MRS. KIMBERLY ANN MATHIS (NPI# 1790305423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790305423 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY ANN MATHIS |
| Other Name | KIMBERLY ANN MCDONNELL |
| Practice Address |
8001 Beaty Grove Dr Tampa FL 33626-1602 |
| Mailing Address |
955 Laurel Ave Venice FL 34285-7832 |
| Practice Telephone | 8139265454 |
| Mailing Telephone | 9414415803 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669777439 | Kimberly Mathis | Non-emergency Medical Transport (VAN) | 37578 Fountain Park Cir, Apt 428, Westland, MI 48185-5627 | 2011-01-25 |
| 1427241421 | Kimberly D. Mathis | Nurse Practitioner | 1600 Mcarthur Street, Manchester, TN 37355 | 2007-08-22 |
| 1104347160 | Kimberly D Mathis | Counselor | 3002 Armstrong St, San Diego, CA 92111-5702 | 2017-06-29 |
| 1821521477 | Kimberly Brooke Mathis | Nurse Practitioner | 140 Eagle Spring Ct, Stockbridge, GA 30281-6441 | 2017-04-10 |
| 1659818458 | Kimberly Anne Mathis | Counselor | 2711 Ernest St, Lake Charles, LA 70601-8406 | 2017-01-31 |
| 1609110212 | Kimberly Marie Mathis | Acupuncturist | 2509 S Power Rd, Suite 115, Mesa, AZ 85209-6695 | 2012-11-20 |
| Street Address |
8001 BEATY GROVE DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33626-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811107402 | Danai Diaz | Massage Therapist | 8001 Beaty Grove Dr, Tampa, FL 33626-1602 | 2007-05-23 |
| 1144820846 | Jennifer Lynn Akins | Behavior Technician | 8001 Beaty Grove Dr, Tampa, FL 33626-1602 | 2020-10-30 |
| 1508466723 | Kristen Rose Carey | Behavior Technician | 8001 Beaty Grove Dr, Tampa, FL 33626-1602 | 2020-10-27 |
| 1588263396 | Hannah Rose Silianoff | Behavior Technician | 8001 Beaty Grove Dr, Tampa, FL 33626-1602 | 2020-10-22 |
| 1043818958 | Chelsea Paige Tavares | Behavior Technician | 8001 Beaty Grove Dr, Tampa, FL 33626-1602 | 2020-10-13 |
| 1730787805 | Allen Christopher Erwin | Behavior Technician | 8001 Beaty Grove Dr, Tampa, FL 33626-1602 | 2020-10-12 |
| 1760089189 | Kelsea Fritz | Behavior Technician | 8001 Beaty Grove Dr, Tampa, FL 33626-1602 | 2020-10-08 |
| 1528665445 | Vanessa Penalbert | Behavior Technician | 8001 Beaty Grove Dr, Tampa, FL 33626-1602 | 2020-10-04 |
| 1013524206 | Jamelia Branch | Behavior Technician | 8001 Beaty Grove Dr, Tampa, FL 33626-1602 | 2020-09-30 |
| 1518574326 | Sydney Johnson | Behavior Technician | 8001 Beaty Grove Dr, Tampa, FL 33626-1602 | 2020-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028447 | Ezphyzio Pllc | Physical Therapist | 11269 Windsor Place Circle, Tampa, FL 33626 | 2020-09-21 |
| 1831737451 | Emily Anne Desarden | Behavior Technician | 8001 Beaty Gorove Dr., Tampa, FL 33626 | 2019-12-13 |
| 1730747395 | Michael A. Pikos, Dds Pa | Oral & Maxillofacial Surgery | 11940 Sheldon Road, Tampa, FL 33626 | 2019-05-30 |
| 1659841229 | Mariana Alejandra Salgado | Behavior Technician | 8001 Beaty Grove Drive, Tampa, FL 33626 | 2018-11-27 |
| 1528563525 | Amanda Ashley Metzger | Chiropractor | 8377 Gunn Hwy, Tampa, FL 33626 | 2018-03-29 |
| 1568971844 | Lindsey Nicole Miller | Behavior Technician | 12725 Race Track Rd Bldg 5, Tampa, FL 33626 | 2017-09-29 |
| 1003335571 | Tampa Life Counseling, LLC | Counselor | 13035 W. Linebaugh Ave #101 Ste G, Tampa, FL 33626 | 2017-09-15 |
| 1033635149 | Peak Payer Solutions, Inc. | General Practice | 12332 Race Track Road, Tampa, FL 33626 | 2017-08-21 |
| 1578098414 | Alexis Brooke Cross | Speech-Language Pathologist | 11672 Crowned Sparrow Ln, Tampa, FL 33626 | 2017-04-28 |
| 1568904084 | Megan Krone | Assistant Behavior Analyst | 2725 Race Track Rd Building Number 5, Westchase, FL 33626 | 2016-11-15 |
| Find all providers in zip 33626 | ||||
| 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 |
|---|---|---|---|---|
| 1528669892 | Yendria Not Daisson I | Behavior Technician | 2522 Auburn Ave W, Tampa, FL 33614-2802 | 2020-11-03 |
| 1154922581 | Eidis Lopez Roque | Behavior Technician | 8502 Rivershire Ct, Tampa, FL 33634-1114 | 2020-11-03 |
| 1558961862 | Yeney Martin Stevenson | Behavior Technician | 1105 Teakwood Ave, Tampa, FL 33613-1727 | 2020-10-27 |
| 1629677372 | Elaine A Peyno | Behavior Technician | 9042 Grateful Thomas Trl Apt 408, Tampa, FL 33626-1675 | 2020-10-23 |
| 1780283440 | Yissed Ortega Izquierdo | Behavior Technician | 4535 Castaway Dr Apt 1, Tampa, FL 33615-5181 | 2020-10-22 |
| 1790384600 | Thalia Arteaga Ferro | Behavior Technician | 18002 Richmond Place Dr Apt 2123, Tampa, FL 33647-1732 | 2020-10-21 |
| 1265030043 | Yaquelin Sanchez Gines | Behavior Technician | 6910 N Himes Ave, Tampa, FL 33614-4034 | 2020-10-13 |
| 1003414103 | Roman Anthony Pinheiro | Behavior Technician | 8001 Beaty Grove Dr Fl 33626, Tampa, FL 33626-1602 | 2020-10-12 |
| 1790382067 | Zuriam Alonso | Behavior Technician | 4850 Foxshire Cir, Tampa, FL 33624-4316 | 2020-10-08 |
| 1912504606 | Erica Peckens O'connor | Behavior Technician | 15216 Alexis Dr, Tampa, FL 33624-2347 | 2020-10-06 |
| Find all providers in TAMPA | ||||
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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.