MOLLIE GIBSON


Address: 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746
Phone: 9045380713

MOLLIE GIBSON (NPI# 1952834434) 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) 1952834434
Entity Type Individual
Full Name MOLLIE GIBSON
Credential QASP
Practice Address 10175 Fortune Pkwy
Suite 903
Jacksonville
FL 32256-6746
Mailing Address 6816 Southpoint Pkwy
Bldg 500
Jacksonville
FL 32216-1700
Practice Telephone 9045380713
Mailing Telephone 9045380713
Enumeration Date 2017-04-11
Last Update Date 2017-04-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106E00000X Assistant Behavior Analyst 8538 FL Behavioral Health & Social Service Providers

Office Location

Street Address 10175 FORTUNE PKWY
SUITE 903
City JACKSONVILLE
State FL
Zip Code 32256-6746

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730100587 Mohammad Farooque Psychiatry & Neurology 10175 Fortune Pkwy, Suite #1106, Jacksonville, FL 32256-6746 2006-07-21
1902430614 Delana Dampier Technician 10175 Fortune Pkwy, Jacksonville, FL 32256-6746 2020-03-03
1336780907 Sunshine Medical Specialists, LLC Pediatrics 10175 Fortune Pkwy, Jacksonville, FL 32256-6746 2019-10-03
1376079905 Ashley Raynor Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2017-05-02
1720511728 Desiree Adams Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2017-04-06
1538691555 Meghan Rhegness Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2017-03-29
1568906048 Alicia Miller Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2016-12-19
1417491036 Mary Moore Behavioral Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2016-12-16
1720522352 Lavyn Taylor Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2016-12-16
1730623356 Juana Rivera Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2016-12-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841890464 Alice Sanchez Dietitian, Registered 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 2020-11-01
1093327702 Oaktree Dental LLC Clinic/Center 14595 Philips Highway, Jacksonville, FL 32256 2020-08-24
1538787866 Tywanna Council Massage Therapist 4720 Salisbury Road #102, Jacksonville, FL 32256 2020-07-13
1275155368 Christy Orellana Social Worker 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 2020-05-11
1376175117 Diane Stover Case Manager/Care Coordinator 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 2020-02-10
1982235859 Sandra Josefina Baez Nunez Nurse Practitioner 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 2020-01-30
1205476496 Point Meadows Dental Center, Inc. Dentist 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 2020-01-15
1598324113 Dhaval Yogeshkumar Shah Dentist 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 2019-06-07
1003472499 Dade Medical, Inc. Durable Medical Equipment & Medical Supplies 9143 Philips Highway Suite 270, Jacksonville, FL 32256 2019-05-13
1003479726 Nichole Bashara Behavior Technician 8383 Baymeadows Rd, Jacksonville, FL 32256 2019-04-18
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Taxonomy Information

Taxonomy Code 106E00000X
Grouping Behavioral Health & Social Service Providers
Classification Assistant Behavior Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699319210 Elizabeth Mack Assistant Behavior Analyst 7929 Eaton Ave, Jacksonville, FL 32211-7848 2019-11-06
1093259095 Sherri Stinson Assistant Behavior Analyst 3011d John Paul Jones Ct, Jacksonville, FL 32221-2406 2016-12-09
1275175408 Ernisha M Sistrunk Assistant Behavior Analyst 6816 Southpoint Pkwy Ste 202, Jacksonville, FL 32216-1701 2019-10-09
1578066478 Ryan Moore Assistant Behavior Analyst 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 2018-03-16
1376079905 Ashley Raynor Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2017-05-02
1497280945 Thomas Ulwelling Assistant Behavior Analyst 9000 Cypress Green Dr, Jacksonville, FL 32256-7791 2017-04-21
1720511728 Desiree Adams Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2017-04-06
1538691555 Meghan Rhegness Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2017-03-29
1568906048 Alicia Miller Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2016-12-19
1720522352 Lavyn Taylor Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2016-12-16
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Competitor

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City JACKSONVILLE
Zip Code 32256

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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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