SHERECE SHADAE CAMPBELL (NPI# 1760998306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760998306 |
| Entity Type | Individual |
| Full Name | SHERECE SHADAE CAMPBELL |
| Practice Address |
9138 Lealand Archer Boulevard Orlando FL 32836-3283 |
| Mailing Address |
9138 Leeland Archer Blvd Orlando FL 32836-8838 |
| Practice Telephone | 4072231298 |
| Practice Fax Number | 4072231298 |
| Mailing Telephone | 4072231298 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | FL | Behavioral Health & Social Service Providers |
| Street Address |
9138 LEALAND ARCHER BOULEVARD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32836-3283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316416969 | Evelyn Yomara Varela | Behavior Technician | 11476 S Apopka Vineland Road, Suite 118, Orlando, FL 32836 | 2018-11-13 |
| 1174098354 | Joshua Arias | Specialist/Technologist | 12500 S Apopka Vineland Road, Lake Buena Vista, FL 32836 | 2018-10-04 |
| 1477045383 | Nelida Ivette Gonzalez | Behavior Technician | Brighter Journeys LLC, 8600 Sand Lake Shores Dr, Orlando, FL 32836 | 2018-06-06 |
| 1578051041 | Paul Woodrow Potier IIi | Chiropractor | Mobile Service, Orlando, FL 32836 | 2018-04-30 |
| 1710437926 | Fraazinc LLC | Podiatrist | 9019 Southern Breeze Drive, Orlando, FL 32836 | 2016-10-12 |
| 1013256700 | Inder Patel | Internal Medicine | 8295 Ludington Cir, Orlando, FL 32836 | 2013-01-31 |
| 1750643334 | Sabrina Sutton | Behavior Technician | 11476 S Apopka Vineland Rd Ste 118, Orlando, FL 32836 | 2012-06-11 |
| 1871863340 | Thu Nguyen | Pharmacist | 8207 Palazzo Ct., Orlando, FL 32836 | 2011-12-30 |
| 1114216074 | Carly J Resnick | Counselor | 8134 Jozee Cir, Orlando, FL 32836 | 2011-03-31 |
| 1093028631 | Pamela Jiselle Blade | Optometrist | 9001 Taborfield Ave., Suite 101, Orlando, FL 32836 | 2010-07-25 |
| Find all providers in zip 32836 | ||||
| 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 |
|---|---|---|---|---|
| 1639770860 | Kailye L Marsh | Behavior Technician | 768 E Michigan St Unit 75, Orlando, FL 32806-4682 | 2020-11-04 |
| 1740887397 | Sabrina Nicole Demski | Behavior Technician | 11476 S Apopka Vineland Rd Unit 118, Orlando, FL 32836-7006 | 2020-10-07 |
| 1609482728 | Maria Belen Bengolea | Behavior Technician | 10920 Moss Park Rd. Suite 130, Orlando, FL 32832 | 2020-09-23 |
| 1053927558 | Moesha Young | Behavior Technician | 907 Outer Rd Ste D, Orlando, FL 32814-6601 | 2020-09-20 |
| 1053926733 | Sylvia Marie Stecher | Behavior Technician | 6831 Slaven Dr, Orlando, FL 32819-4725 | 2020-09-10 |
| 1104430230 | Liliana M. Felipe | Behavior Technician | 12221 E Colonial Dr, Orlando, FL 32826-4718 | 2020-09-05 |
| 1952915696 | Thalia Corrales Pino | Behavior Technician | 5962 Village Cir # 5962, Orlando, FL 32822-4130 | 2020-09-01 |
| 1578175584 | Yansel Rosado Ocasio | Behavior Technician | 14001 Sanctuary Creek Way Unit 303, Orlando, FL 32832-6615 | 2020-08-20 |
| 1407467103 | Cayla Thomas | Behavior Technician | 1728 E Crystal Lake Ave, Orlando, FL 32806-4906 | 2020-08-14 |
| 1689284135 | Maria Isabel Primera | Behavior Technician | 8617 E Colonial Dr Ste 1600, Orlando, FL 32817-3937 | 2020-08-08 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on SHERECE SHADAE CAMPBELL.
| 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.