MS. MARY M SMITH-COLLINGTON


Address: 542 Nw Archer Ave, Port St Lucie, FL 34983-1076
Phone: 7729402028

MS. MARY M SMITH-COLLINGTON (NPI# 1801371745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801371745
Entity Type Individual
Full Name MS. MARY M SMITH-COLLINGTON
Other Name MS. MARY SMITH
Credential CNA
Practice Address 542 Nw Archer Ave
Port St Lucie
FL 34983-1076
Mailing Address Po Box 882011
Port St Lucie
FL 34988-2011
Practice Telephone 7729402028
Mailing Telephone 7729402028
Enumeration Date 2018-09-26
Last Update Date 2018-09-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL PRIVATE 0000 01

Office Location

Street Address 542 NW ARCHER AVE
City PORT ST LUCIE
State FL
Zip Code 34983-1076

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588224109 Skytop Transportation Inc Non-emergency Medical Transport (VAN) 6947 Nw Daffodil Ln, Port Saint Lucie, FL 34983 2019-06-17
1063985125 Ralph Glen Manning Counselor 289 Se Sagamore Terrace, Port Saint Lucie, FL 34983 2019-01-10
1275032252 Charlotte Simpkins Nurse's Aide 462 Se Faith Terrace, Port Saint Lucie, FL 34983 2018-02-06
1124547989 Alicia Maria Herrero Marzo Case Manager/Care Coordinator 749 Nw Orchid St, Port St Lucie, FL 34983 2017-09-13
1922535137 Superior Living 'llc' Assisted Living Facility 496 Southeast Verada, Port St Lucie, FL 34983 2017-05-18
1760931562 Lisa A Joseph Registered Nurse 1602 Se Sandia Dr, Psl, FL 34983 2016-09-22
1891146270 Janet Bayramyan Counselor 453 Nw Dover Ct, Port St Lucie, FL 34983 2016-06-27
1033565650 Jennifer J Ramos Physician Assistant 1581 Sw Bayshore Blvd, Port St Lucie, FL 34983 2016-05-12
1659741379 Amy Mae Dipalma Physical Therapy Assistant 5238 Nw Rugby Dr, Port St Lucie, FL 34983 2015-10-07
1942682406 Vikash Dahya Dentist 499 Sw Prima Vista Blvd, Port St. Lucie, FL 34983 2015-06-22
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821603622 Sarah Lynn Miller Behavior Technician 12091 Sw Jasper Lake Way, Port St Lucie, FL 34987-7715 2020-09-09
1053929562 Catherine Gabrielle Ingram Behavior Technician 4126 Sw Tuscol St, Port St Lucie, FL 34953-6190 2020-07-21
1811530835 Megan Leigh Lewis Behavior Technician 685 Se Chapman Ave, Port St Lucie, FL 34984-4502 2019-10-22
1831747666 Dailiana Duque Dimart Behavior Technician 1242 Sw Lawndale Ave, Port St Lucie, FL 34953-5357 2019-08-26
1326603945 Iulia Franco Behavior Technician 2390 Sw Valnera St, Port St Lucie, FL 34953-2433 2019-05-08
1811469554 Esnel Principal Behavior Technician 143 Ne Lobster Rd, Port St Lucie, FL 34983-1717 2018-12-19
1154801843 Tiffany Ann Zebold Behavior Technician 137 Nw Broadview St, Port St Lucie, FL 34983-1615 2018-08-21
1437638806 Elizabeth Larrinaga Behavior Technician 425 Sw Friar St, Port St Lucie, FL 34983-1817 2018-08-07
1679062962 Sydney Freid Behavior Technician 10850 S Hwy Us1, Suite 2, Port St Lucie, FL 34952-6407 2018-05-02
1902393077 Crystal Pirolozzi Behavior Technician 10850 S Us Highway 1, Suite 2, Port St Lucie, FL 34952-6407 2018-04-15
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Competitor

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City PORT ST LUCIE
Zip Code 34983

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Dataset Information

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.

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