FLORIDA AUTISM CENTER (NPI# 1841669686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841669686 |
| Entity Type | Organization |
| Organization Name | FLORIDA AUTISM CENTER |
| Practice Address |
791 Rinehart Rd Lake Mary FL 32746-4876 |
| Mailing Address |
175 Middle St Lake Mary FL 32746-3625 |
| Practice Telephone | 4074139550 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2016-11-21 |
| Authorized Official Name | MR. JOHN HENNEGAN (CHAIRMAN) |
| Authorized Official Telephone | 3123487572 |
| Is Organization Subpart | Y |
| Parent Organization Name | SCP AUTISM SERVICES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 9093700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862119 | Florida Autism Center | Assistant Behavior Analyst | 105 Grand Central Blvd Ste 101, Pooler, GA 31322-4146 | 2020-02-10 |
| 1265071955 | Florida Autism Center | Assistant Behavior Analyst | 3850 Holcomb Bridge Rd Ste 180, Norcross, GA 30092-5223 | 2019-12-30 |
| 1093358541 | Florida Autism Center | Assistant Behavior Analyst | 1220 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2019-10-28 |
| 1457994907 | Florida Autism Center | Assistant Behavior Analyst | 5328 Lanier Islands Pkwy, Buford, GA 30518-9071 | 2019-10-28 |
| 1033751888 | Florida Autism Center | Behavior Technician | 6375 Mcginnis Ferry Rd Ste 202, Johns Creek, GA 30005-3617 | 2019-10-14 |
| 1912551730 | Florida Autism Center | Assistant Behavior Analyst | 115 N Park Trl Ste 123, Stockbridge, GA 30281-7373 | 2019-07-30 |
| 1245899574 | Florida Autism Center | Assistant Behavior Analyst | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2019-06-11 |
| 1497226559 | Florida Autism Center | Assistant Behavior Analyst | 100 Governors Trce Ste 100, Peachtree City, GA 30269-4856 | 2018-12-16 |
| 1396231411 | Florida Autism Center | Behavioral Analyst | 2389 Oak Myrtle Lane, Wesley Chapel, FL 33544 | 2018-07-02 |
| 1942743018 | Florida Autism Center | Assistant Behavior Analyst | 1563 Kingsley Ave, Suite 103, Orange Park, FL 32073-4503 | 2016-11-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FLORIDA AUTISM CENTER OF EXCELLENCE, INC. | 6310 E Sligh Ave, Tampa, FL 33617-9107 |
| Street Address |
791 RINEHART RD |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-4876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639320203 | Florida Autism Center | Early Intervention Provider Agency | 791 Rinehart Rd, Lake Mary, FL 32746-4876 | 2008-10-01 |
| 1598379919 | Tatyana Rivera Calderon | Behavior Technician | 791 Rinehart Rd, Lake Mary, FL 32746-4876 | 2020-09-02 |
| 1831700228 | Emily Borsella | Behavior Technician | 791 Rinehart Rd, Lake Mary, FL 32746-4876 | 2020-08-11 |
| 1619588092 | Jennifer Lynn Fisher | Behavior Technician | 791 Rinehart Rd, Lake Mary, FL 32746-4876 | 2020-08-11 |
| 1598376949 | Lauren Elizabeth Crummett | Behavior Technician | 791 Rinehart Rd, Lake Mary, FL 32746-4876 | 2020-08-10 |
| 1861019168 | Rachael Leanne Hart | Behavior Technician | 791 Rinehart Rd, Lake Mary, FL 32746-4876 | 2020-07-02 |
| 1114552247 | Alyssa Salvador | Behavior Technician | 791 Rinehart Rd, Lake Mary, FL 32746-4876 | 2020-03-09 |
| 1336774090 | Marley Alexandra Burke | Behavioral Analyst | 791 Rinehart Rd, Lake Mary, FL 32746-4876 | 2020-03-03 |
| 1700410057 | Rose Lilly Soto | Behavior Technician | 791 Rinehart Rd, Lake Mary, FL 32746-4876 | 2020-02-25 |
| 1902446081 | Lellanny Fajardo | Behavior Technician | 791 Rinehart Rd, Lake Mary, FL 32746-4876 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205493954 | Arise Autism Center LLC | Behavioral Analyst | 200 Waymont Ct Ste 122-124, Lake Mary, FL 32746-3413 | 2019-05-28 |
| 1275988412 | Behavior Blossoms LLC | Behavioral Analyst | 580 Holbrook Cir, Lake Mary, FL 32746-6332 | 2016-04-25 |
| 1184080988 | Brittany Monington | Behavioral Analyst | 300 International Pkwy Ste 200, Lake Mary, FL 32746-5028 | 2016-01-08 |
| 1437409026 | Carmen Mcguinness | Behavioral Analyst | 1301 S International Pkwy Ste 1005, Lake Mary, FL 32746-1410 | 2012-09-11 |
| 1710207477 | Venesa Rose Balis | Behavioral Analyst | 708 Alto Pl, Lake Mary, FL 32746-2341 | 2010-06-04 |
| 1053918581 | Evaleonor Tiffany Taylor | Behavioral Analyst | 3415 W Lake Mary Blvd # 4045, Lake Mary, FL 32795-7501 | 2020-10-07 |
| 1457966350 | Yamile Velazquez | Behavioral Analyst | 200 Waymont Ct Ste 122, Lake Mary, FL 32746-3413 | 2020-09-09 |
| 1669080347 | Robert Mosley | Behavioral Analyst | 300 International Pkwy Ste 200, Lake Mary, FL 32746-5028 | 2020-07-17 |
| 1538787759 | Katie Giewont | Behavioral Analyst | 200 Waymont Ct Ste 122-124, Lake Mary, FL 32746-3413 | 2020-07-14 |
| 1497373476 | Andrew Kevin Manderson | Behavioral Analyst | 300 International Pkwy Ste 200, Lake Mary, FL 32746-5028 | 2020-07-07 |
| Find all providers in LAKE MARY | ||||
Please comment or provide details below to improve the information on FLORIDA AUTISM CENTER.
| 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.