CAITLINE MICHELE EDGE (NPI# 1962043380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962043380 |
| Entity Type | Individual |
| Full Name | CAITLINE MICHELE EDGE |
| Credential | RBT |
| Practice Address |
128 John King Rd Ste 18 Crestview FL 32539-5731 |
| Mailing Address |
40 State Highway 83 Defuniak Springs FL 32433-7404 |
| Practice Telephone | 8505859189 |
| Practice Fax Number | 8509510898 |
| Mailing Telephone | 8505859189 |
| Mailing Fax Number | 8509510898 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
128 JOHN KING RD STE 18 |
| City | CRESTVIEW |
| State | FL |
| Zip Code | 32539-5731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053937300 | Kathryn N Parker | Behavior Technician | 128 John King Rd Ste 18, Crestview, FL 32539-5731 | 2020-06-23 |
| 1821613365 | Alyssa Mychaela Weekley | Behavior Technician | 128 John King Rd Ste 18, Crestview, FL 32539-5731 | 2020-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326418336 | Abc Pediatrics of Okaloosa | Pediatrics | 182 E. Redstone Ave, Suite B, Crestview, FL 32539 | 2015-10-02 |
| 1336498443 | Jessica Carolina Carroll | Counselor | 259 E. Oakdale Ave, Crestview, FL 32539 | 2012-09-05 |
| 1902167166 | Patricia Guess | Registered Nurse | 6011 Aubrey Lee Ln, Crestview, FL 32539 | 2012-06-05 |
| 1699048181 | Chien Nguyen | Clinical Medical Laboratory | 151 East Redstone Avenue, Crestview, FL 32539 | 2012-02-15 |
| 1043494164 | Crestview Mri | Clinic/Center | 700 Hospital Drive, Crestview, FL 32539 | 2007-12-26 |
| 1558581215 | Barnes Healthcare of Fl LLC | Durable Medical Equipment & Medical Supplies | 450 Brookmeade Dr, Crestview, FL 32539 | 2007-04-26 |
| 1568576098 | Okaloosa Youth Development Center | Substance Abuse Rehabilitation Facility | 4449 Straighline Road, Crestview, FL 32539 | 2006-08-19 |
| 1154368181 | Marcello Borzatta | Surgery | 129 E. Redstone Ave, Suite A, Crestview, FL 32539 | 2006-05-31 |
| 1902850258 | Panhandle Orthopaedics LLC | Physical Therapist | 710 Hospital Drive, Crestview, FL 32539 | 2006-05-20 |
| 1619941440 | Yale R Smith | Anesthesiology | 151 Redstone Ave Se, Pinnacle Physicians LLC, Crestview, FL 32539 | 2006-02-16 |
| Find all providers in zip 32539 | ||||
| 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 |
|---|---|---|---|---|
| 1427670140 | Josh Gage Stapp | Behavior Technician | 416 Garden St, Crestview, FL 32536-1754 | 2020-05-15 |
| 1407490592 | Katheryn Kelly Young | Behavior Technician | 416 Garden St Ste B, Crestview, FL 32536-1755 | 2019-10-31 |
| 1821653114 | Briana Turner | Behavior Technician | 1000 Patriot Ln Apt 122, Crestview, FL 32539-7404 | 2019-05-02 |
| 1790254035 | Raini Hill | Behavior Technician | 1215 Lexie Dr, Crestview, FL 32536-4203 | 2018-11-15 |
| 1093222531 | Laci Collinsworth | Behavior Technician | 851 N Wilson St, Crestview, FL 32536-2639 | 2018-01-05 |
| 1952836512 | Jenilyn Troost | Behavior Technician | 2628 Paddock Cir, Crestview, FL 32536-4359 | 2017-04-20 |
| 1942650411 | Guinevere Crystal Herrin | Behavior Technician | 575 Brookmeade Dr, Crestview, FL 32539-6029 | 2016-06-15 |
| 1053937300 | Kathryn N Parker | Behavior Technician | 128 John King Rd Ste 18, Crestview, FL 32539-5731 | 2020-06-23 |
| 1821613365 | Alyssa Mychaela Weekley | Behavior Technician | 128 John King Rd Ste 18, Crestview, FL 32539-5731 | 2020-06-10 |
| 1447882600 | Ashley Bates | Behavior Technician | 575 Brookmeade Dr, Crestview, FL 32539-6029 | 2020-02-06 |
| Find all providers in CRESTVIEW | ||||
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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.