BREANNA SCOTT (NPI# 1790207769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790207769 |
| Entity Type | Individual |
| Full Name | BREANNA SCOTT |
| Practice Address |
4158 W Us Highway 90 Ste 101 Lake City FL 32055-4883 |
| Practice Telephone | 3522846057 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104487966 | Breanna Jo Scott | Optometrist | 518 Franklin St, Pella, IA 50219-1636 | 2019-06-24 |
| Street Address |
4158 W US HIGHWAY 90 STE 101 |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32055-4883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235532516 | Kimberly Middleton | Behavioral Analyst | 4158 W Us Highway 90 Ste 101, Lake City, FL 32055-4883 | 2014-10-01 |
| 1326557430 | Hannah Engle | Behavior Technician | 4158 W Us Highway 90 Ste 101, Lake City, FL 32055-4883 | 2017-09-21 |
| 1962925396 | Jessica Natale | Behavior Technician | 4158 W Us Highway 90 Ste 101, Lake City, FL 32055-4883 | 2017-07-18 |
| 1003336512 | Jennifer Coppedge | Behavior Technician | 4158 W Us Highway 90 Ste 101, Lake City, FL 32055-4883 | 2017-06-26 |
| 1285164780 | Connie Maria Watford | Behavior Technician | 4158 W Us Highway 90 Ste 101, Lake City, FL 32055-4883 | 2017-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114439510 | Melissa Fay Peters | Nurse Practitioner | 5085 West Us Highway 90, Lake City, FL 32055 | 2017-10-26 |
| 1851801765 | Stephanie Jo Nogle | Occupational Therapist | Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 | 2017-10-05 |
| 1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
| 1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
| 1487183745 | Joshua Allore | Dentist | 2970 W Us Highway 90., Lake City, FL 32055 | 2017-06-08 |
| 1497298418 | Careing Hands | Preferred Provider Organization | 1471nw Queen Rd, Lakecity, FL 32055 | 2016-11-22 |
| 1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
| 1164809141 | Latasha Harten-jones | Licensed Practical Nurse | 443 Ne Sims Dr, Lake City, FL 32055 | 2015-04-29 |
| 1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
| 1124439351 | Tynette Jordan | Counselor | 708 N.w Wilson St., Lake City, FL 32055 | 2014-05-09 |
| Find all providers in zip 32055 | ||||
| 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 |
|---|---|---|---|---|
| 1023544228 | Joseph Matthew Liestenfeltz | Behavior Technician | 6021 W Sanborn Rd, Lake City, MI 49651-9250 | 2017-05-08 |
| 1033656723 | Sara Wright | Behavior Technician | 4158 W Us Highway 90, Lake City, FL 32055-4882 | 2017-01-19 |
| 1114432929 | Rosalyn Medina-ortiz | Behavior Technician | 4158 W Us Highway 90, Lake City, FL 32055-4882 | 2017-12-04 |
| 1629580378 | Kayla Fussell | Behavior Technician | 4158 W Us Highway 90, Lake City, FL 32055-4882 | 2017-11-02 |
| 1093224370 | Jenna Garrett | Behavior Technician | 4158 W Us Highway 90, Lake City, FL 32055-4882 | 2017-09-29 |
| 1326557430 | Hannah Engle | Behavior Technician | 4158 W Us Highway 90 Ste 101, Lake City, FL 32055-4883 | 2017-09-21 |
| 1023533700 | Kayla Juergens | Behavior Technician | 4158 W Us Highway 90, Lake City, FL 32055 | 2017-08-03 |
| 1962925396 | Jessica Natale | Behavior Technician | 4158 W Us Highway 90 Ste 101, Lake City, FL 32055-4883 | 2017-07-18 |
| 1477074557 | Patricia Thomas | Behavior Technician | 4158 W Us Highway 90, 101, Lake City, FL 32025-3202 | 2017-06-29 |
| 1003336512 | Jennifer Coppedge | Behavior Technician | 4158 W Us Highway 90 Ste 101, Lake City, FL 32055-4883 | 2017-06-26 |
| Find all providers in LAKE CITY | ||||
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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.