KATHLEEN RYAN (NPI# 1003461542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003461542 |
| Entity Type | Individual |
| Full Name | KATHLEEN RYAN |
| Practice Address |
751 Camino Plz Suite A San Bruno CA 94066-3401 |
| Practice Telephone | 3039898169 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061176 | Kathleen M Ryan | Social Worker | 22 Ormond St, Rockville Centre, NY 11570-5533 | 2020-07-28 |
| 1487166971 | Kathleen Ryan | Registered Nurse | 216 Ramapo Rd, Garnerville, NY 10923-1511 | 2017-10-25 |
| 1912270968 | Kathleen Jean Ryan | Pharmacist | 834 Sheridan, Pharmacy Department, Port Townsend, WA 98368 | 2012-02-21 |
| 1245372622 | Kathleen Ryan | Nurse Practitioner | 6907 Ellis Ct Apt C, 6907 C, Fort Polk, LA 71459-3123 | 2007-02-13 |
| 1659356905 | Kathleen L Ryan | Specialist | 204 Ark Rd, Ste 206 Lmc I, Mount Laurel, NJ 08054-3100 | 2005-12-09 |
| 1518449677 | Kathleen M Ryan | Nurse Practitioner | 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 | 2018-09-05 |
| 1861903460 | Kathleen Ryan | Behavioral Analyst | 1111 Baker St, Costa Mesa, CA 92626-4138 | 2017-10-23 |
| 1891217568 | Kathleen Donovan Ryan | Physician Assistant | 22 Bramhall St, Portland, ME 04102-3134 | 2017-07-13 |
| 1811379340 | Kathleen Ryan | Counselor | 901 Chippewa St, Catholic Charities of Shiawassee and Genesee Counties, Flint, MI 48503-1552 | 2015-06-20 |
| 1174920052 | Kathleen Ryan | Registered Nurse | 9808 Venice Blvd, Ste. 505, Culver City, CA 90232-2732 | 2014-11-20 |
| Street Address |
751 CAMINO PLZ SUITE A |
| City | SAN BRUNO |
| State | CA |
| Zip Code | 94066-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447684147 | Kevin Andresen | Behavior Technician | 751 Camino Plz, Suite A, San Bruno, CA 94066-3401 | 2013-08-29 |
| 1588262182 | Lilian Fierros | Behavior Technician | 751 Camino Plz, Suite A, San Bruno, CA 94066-3401 | 2020-10-15 |
| 1952908410 | Jennifer Reyna | Behavior Technician | 751 Camino Plz, Suite A, San Bruno, CA 94066-3401 | 2020-10-07 |
| 1699381202 | Stephanie Hermosillo | Behavior Technician | 751 Camino Plz, Suite A, San Bruno, CA 94066-3401 | 2020-09-18 |
| 1184235129 | Zarmina Khattak | Behavior Technician | 751 Camino Plz, Suite A, San Bruno, CA 94066-3401 | 2020-08-13 |
| 1093326043 | Sarah Zasslow | Behavior Technician | 751 Camino Plz, Suite A, San Bruno, CA 94066-3401 | 2020-08-13 |
| 1275144222 | Natalie Brunwin | Behavior Technician | 751 Camino Plz, Suite A, San Bruno, CA 94066-3401 | 2020-08-13 |
| 1306454822 | John Orwin | Behavior Technician | 751 Camino Plz, Suite A, San Bruno, CA 94066-3401 | 2020-07-21 |
| 1780201046 | Disha Sivakumar | Behavior Technician | 751 Camino Plz, Suite A, San Bruno, CA 94066-3401 | 2020-07-02 |
| 1184240657 | Summer Rose Perry | Behavior Technician | 751 Camino Plz, Suite A, San Bruno, CA 94066-3401 | 2020-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497392468 | Harold Relosimon | Behavior Technician | 901 Sneath Lane, Suite 105, San Bruno, Ca 94066, San Bruno, CA 94066 | 2019-12-09 |
| 1093365926 | Liana Greene | Behavior Technician | 1001 Sneath Lane #200, San Bruno, CA 94066 | 2019-09-12 |
| 1568018406 | Susan Page Gadegone | Community Health Worker | 931 San Bruno West Avenue Suite 2, San Bruno, CA 94066 | 2019-08-15 |
| 1184198780 | Sonya Oey Kramer | Pharmacist | 10 Bayhill Drive, San Bruno, CA 94066 | 2019-01-16 |
| 1316410350 | Brennen Marques Mcdowell | Behavioral Analyst | 101 Sneath Lane Ste. 200, 200, San Bruno, CA 94066 | 2019-01-02 |
| 1306317649 | Jacqueline R Lalucis | Behavior Technician | 751 Camino Plaza, San Bruno, Ca 94066, A, San Bruno, CA 94066 | 2018-12-16 |
| 1992275952 | Kenny Malunay | Behavior Technician | 75a El Camino Plaza, San Bruno, CA 94066 | 2018-12-03 |
| 1396236584 | Mariela Pena Yerena | Behavior Technician | 751 El Camino Plaza, Suite A, San Bruno, CA 94066 | 2018-05-23 |
| 1568845816 | Paula Leeanne Park | Physical Therapist | 106 Quail Point Cir, San Bruno, CA 94066 | 2015-07-06 |
| 1275921231 | C & C's Care Home | Assisted Living Facility | 2700 Oakmont Dr., San Bruno, CA 94066 | 2014-12-29 |
| Find all providers in zip 94066 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497392468 | Harold Relosimon | Behavior Technician | 901 Sneath Lane, Suite 105, San Bruno, Ca 94066, San Bruno, CA 94066 | 2019-12-09 |
| 1093365926 | Liana Greene | Behavior Technician | 1001 Sneath Lane #200, San Bruno, CA 94066 | 2019-09-12 |
| 1831752930 | Nicholas Eugene Putkey | Behavior Technician | 1940 Willow Way, San Bruno, CA 94066-1822 | 2019-04-16 |
| 1851852313 | Julia Rae Garcia | Behavior Technician | 1001 Sneath Ln Ste 20, San Bruno, CA 94066-2308 | 2019-03-27 |
| 1306317649 | Jacqueline R Lalucis | Behavior Technician | 751 Camino Plaza, San Bruno, Ca 94066, A, San Bruno, CA 94066 | 2018-12-16 |
| 1992275952 | Kenny Malunay | Behavior Technician | 75a El Camino Plaza, San Bruno, CA 94066 | 2018-12-03 |
| 1548738669 | Pramila Kumar | Behavior Technician | 751 Camino Plz Ste 8, San Bruno, CA 94066-3401 | 2018-11-06 |
| 1396236584 | Mariela Pena Yerena | Behavior Technician | 751 El Camino Plaza, Suite A, San Bruno, CA 94066 | 2018-05-23 |
| 1245729896 | Katrina Marie Pico-villaluna | Behavior Technician | 868 7th Ave, San Bruno, CA 94066-3227 | 2018-05-08 |
| 1144726001 | Diana Willits Evans | Behavior Technician | 751 Camino Plz # A, San Bruno, CA 94066-3401 | 2018-03-31 |
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| 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.