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Deactivated NPI 1922520006 Deactivated / Inactive NPI Female Practitioner

Theresa L Mack , BEHAVIOR TECHNICIAN

Behavior Technician • Largo, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Theresa Mack has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 11, 2017
NPI Deactivation Date March 04, 2022
Total Practice Duration ~5 Years of Practice (2017 – 2022)

Professional Overview & Biography Verified Profile Summary

Theresa Mack, BEHAVIOR TECHNICIAN was a registered Behavior Technician practicing in Largo, FL. Throughout an active medical career spanning 5 years, Theresa Mack provided care at the practice location at 2733 21ST AVENUE SW until profile deactivation on 2022-03-04.

Practice Location & Contact Primary Location

Practice Address

2733 21st Avenue Sw

Largo, FL 337743377

Telephone 7277449755

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Largo, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
190 Specialists

Practicing in Largo, FL (75895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Technician Primary Specialty

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 04, 2022

Record deactivated on March 04, 2022

NPI Profile Active August 09, 2017

NPI status registered as active in NPPES database

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Updated Practice Location August 09, 2017

Registered at 2733 21ST AVENUE SW, LARGO, FL 337743377 (Tel: 7277449755)

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Updated Business Mailing Address August 09, 2017

Registered at 2733 21ST AVENUE SW, LARGO, FL 33774 (Tel: 7277449755)

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Provider Name / Credentials Updated August 09, 2017

Recorded as THERESA MACK, BEHAVIOR TECHNICIAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2017

Behavior Technician

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Initial NPI Registration & Enumeration July 11, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922520006
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2017
Last Update: August 09, 2017
Deactivation Date: March 04, 2022

Mailing Address

2733 21st Avenue Sw

Largo, FL 33774

Phone: 7277449755

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.