MRS. MELISSA SONIA GIBLIN (NPI# 1992192223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992192223 |
Entity Type | Individual |
Full Name | MRS. MELISSA SONIA GIBLIN |
Credential | B.A., BCABA |
Practice Address |
17535 Darby Ln Lutz FL 33558 |
Mailing Address |
17535 Darby Ln Lutz FL 33558-4817 |
Practice Telephone | 8138205738 |
Practice Fax Number | 8135914777 |
Enumeration Date | 2015-04-24 |
Last Update Date | 2018-09-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers | ||
Y | 103K00000X | Behavioral Analyst | 0-17-8003 | FL | Behavioral Health & Social Service Providers |
N | 103K00000X | Behavioral Analyst | FL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UNITED HEALTHCARE | 960000161 | 01 | |
FL | BLUE CROSS BLUE SHIELD | 247200000X | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1148 Ne Coy Senda, Jensen Beach, FL 349575054 | 7726345265 |
Street Address |
17535 DARBY LN |
City | LUTZ |
State | FL |
Zip Code | 33558 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437714623 | Christina Pastore | Behavioral Analyst | 17535 Darby Ln, Lutz, FL 33558-4817 | 2019-05-03 |
1538626809 | Chase Vaughn Jackson-harris | Behavior Technician | 17535 Darby Ln, Lutz, FL 33558-4817 | 2019-02-22 |
1447745153 | Heather Rachel Lewis | Behavior Technician | 17535 Darby Ln, Lutz, FL 33558 | 2018-06-25 |
1104334762 | Kaley Grant | Behavioral Analyst | 17535 Darby Ln, Lutz, FL 33558-4817 | 2018-01-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
1780175273 | Elder Services of Central Florida, Inc | Home Health | 17901 Hunting Bow Cir Ste 101, Lutz, FL 33558 | 2018-05-21 |
1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
1376905851 | Michelle Renee Story | Contractor | 20921 Haulover Cv. #f6, Lutz, FL 33558 | 2016-03-24 |
1396177739 | Zoe Scripts Laboratory Services LLC | Clinical Medical Laboratory | 4969 Van Dyke Rd., Lutz, FL 33558 | 2013-08-08 |
1649617705 | Suzanne Marie Newby | Physician Assistant | 16541 Pointe Village Dr Ste 209, Lutz, FL 33558 | 2013-05-30 |
1073889572 | Julie J. Mckean, Lmhc, Ncc, LLC | Counselor | 4929 Van Dyke Road, Lutz, FL 33558 | 2012-03-29 |
1750524864 | Sheetal Suryawanshi | Dentist | 17735 Hunting Bow Circle, Lutz, Florida, FL 33558 | 2009-04-20 |
1063675478 | Juan J Egas | Physical Medicine & Rehabilitation | 17807 Hunting Bow Cir, Lutz, FL 33558 | 2008-07-07 |
1114080652 | Adenike Christiana Gansallo | Pharmacist | 4102 Heritage Lake Ct, Lutz, FL 33558 | 2006-12-18 |
Find all providers in zip 33558 |
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 |
---|---|---|---|---|
1164982997 | Patrick Corrigan Tyler | Behavioral Analyst | 18715 Planners Way, Lutz, FL 33548-6421 | 2019-03-20 |
1568973147 | Applied Behavior Analysis Sports Innovations LLC | Behavioral Analyst | 2907 Cypress Bowl Rd, Lutz, FL 33558-5040 | 2017-10-23 |
1760923437 | Behavior Modification Solutions Aba, LLC | Behavioral Analyst | 1941 Crape Myrtle Loop, 205, Lutz, FL 33549 | 2017-03-15 |
1881041838 | Bryon Gabriel Miller | Behavioral Analyst | 16605 Windsor Park Dr, Lutz, FL 33549-6806 | 2016-05-19 |
1972977171 | Aracely Abreu | Behavioral Analyst | 16013 Stags Leap Dr, Lutz, FL 33559-2002 | 2015-11-25 |
1609255975 | Christopher Nieves | Behavioral Analyst | 18526 Avocet Dr, Lutz, FL 33558-2702 | 2015-05-20 |
1649608522 | Fernando Miguel Herrera | Behavioral Analyst | 2070 Sweetbroom Cir Apt 307, Lutz, FL 33559-8727 | 2013-10-31 |
1609200831 | Jeffrey Alan Schram | Behavioral Analyst | 18288 N Us Highway 41, Lutz, FL 33549-4400 | 2013-08-23 |
1558616078 | Pearson Klein | Behavioral Analyst | 1941 Crape Myrtle Loop Apt 205, 205, Lutz, FL 33549-4008 | 2012-07-20 |
1891060844 | Jennifer Eileen Bade | Behavioral Analyst | 4214 Sandy Shores Dr, Lutz, FL 33558-9700 | 2012-03-08 |
Find all providers in LUTZ |
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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.