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Eva Zietak

Behavior Analyst β€’ Lake Worth, FL

Active NPI 1124406020 Individual Practitioner Female Practitioner
Practice location in NPPES

9815 Cross Pine Ct
Lake Worth, FL 334672367

Call 5612735860 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9815 Cross Pine Ct

Lake Worth, FL 334672367

Telephone 5612735860
Organization at the Same NPPES Address or Phone
Mod Behavior Aba, Llc Facility NPI 1902490642

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lake Worth and Florida

51 active clinicians are listed under Behavior Analyst with a practice address in Lake Worth, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lake Worth

0% of these 51 clinicians have the CMS telehealth indicator.

0% of these 51 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-05-02
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Behavior Technician

NUCC Taxonomy Code: 106S00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
πŸ“
Updated Practice Location May 02, 2022

Registered at 9815 CROSS PINE CT, LAKE WORTH, FL 334672367 (Tel: 5612735860)

πŸ“
Updated Practice Location May 28, 2019

Registered at 10850 S US HIGHWAY 1 STE 2, PORT SAINT LUCIE, FL 349526407 (Tel: 5612735860)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2019

Counselor

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2019

Behavior Technician

πŸ“
Updated Practice Location January 21, 2019

Registered at 47 PAXFORD LN, BOYNTON BEACH, FL 334267637 (Tel: 5612735860)

πŸ“
Updated Business Mailing Address January 21, 2019

Registered at 47 PAXFORD LN, BOYNTON BEACH, FL 334267637 (Tel: 5612735860)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2019

Counselor

πŸ“
Updated Practice Location December 06, 2018

Registered at 2640 FOREST HILL BLVD, WEST PALM BEACH, FL 334065931 (Tel: 5612735860)

πŸ‘€
Provider Name / Credentials Updated December 06, 2018

Recorded as EVA ZIETAK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2018

Behavior Technician

βœ…
NPI Profile Active May 11, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 11, 2015

Registered at 1551 FORUM PL, WEST PALM BEACH, FL 334012319 (Tel: 5612735860)

πŸ“
Business Mailing Address (Initial Record) May 11, 2015

Registered at 6198 REYNOLDS ST, WEST PALM BEACH, FL 334116402

πŸ‘€
Provider Name / Credentials (Initial Record) May 11, 2015

Recorded as EWA ZIETAK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2015

Counselor

🟒
Initial NPI Registration & Enumeration May 11, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124406020
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2015
Last Update: May 02, 2022
Sole Proprietor: Yes

Mailing Address

47 Paxford Ln

Boynton Beach, FL 334267637

Phone: 5612735860

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.