AMANDA RUTH STOCKDALE (NPI# 1861013377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861013377 |
| Entity Type | Individual |
| Full Name | AMANDA RUTH STOCKDALE |
| Other Name | AMANDA RUTH PETERS |
| Practice Address |
109 Manatee Xing Apt 306 Daytona Beach FL 32119-1479 |
| Mailing Address |
Po Box 731624 Ormond Beach FL 32173-1624 |
| Practice Telephone | 4124969059 |
| Mailing Telephone | 4124969059 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| Y | 106S00000X | Behavior Technician | RBT-20-113858 | FL | Behavioral Health & Social Service Providers |
| Street Address |
109 MANATEE XING APT 306 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32119-1479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509476 | Peaceful Healing Solutions, LLC | Social Worker | 1655 Restarrick Ave, South Daytona, FL 32119 | 2020-05-15 |
| 1124570585 | Kunning Li | Acupuncturist | 2135 S Ridgewood Ave, South Daytona, FL 32119 | 2016-11-01 |
| 1720451040 | Tyler M Mckinniss | Chiropractor | 1614 S Ridgewood Ave Ste 200, South Daytona, FL 32119 | 2015-11-09 |
| 1821428954 | Jesse Robert Hodges Jr. | Chiropractor | 1780 S Nova Rd Ste 4, South Daytona, FL 32119 | 2013-11-27 |
| 1831347350 | Pamela Marie Lavigna | Counselor | 1635 S. Ridgewood Ave, Suite 225, South Daytona, FL 32119 | 2008-09-09 |
| 1922214279 | Karen Sue Pulaski | Physical Therapist | 401 Venture Ave. Suite C, South Daytona, FL 32119 | 2007-05-15 |
| 1245369180 | Cathryn C Cucchiaro | Marriage & Family Therapist | 2001 S Ridgewood Ave, South Daytona, FL 32119 | 2007-03-05 |
| 1629136775 | Dennis Andrew Kuack | Dentist | 2644 S Ridgewood Ave, South Daytona, FL 32119 | 2006-12-04 |
| 1639246630 | Robert J Amara | Chiropractor | 2750 S Ridgewood Ave #c, South Daytona, FL 32119 | 2006-11-29 |
| 1306910385 | Filutowski Eye Institute Pa | Clinic/Center | 110 Yorktowne Drive, Daytona Beach, FL 32119 | 2006-11-20 |
| Find all providers in zip 32119 | ||||
| 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 |
|---|---|---|---|---|
| 1891303210 | Taliyah Daniel Nowlin | Behavior Technician | 1128a Beville Rd Fl 32114, Daytona Beach, FL 32114-5743 | 2020-07-22 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1548892706 | Ines Bonila | Behavior Technician | 140 S Beach St Ste 32114, Daytona Beach, FL 32114-4472 | 2020-02-06 |
| 1386284776 | Carolyn Sapp | Behavior Technician | 875 Derbyshire Rd Apt 263, Daytona Beach, FL 32117-3973 | 2020-01-14 |
| 1073151783 | Devon Jeffrey Robinson I | Behavior Technician | 1628 Piccadilly Dr, Daytona Beach, FL 32117-3828 | 2019-12-12 |
| 1588201610 | Jordan Rogers | Behavior Technician | 622 Fremont Ave, Daytona Beach, FL 32114-6071 | 2019-12-09 |
| 1861978298 | Deidre Davis | Behavior Technician | 1231 10th St, Daytona Beach, FL 32117-3237 | 2018-07-18 |
| 1033614391 | Bernadette Shaena Flake | Behavior Technician | 1120 Beville Rd Ste 8, Daytona Beach, FL 32114-5748 | 2018-03-28 |
| 1730680448 | Quaneria Carter | Behavior Technician | 1128 Beville Rd Unit 2, Daytona Beach, FL 32114-5747 | 2018-02-27 |
| 1407363039 | Jane Marie Duguay | Behavior Technician | 517 S Palmetto Ave Apt 1, Daytona Beach, FL 32114-4923 | 2018-01-04 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32119 |
Please comment or provide details below to improve the information on AMANDA RUTH STOCKDALE.
| 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.