JILL STACKHOUSE (NPI# 1962018358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962018358 |
| Entity Type | Individual |
| Full Name | JILL STACKHOUSE |
| Practice Address |
7108 S Kanner Hwy Stuart FL 34997-7462 |
| Practice Telephone | 8558326727 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
7108 S KANNER HWY |
| City | STUART |
| State | FL |
| Zip Code | 34997-7462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861564890 | Amy Lynn Rodriguez Vujovich | Counselor | 7108 S Kanner Hwy, Stuart, FL 34997-7462 | 2006-11-14 |
| 1871194613 | Tiffany Alfonso | Behavior Technician | 7108 S Kanner Hwy, Stuart, FL 34997-7462 | 2020-11-06 |
| 1508466541 | Torrieana Triplett | Behavior Technician | 7108 S Kanner Hwy, Stuart, FL 34997-7462 | 2020-10-29 |
| 1205436078 | Matti Ben-lev | Behavior Technician | 7108 S Kanner Hwy, Stuart, FL 34997-7462 | 2020-10-29 |
| 1609475573 | Bianca I Perez | Technician, Other | 7108 S Kanner Hwy, Stuart, FL 34997-7462 | 2020-10-22 |
| 1912505405 | Celeste Martinez | Behavior Technician | 7108 S Kanner Hwy, Stuart, FL 34997-7462 | 2020-10-15 |
| 1801493622 | Gerdyde Kinsey | Behavior Technician | 7108 S Kanner Hwy, Stuart, FL 34997-7462 | 2020-10-05 |
| 1316544299 | Jhon Kelly Myrtil | Behavior Technician | 7108 S Kanner Hwy, Stuart, FL 34997-7462 | 2020-10-05 |
| 1265049548 | Lucia Villena | Behavior Technician | 7108 S Kanner Hwy, Stuart, FL 34997-7462 | 2020-09-30 |
| 1255948451 | Tatiana Marie Reyes Santos | Behavior Technician | 7108 S Kanner Hwy, Stuart, FL 34997-7462 | 2020-09-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
| 1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
| 1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
| 1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
| 1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
| 1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
| 1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
| 1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
| 1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
| 1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
| Find all providers in zip 34997 | ||||
| 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 |
|---|---|---|---|---|
| 1033719455 | Holly Bowers | Behavior Technician | 1537 Se Tradition Trce, Stuart, FL 34997-7624 | 2020-10-26 |
| 1790392397 | Hannah Elizabeth Kumrits | Behavior Technician | 777 Se Salerno Rd, Stuart, FL 34997-6305 | 2020-09-28 |
| 1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
| 1326671538 | Stephanie Kernasovic | Behavior Technician | 5519 Se Graham Dr, Stuart, FL 34997-1542 | 2020-02-16 |
| 1134600695 | Marquita M Coleman | Behavior Technician | 900 Se Ocean Blvd Ste 130, Stuart, FL 34994-3503 | 2018-08-23 |
| 1346734852 | Rebecca S Cobo | Behavior Technician | 955 Nw Egret Ct, Stuart, FL 34994-9532 | 2018-06-18 |
| 1427559897 | Christine Garland Nolley | Behavior Technician | 1723 Se Lafayette St, Stuart, FL 34997-5818 | 2018-02-21 |
| 1497254981 | Georgette Susan Hugger | Behavior Technician | 7778 Sw Jack James Dr, Stuart, FL 34997-7249 | 2018-02-09 |
| 1275049819 | Danielle Rae Gise | Behavior Technician | 9151 Sw 1st Drive, Stuart, FL 34997-7925 | 2017-12-19 |
| 1740796382 | Angel David Pellot | Behavior Technician | 9151 Sw 21st Drive, Stuart, FL 34997-7925 | 2017-12-19 |
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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.