LORIANN SAMANTHA DEMELLO (NPI# 1992182760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992182760 |
| Entity Type | Individual |
| Full Name | LORIANN SAMANTHA DEMELLO |
| Credential | BCABA |
| Practice Address |
1815 Forest Hill Blvd Lake Clarke Shores FL 33406 |
| Mailing Address |
1815 Forest Hill Blvd Lake Clarke Shores FL 33406-6021 |
| Practice Telephone | 5613603169 |
| Mailing Telephone | 5613603169 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | 0145945 | FL | Behavioral Health & Social Service Providers |
| Y | 106E00000X | Assistant Behavior Analyst | 0-14-5945 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2073 Garden St, Titusville, FL 327963243 | 3218883020 | |
| 4026 Wilkes Dr, Melbourne, FL 329018487 | 3214057252 |
| Street Address |
1815 FOREST HILL BLVD |
| City | LAKE CLARKE SHORES |
| State | FL |
| Zip Code | 33406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522101 | Megan Heller | Community/Behavioral Health | 1815 Forest Hill Blvd, Lake Clarke Shores, FL 33406-6021 | 2020-09-15 |
| 1417562513 | Donisha Brown | Behavior Technician | 1815 Forest Hill Blvd, Lake Clarke Shores, FL 33406-6021 | 2020-09-15 |
| 1972150068 | Nina Dockery | Behavior Technician | 1815 Forest Hill Blvd, Lake Clarke Shores, FL 33406-6021 | 2019-08-22 |
| 1568019271 | Stephanie L Brown | Behavioral Analyst | 1815 Forest Hill Blvd, Lake Clarke Shores, FL 33406-6021 | 2019-08-19 |
| 1093362717 | Deanna Elaine Blankenship | Behavioral Analyst | 1815 Forest Hill Blvd, Lake Clarke Shores, FL 33406-6021 | 2019-08-19 |
| 1003463761 | Lisbeydi Madrigal | Behavioral Analyst | 1815 Forest Hill Blvd, Lake Clarke Shores, FL 33406-6021 | 2019-08-19 |
| 1851946792 | Mara Judith Kullman | Behavior Technician | 1815 Forest Hill Blvd, Lake Clarke Shores, FL 33406-6021 | 2019-08-07 |
| 1013473271 | Jennifer Wysong | Behavior Technician | 1815 Forest Hill Blvd, Lake Clarke Shores, FL 33406-6021 | 2019-02-13 |
| 1598230153 | Camilo Antonio Young I | Behavioral Analyst | 1815 Forest Hill Blvd, Lake Clarke Shores, FL 33406-6021 | 2018-10-10 |
| 1730684473 | Anatine Datus | Behavioral Analyst | 1815 Forest Hill Blvd, Lake Clarke Shores, FL 33406-6021 | 2018-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092736 | Meylin Hernadez Sr. | Behavior Technician | 4208 Palm Bay Cir Aprto, West Palm Beach, FL 33406 | 2020-10-29 |
| 1891358651 | Rosa Iris Rivera | Internal Medicine | 4068-1 Forest Hill Blvd, West Palm Beach, FL 33406 | 2019-04-17 |
| 1043799232 | Zobeyda Fernandez Andrain | Behavior Technician | 1475 Forest Hill Blvd., #1, West Palm Beach, FL 33406 | 2018-08-09 |
| 1942793807 | Good Samaritan Physio-therapy, LLC | Clinic/Center | 2393 South Congress Ave Suite 125, West Palm Beach, FL 33406 | 2018-06-14 |
| 1265921050 | Rosaura Vasquez | Occupational Therapy Assistant | 2393 S. Congress Av. Suite 130, West Palm Beach, FL 33406 | 2018-05-07 |
| 1124528427 | Margarette Leandre | Nurse Practitioner | 2640 Forest Hill Boulevard, West Palm Beach, FL 33406 | 2018-02-14 |
| 1689188401 | Trinity Care Alf | Assisted Living Facility | 1298 Victoria Drive, West Palm Beach, FL 33406 | 2017-12-01 |
| 1730698762 | Nelsa Paulina Zorrilla | Behavioral Analyst | 4008 Palm Bay Circle Unit D, West Palm Beach, FL 33406 | 2017-09-21 |
| 1710405352 | Pure Dental Care,p.a. | Dentist | 2326 South Congress Avenue, West Palm Beach, FL 33406 | 2017-09-05 |
| 1063938629 | William Antwon Johnson | Behavioral Analyst | 1815 Forest Hill, . Lake Clark Shores, FL 33406 | 2017-08-16 |
| Find all providers in zip 33406 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305924 | Irialis Gonzalez Gutierrez | Assistant Behavior Analyst | 6261 W Flagler St Apt 22, Miami, FL 33144-3024 | 2020-10-28 |
| 1265031157 | Raquel Daetz Garcia | Assistant Behavior Analyst | 11262 Sw 230th Ter, Miami, FL 33170-7612 | 2020-10-21 |
| 1790383149 | Jorge L Hernandez Aguilar | Assistant Behavior Analyst | 14236 Sw 91st St, Miami, FL 33186-7802 | 2020-10-16 |
| 1114525839 | Stepping Stones Supports LLC | Assistant Behavior Analyst | 5221 Nw 81st Ter, Lauderhill, FL 33351-5050 | 2020-10-14 |
| 1912505884 | Maria Matilde Alonso Urquijo | Assistant Behavior Analyst | 7317 Sw 22nd St, Miami, FL 33155-1426 | 2020-10-13 |
| 1093312647 | Rody Blanco | Assistant Behavior Analyst | 18512 Field Club Way, Tampa, FL 33647-1823 | 2020-10-07 |
| 1699372870 | Karen Zhao | Assistant Behavior Analyst | 8303 Sw 107th Ave Apt A, Miami, FL 33173-3805 | 2020-10-01 |
| 1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
| 1689281453 | Betsy Escobar Lozada | Assistant Behavior Analyst | 601 Ludlam Dr Apt 1, Miami Springs, FL 33166-4971 | 2020-09-25 |
| 1710593991 | Odalis De Las Mercedes Marrero | Assistant Behavior Analyst | 6502 Blue Ribbon Ln Apt 301, Tampa, FL 33625-2480 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CLARKE SHORES |
| Zip Code | 33406 |
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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.