Premiere Behavioral Supports is a Child Intellectual and/or Developmental Disabilities Respite Care based in Sicklerville, FL and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Premiere Behavioral Supports practices in Largo, FL. The NPI Number for Premiere Behavioral Supports is 1710402631 and holds a License No. (Florida).
The current practice location address for Premiere Behavioral Supports is 291 Gatewood Dr, Largo, FL and can be reached out via phone at 352-995-8861 and via fax at 856-599-8300.
Location: 291 Gatewood Dr, Largo, FL, 08081-1094
Provider Profile Details
NPI Number
1710402631
Provider Name
Premiere Behavioral Supports
Credential
Provider Entity Type
Organization
Address
291 Gatewood Dr, Largo, FL, 08081-1094
Phone Number
352-995-8861
Fax Number
856-599-8300
Provider Enumeration Date
08/11/2017
Last Update Date
03/13/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0588164 | 05 | NJ | |
| 114080800 | 05 | FL | |
| 115254900 | 05 | FL |
Provider Business Practice Location Address Details
Address
291 Gatewood Dr
City
State
Zip
33770-2902
Phone Number
352-995-8861
Fax Number
856-599-8300
Provider Business Mailing Address Details
Address
291 Gatewood Dr
City
State
Zip
33770-2902
Phone Number
352-995-8861
Fax Number
856-599-8300
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
License No.
()
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.
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Provider's Taxonomy Details 3
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
License No.
()
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Provider's Taxonomy Details 4
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
License No.
()
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
Provider's Taxonomy Details 5
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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