Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366016560 Individual Practitioner Female Practitioner

Allie Marie Robertson , MA, BCBA

Behavior Analyst • Ponte Vedra Beach, FL

Professional Overview & Biography Verified Profile Summary

Allie Robertson, MA, BCBA is a registered healthcare professional specializing in Behavior Analyst in Ponte Vedra Beach, FL. Practice services are available at 171 CANAL BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

171 Canal Blvd

Ponte Vedra Beach, FL 320823607

Telephone 9046471849
Associated Practice Facility / Clinic
🏢 Mandala Family Wellness Llc Facility NPI 1497262620

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Ponte Vedra Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
17 Specialists

Practicing in Ponte Vedra Beach, FL (13679 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

CMS Verified: 2024-09-25
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License FL 1-24-73229

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.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

State License NC 2080

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

State License FL RBT-21-167700

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.

Secondary Practice Locations

420 Copperfield Blvd Ne

Concord, NC 280252404

Phone: 7047062200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Tealie Tackett

Behavior Technician

NPI 1003793332
Kyla Sharrah , MOT

Occupational Therapist - Pediatrics

NPI 1013426915

Master of Occupational Therapy

D'angela Bass

Behavior Technician

NPI 1023719051
Makayah Gray

Behavior Technician

NPI 1023859022
Shelby Baker

Behavior Technician

NPI 1053260349
Laila Swain

Behavior Technician

NPI 1063227064

Career & Practice History Timeline

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

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2024

Behavior Analyst (License #2080 in NC)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2024

Behavior Analyst (License #1-24-73229 in FL)

📍
Updated Practice Location May 31, 2024

Registered at 171 CANAL BLVD, PONTE VEDRA BEACH, FL 320823607 (Tel: 9046471849)

📍
Updated Business Mailing Address May 31, 2024

Registered at 171 CANAL BLVD, PONTE VEDRA BEACH, FL 320823607 (Tel: 9046471849)

👤
Provider Name / Credentials Updated May 31, 2024

Recorded as ALLIE ROBERTSON, M.A., BCBA

NPI Profile Active May 13, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 13, 2021

Registered at 997 ATLANTIC BLVD, ATLANTIC BEACH, FL 322333311 (Tel: 9046471849)

📍
Updated Business Mailing Address May 13, 2021

Registered at 997 ATLANTIC BLVD, ATLANTIC BEACH, FL 322333311 (Tel: 9046471849)

👤
Provider Name / Credentials Updated May 13, 2021

Recorded as ALLIE ROBERTSON, B.S. RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2021

Behavior Technician (License #RBT-21-167700 in FL)

🟢
Initial NPI Registration & Enumeration May 13, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1366016560
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2021
Last Update: September 25, 2024
Sole Proprietor: No

Mailing Address

171 Canal Blvd

Ponte Vedra Beach, FL 320823607

Phone: 9046471849

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.