ANGELA MARTIN (NPI# 1972905883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972905883 |
| Entity Type | Individual |
| Full Name | ANGELA MARTIN |
| Credential | BCABA |
| Practice Address |
3509 Us Highway 17 Orange Park FL 32003 |
| Mailing Address |
10175 Fortune Parkway Suite 903 Jacksonville FL 32256 |
| Practice Telephone | 9045793280 |
| Practice Fax Number | 9045380714 |
| Mailing Telephone | 9045380713 |
| Mailing Fax Number | 9045380714 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183899 | Angela Lakersha Martin | Contractor | 2810 Cyclorama Dr, Cincinnati, OH 45211-8330 | 2020-10-28 |
| 1073126371 | Angela C Martin | Technician | 3952 Teaberry Rd, Ronceverte, WV 24970-1582 | 2020-08-26 |
| 1528683984 | Angela R. Martin | Counselor | 13521 Old Highway 280 Ste 149, Birmingham, AL 35242-1406 | 2020-06-11 |
| 1952883811 | Angela Martin | Social Worker | 235 Whitestick St, Mabscott, WV 25871 | 2018-09-06 |
| 1386122919 | Angela Lynn Martin | Registered Nurse | 6315 Central City Blvd Apt 117, Galveston, TX 77551-3803 | 2018-08-06 |
| 1639655483 | Angela Martin | Behavior Technician | 413 S Regester St, Baltimore, MD 21231-2426 | 2018-07-16 |
| 1932502853 | Angela Martin | Counselor | 3408 Falkner Dr, Naperville, IL 60564-5140 | 2014-10-06 |
| 1508279480 | Angela Martin | Specialist/Technologist | 305 Ne Loop 280 Business Tower 1, Suite 200, Hurst, TX 76053 | 2014-06-09 |
| 1760803613 | Angela Martin | Early Intervention Provider Agency | 530 Grand St Apt D2b, New York, NY 10002-4250 | 2013-12-19 |
| 1477974400 | Angela J. Martin | Massage Therapist | 1319 Ne 134th St Ste 103, Vancouver, WA 98685-2718 | 2013-12-17 |
| Street Address |
3509 US HIGHWAY 17 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780938191 | Ashley Hooks | Behavioral Analyst | 3509 Us Highway 17, Orange Park, FL 32003-7122 | 2012-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649758012 | Pruitthealth - Fleming Island, LLC | Skilled Nursing Facility | 2040 Town Center Boulevard, Fleming Island, FL 32003 | 2018-07-30 |
| 1841733904 | Linda Giacobbe | Community/Behavioral Health | 4609 Hwy 17, Suite 1, Fleming Island, FL 32003 | 2016-11-22 |
| 1538515796 | Kelly Standish | Dentist | 1700 Eagle Harbor Parkway East, Orange Park, FL 32003 | 2016-05-06 |
| 1396119301 | Emily Benn | Physical Therapist | 4689 Hwy 17, Suite 11, Fleming Island, FL 32003 | 2015-11-16 |
| 1467834929 | Sherrye Frady | Nurse Practitioner | 1915 East West Pkwy #2, Fleming Island, FL 32003 | 2015-06-22 |
| 1023497658 | Musa Medical Supplies | Durable Medical Equipment & Medical Supplies | 1915 Eastwest Parkway, Fleming Island, FL 32003 | 2015-05-28 |
| 1093125676 | Stephen Gibbs | Orthopaedic Surgery | 4689 Highway 17, Suite 11, Fleming Island, FL 32003 | 2014-05-05 |
| 1033555198 | Lillie Elaine Switanek | Social Worker | 1 743 Cr 220, Fleming Island, FL 32003 | 2013-05-16 |
| 1003188475 | Comfortable Care Dental Health Professionals | Dentist | 1647 Country Road 220, Suite 101, Fleming Island, FL 32003 | 2012-02-01 |
| 1285901488 | Lynzie Lane Cammilleri | Pharmacist | 1565 Doctor's Inlet, Orange Park, FL 32003 | 2011-11-17 |
| Find all providers in zip 32003 | ||||
| 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 |
|---|---|---|---|---|
| 1215450192 | Behavioral Solutions of Ne Fl Inc | Behavioral Analyst | 5472 Jackson Ave, Orange Park, FL 32073-7236 | 2017-07-21 |
| 1609315225 | John Mortensen | Behavioral Analyst | 175 Industrial Loop S, Orange Park, FL 32073-6217 | 2017-02-15 |
| 1841657475 | Elena Labissiere | Behavioral Analyst | 2301 Park Ave Ste 201, Orange Park, FL 32073-5558 | 2016-01-27 |
| 1982077665 | Christina Riley | Behavioral Analyst | 782 Foxridge Center Dr, Orange Park, FL 32065-5776 | 2015-11-03 |
| 1518367572 | Jo Anne Hall | Behavioral Analyst | 2295 Richard Lee St, Orange Park, FL 32073-8588 | 2014-08-27 |
| 1982023834 | Marissa Chunn | Behavioral Analyst | 2015 Doctors Lake Dr, Orange Park, FL 32073-5410 | 2014-04-08 |
| 1063834059 | Maegan Howell | Behavioral Analyst | 1563 Kingsley Ave Ste 103, Orange Park, FL 32073 | 2014-01-10 |
| 1780938191 | Ashley Hooks | Behavioral Analyst | 3509 Us Highway 17, Orange Park, FL 32003-7122 | 2012-11-07 |
| 1881982759 | Pamela D Lively | Behavioral Analyst | 3543 Barrel Springs Dr, Orange Park, FL 32073-2238 | 2011-07-13 |
| 1003119504 | Kerri S. Licini | Behavioral Analyst | 1700 Wells Rd # 15-16, Orange Park, FL 32073-2337 | 2010-12-06 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32003 |
Please comment or provide details below to improve the information on ANGELA MARTIN.
| 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.