| 1023592557 | Nicole Leve | Behavior Technician | 9696 Richmond Cir, Boca Raton, FL 33434-2329 | 2018-09-20 |
| 1639659493 | Marcha Merandieu | Behavior Technician | 123 Nw 13th St Ste 300, Boca Raton, FL 33432-1624 | 2018-08-20 |
| 1174016604 | Eliane Dos Santos Lamarche | Behavior Technician | 11514 Country Sound Ct, Boca Raton, FL 33428 | 2018-06-09 |
| 1194227397 | Raquel Sais | Behavior Technician | 300 E Yamato Rd, Boca Raton, FL 33431-4900 | 2018-03-02 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33428 |
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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.