JOHN MATTHEW ILLES (NPI# 1982094744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982094744 |
| Entity Type | Individual |
| Full Name | JOHN MATTHEW ILLES |
| Credential | B.A |
| Practice Address |
5707 N 22nd St Tampa FL 33610-4350 |
| Mailing Address |
4735 Rowan Rd Apt 213 New Port Richey FL 34653 |
| Practice Telephone | 8132398448 |
| Practice Fax Number | 8132398513 |
| Mailing Telephone | 7276457132 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2017-09-26 |
| Gender Code | M |
| 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 |
5707 N 22ND ST |
| City | TAMPA |
| State | FL |
| Zip Code | 33610-4350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629032073 | Stephanie Lockett | Psychiatry & Neurology | 5707 N 22nd St, Tampa, FL 33610-4350 | 2006-04-13 |
| 1861093759 | Alma Escalona | Registered Nurse | 5707 N 22nd St, Tampa, FL 33610-4350 | 2020-11-05 |
| 1003414863 | Beatriz Alvarez | Social Worker | 5707 N 22nd St, Tampa, FL 33610-4350 | 2020-10-14 |
| 1891393583 | Ada Rodriguez | Social Worker | 5707 N 22nd St, Tampa, FL 33610-4350 | 2020-10-14 |
| 1225643539 | Daris Nichole Rodriguez Zurinaga | Social Worker | 5707 N 22nd St, Tampa, FL 33610-4350 | 2020-09-14 |
| 1861014029 | Marcia Montel Nicholls | Licensed Practical Nurse | 5707 N 22nd St, Tampa, FL 33610-4350 | 2020-05-11 |
| 1376170167 | Erin E Evans | Counselor | 5707 N 22nd St, Tampa, FL 33610-4350 | 2020-03-24 |
| 1003440017 | Margaret Alejandro Rivera | Community Health Worker | 5707 N 22nd St, Tampa, FL 33610-4350 | 2020-02-28 |
| 1003449190 | Rossmery Villavicencio | Social Worker | 5707 N 22nd St, Tampa, FL 33610-4350 | 2020-02-17 |
| 1932739133 | Jennifer Lizaire | Counselor | 5707 N 22nd St, Tampa, FL 33610-4350 | 2020-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273161 | Mayra Iris Pesante Lopez | Behavior Technician | 10150 Highlands Manor Drive Suite 200, Tampa, FL 33610 | 2019-09-11 |
| 1902464381 | Ruth Hosen Milfort | Case Manager/Care Coordinator | 5707 N. 22nd Street, Tampa, FL 33610 | 2019-05-31 |
| 1265914626 | Universal Transportation Management Inc | Non-emergency Medical Transport (VAN) | 4108 N 22nd Street, Tampa, FL 33610 | 2018-09-02 |
| 1346759115 | Speedway Plus 2 Car Care Center LLCc | Residential Treatment Facility, Physical Disabilities | 8007 Glenoak Rd., Tampa, FL 33610 | 2017-09-25 |
| 1245757707 | Duy Dang | Behavioral Analyst | 4402 Claymore Dr Unit 203, Tampa, FL 33610 | 2017-08-25 |
| 1144745043 | Jonequa Baker | Home Health Aide | 709 North Castle Court, Tampa, FL 33610 | 2017-08-11 |
| 1619401338 | Dedicated Senior Medical Center East Tampa, LLC. | Non-Pharmacy Dispensing Site | 3128 East Hillsborough Avenue, Dedicated Senior Medical Center East Tampa, LLC., Tampa, FL 33610 | 2017-04-19 |
| 1669917423 | Olivia Anderson | Counselor | 10150 Highland Manor Dr Ste 200#108, Tampa, FL 33610 | 2017-01-03 |
| 1952779050 | Tampa Family Health Centers, Inc | Clinic/Center | 3100 E. Fletcher Avenue, Tampa, FL 33610 | 2015-09-04 |
| 1215303821 | Morissa Kidd | Technician, Other | 8062 Deerwood Circle, Tampa, FL 33610 | 2015-08-18 |
| Find all providers in zip 33610 | ||||
| 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 |
|---|---|---|---|---|
| 1528669892 | Yendria Not Daisson I | Behavior Technician | 2522 Auburn Ave W, Tampa, FL 33614-2802 | 2020-11-03 |
| 1154922581 | Eidis Lopez Roque | Behavior Technician | 8502 Rivershire Ct, Tampa, FL 33634-1114 | 2020-11-03 |
| 1558961862 | Yeney Martin Stevenson | Behavior Technician | 1105 Teakwood Ave, Tampa, FL 33613-1727 | 2020-10-27 |
| 1629677372 | Elaine A Peyno | Behavior Technician | 9042 Grateful Thomas Trl Apt 408, Tampa, FL 33626-1675 | 2020-10-23 |
| 1780283440 | Yissed Ortega Izquierdo | Behavior Technician | 4535 Castaway Dr Apt 1, Tampa, FL 33615-5181 | 2020-10-22 |
| 1790384600 | Thalia Arteaga Ferro | Behavior Technician | 18002 Richmond Place Dr Apt 2123, Tampa, FL 33647-1732 | 2020-10-21 |
| 1265030043 | Yaquelin Sanchez Gines | Behavior Technician | 6910 N Himes Ave, Tampa, FL 33614-4034 | 2020-10-13 |
| 1003414103 | Roman Anthony Pinheiro | Behavior Technician | 8001 Beaty Grove Dr Fl 33626, Tampa, FL 33626-1602 | 2020-10-12 |
| 1790382067 | Zuriam Alonso | Behavior Technician | 4850 Foxshire Cir, Tampa, FL 33624-4316 | 2020-10-08 |
| 1912504606 | Erica Peckens O'connor | Behavior Technician | 15216 Alexis Dr, Tampa, FL 33624-2347 | 2020-10-06 |
| Find all providers in TAMPA | ||||
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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.