INTEGRATED ROOTS BEHAVIORAL THERAPY, LLC (NPI# 1942676812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942676812 |
| Entity Type | Organization |
| Organization Name | INTEGRATED ROOTS BEHAVIORAL THERAPY, LLC |
| Practice Address |
1021 39th Ave Ne St Petersburg FL 33703-5223 |
| Practice Telephone | 7276373100 |
| Mailing Telephone | 7276373100 |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2016-08-09 |
| Authorized Official Name | MRS. STEPHANIE L ZIELINSKI (OWNER) |
| Authorized Official Telephone | 7276373100 |
| Authorized Official Credential | MA; BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| Y | 103K00000X | Behavioral Analyst | 1-10-7146 | FL | Behavioral Health & Social Service Providers |
| Street Address |
1021 39TH AVE NE |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33703-5223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063925956 | Gabriella Ann Gonzalez | Behavior Technician | 1021 39th Ave Ne, St Petersburg, FL 33703-5223 | 2017-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
| 1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
| 1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
| 1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
| 1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
| 1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
| 1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
| 1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
| 1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
| 1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
| Find all providers in zip 33703 | ||||
| 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 |
|---|---|---|---|---|
| 1669966453 | Margaret Short | Behavioral Analyst | 5154 6th St N, St Petersburg, FL 33703-2936 | 2018-06-15 |
| 1760991335 | Nakaysha Pullen | Behavioral Analyst | 8950 Dr Martin Luther King St N Ste #190, St Petersburg, FL 33702 | 2017-09-26 |
| 1851800726 | Coastal Aba, LLC | Behavioral Analyst | 6001 41st Ave N, St Petersburg, FL 33709-5221 | 2017-09-23 |
| 1629590930 | Elizabeth Leigh Koehler | Behavioral Analyst | 551 12th Ave Ne Apt 2, St Petersburg, FL 33701-1331 | 2017-07-10 |
| 1962922195 | Emily Ann Markovich | Behavioral Analyst | 8950 Dr Martin Luther King St N Ste 170, St Petersburg, FL 33702-3001 | 2017-06-20 |
| 1295263556 | Andrea Marie Lewetag | Behavioral Analyst | 520 11th Ave N Apt 3, St Petersburg, FL 33701-1661 | 2017-05-31 |
| 1154868933 | Mary Margaret Barrett | Behavioral Analyst | 2600 Martin Luther King St N Ste 401, St Petersburg, FL 33704-2744 | 2017-01-31 |
| 1891232724 | Maura Reedy | Behavioral Analyst | 2600 Dr Martin Luther King Jr St N Ste 401, St Petersburg, FL 33704-2744 | 2017-01-30 |
| 1982141917 | Zoe Isabella Hay | Behavioral Analyst | 534 11th Ave N, St Petersburg, FL 33701-1610 | 2017-01-29 |
| 1841735784 | Lynn Zammit Wagner | Behavioral Analyst | 701 77th Ave N, Ste 56546, St Petersburg, FL 33702-5299 | 2017-01-02 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33703 |
Please comment or provide details below to improve the information on INTEGRATED ROOTS BEHAVIORAL THERAPY, LLC.
| 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.