JESSICA ALISON HARRILL (NPI# 1811149453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811149453 |
| Entity Type | Individual |
| Full Name | JESSICA ALISON HARRILL |
| Credential | SOLLAZZO |
| Practice Address |
475 S John Rodes Blvd Melbourne FL 32904-1093 |
| Practice Telephone | 3212411170 |
| Practice Fax Number | 3212411171 |
| Mailing Telephone | 3212411170 |
| Mailing Fax Number | 3212411171 |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 0-15-6906 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCABA | 0-15-6906 | 01 |
| FL | 018555200 | 05 |
| Street Address |
475 S JOHN RODES BLVD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32904-1093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194901629 | Amber Carty | Behavioral Analyst | 475 S John Rodes Blvd, Melbourne, FL 32904-1093 | 2008-01-15 |
| 1669072856 | Marlene I Hernandez-correa | Behavior Technician | 475 S John Rodes Blvd, Melbourne, FL 32904-1093 | 2020-10-28 |
| 1306445564 | Whitney Chaney | Behavior Technician | 475 S John Rodes Blvd, Melbourne, FL 32904-1093 | 2020-10-20 |
| 1598372880 | Emily Swope | Behavior Technician | 475 S John Rodes Blvd, Melbourne, FL 32904-1093 | 2020-09-30 |
| 1730791237 | Breanna Ledoux | Behavior Technician | 475 S John Rodes Blvd, Melbourne, FL 32904-1093 | 2020-08-18 |
| 1841802428 | Jessica Stephenson | Behavior Technician | 475 S John Rodes Blvd, Melbourne, FL 32904-1093 | 2020-08-17 |
| 1912523820 | Vanessa Escobar Benitez | Behavior Technician | 475 S John Rodes Blvd, Melbourne, FL 32904-1093 | 2020-06-17 |
| 1124653928 | Kevin Fraser | Behavior Technician | 475 S John Rodes Blvd, Melbourne, FL 32904-1093 | 2020-03-12 |
| 1245865567 | Sonya Michell Tucker | Behavior Technician | 475 S John Rodes Blvd, Melbourne, FL 32904-1093 | 2020-03-06 |
| 1790319382 | Adriana Sypek | Behavior Technician | 475 S John Rodes Blvd, Melbourne, FL 32904-1093 | 2020-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1255831699 | Christine Marie Hill | Assistant Behavior Analyst | 1051 Eber Blvd Ste 108, Melbourne, FL 32904-8768 | 2018-02-12 |
| 1306345988 | Zachary Leauber | Assistant Behavior Analyst | 475 S John Rodes Blvd, Melbourne, FL 32904-1093 | 2018-02-08 |
| 1154851905 | E'syl Ray | Assistant Behavior Analyst | 125 E Nasa Blvd, Melbourne, FL 32901-1900 | 2017-06-14 |
| 1285163782 | Victoria Hammond | Assistant Behavior Analyst | 125 E Nasa Blvd, Melbourne, FL 32901 | 2017-06-08 |
| 1174050900 | Estefania Alarcon | Assistant Behavior Analyst | 150 W University Blvd, Melbourne, FL 32901-6982 | 2017-05-11 |
| 1104352731 | Melonie Maldonado | Assistant Behavior Analyst | 125 E Nasa Blvd, Melbourne, FL 32901-1900 | 2017-05-02 |
| 1366977274 | Brittany Brodeur | Assistant Behavior Analyst | 475 S John Rodes Blvd, Melbourne, FL 32904-1093 | 2017-04-28 |
| 1659811966 | Camara Strong | Assistant Behavior Analyst | 125 E Nasa Blvd, Melbourne, FL 32901-1900 | 2017-03-06 |
| 1235685322 | Carlos Rafael Machado Colon | Assistant Behavior Analyst | 475 S John Rodes Blvd, Melbourne, FL 32904-1093 | 2016-08-29 |
| 1376834119 | John Booher | Assistant Behavior Analyst | 475 S John Rodes Blvd, Melbourne, FL 32904-1093 | 2011-04-27 |
| Find all providers in MELBOURNE | ||||
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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.