KIAVAUGHNI WILLIS
Behavior Technician

Address: 823 Dunlawton Ave, Port Orange, FL 32127-4220

KIAVAUGHNI WILLIS (NPI# 1871197483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871197483
Entity Type Individual
Full Name KIAVAUGHNI WILLIS
Gender Female
Practice Address 823 Dunlawton Ave
Port Orange
FL 32127-4220
Practice Telephone 8778234283
Practice Fax Number 3523328589
Mailing Address 2035 Sw 75th St Ste B
Gainesville
FL 32607-3425
Mailing Telephone 8778234283
Mailing Fax Number 3523328589
Certification Date 2020-11-24
Enumeration Date 2020-11-24
Last Update Date 2020-11-24
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Office Location

Street Address 823 DUNLAWTON AVE
City PORT ORANGE
State FL
Zip Code 32127-4220

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710558846 Samantha Lamboy Behavior Technician 823 Dunlawton Ave, Port Orange, FL 32127-4220 2021-07-09
1225635717 Kailey Mireles Behavior Technician 823 Dunlawton Ave, Port Orange, FL 32127-4220 2020-10-07
1437736691 Makeala Bryant Behavior Technician 823 Dunlawton Ave, Port Orange, FL 32127-4220 2021-03-25
1417541780 Sarah Cooper Behavior Technician 823 Dunlawton Ave, Port Orange, FL 32127-4220 2021-02-26
1124615794 Tamia Phillips Behavior Technician 823 Dunlawton Ave, Port Orange, FL 32127-4220 2020-12-29
1396330783 Cindi Hackett Behavior Technician 823 Dunlawton Ave, Port Orange, FL 32127-4220 2021-03-08
1700470945 Helen Tregaskis Behavior Technician 823 Dunlawton Ave, Port Orange, FL 32127-4220 2021-03-01
1669068953 Jason Ludlow Behavior Technician 823 Dunlawton Ave, Port Orange, FL 32127-4220 2020-12-21
1528647872 Tiffany Aponte Behavior Technician 823 Dunlawton Ave, Port Orange, FL 32127-4220 2021-04-05
1437756871 Caitlin Anderson Behavior Technician 823 Dunlawton Ave, Port Orange, FL 32127-4220 2020-10-08
Find all in the same location

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1063832418 Karen James Hearing Instrument Specialist 790 Dunlawton Ave, Suite B, Port Orange, FL 32127 2014-04-24
1003350620 Irene A Zachry Interpreter 6239 Yellowstone Dr. Port Orange Fl, Port Orange, FL 32127 2016-12-16
1275719890 Jason David Schottel Chiropractor 851 Dunlawton Ave Ste 104, Port Orange, FL 32127 2008-01-14
1326228974 Virginia Smith Wiley-Sylvia · Virginia L Wiley Speech-Language Pathologist 4573 Miles Drive, Port Orange, FL 32127 2007-11-13
1215326731 Roula Ayad Pharmacist 3821 S Nova Rd, Port Orange, FL 32127 2015-01-21
1952918179 Karen Lugo Morales Massage Therapist 1394 Dunlawton Ave, Apartment 505, Port Orange, FL 32127 2020-09-30
1265952568 Compass Nutrition LLC Dietitian, Registered 840 Angelina Court, Port Orange, FL 32127 2017-06-27
1477670859 Joanne Plumb Rieger Occupational Therapy Assistant 5737 Devon St, Port Orange, FL 32127 2007-03-23
1639740251 Sarah Tina Marks Doula Sarah Marks, 139 Anchor Drive, Ponce Inlet, FL 32127 2021-07-06
1285791764 Core Counseling Service Inc · Emilio A Yonta Lcsw Phd Social Worker - Clinical 4319 So Ridgewood Ave, Port Orange, FL 32127 2007-01-03
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023694312 Ashlyn Ring Behavior Technician 823 Dunlawton Ave, Port Orange, FL 32127-4220 2021-03-18
1083214092 Stephanie Valdes Behavior Technician 4647 Clyde Morris Blvd, Port Orange, FL 32129-3000 2020-10-28
1134743909 Chimsomaga Vivian Ozuzu Behavior Technician 4647 Clyde Morris Blvd Unit 501, Port Orange, FL 32129-3001 2020-06-07
1124675921 Katrice Hickman Behavior Technician 823 Dunlawton Ave Ste A, Port Orange, FL 32127-4221 2019-08-26
1548814536 Shea Alexis Mclean-Reshen Behavior Technician 3781 Grove View Ln, Port Orange, FL 32129-8602 2019-07-28
1538625231 Liana Divoky Tomei Behavior Technician 11 Royal Palm Cir, Port Orange, FL 32127-5307 2019-02-18
1760919468 Makayla Earl Behavior Technician 1557 Town Park Dr., Port Orange, FL 32129 2017-05-12
1710558846 Samantha Lamboy Behavior Technician 823 Dunlawton Ave, Port Orange, FL 32127-4220 2021-07-09
1538730148 Kiera Duncanson Behavior Technician 823 Dunlawton Ave, Port Orange, FL 32127-4220 2021-07-06
1396310942 Cherokee Young Potter Behavior Technician 4647 Clyde Morris Blvd Unit 501, Port Orange, FL 32129-3001 2021-05-26
Find all providers in PORT ORANGE

Competitor

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City PORT ORANGE
Zip Code 32127

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Dataset Information

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.