KATHY EILEEN MAILELLE (NPI# 1033770672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033770672 |
| Entity Type | Individual |
| Full Name | KATHY EILEEN MAILELLE |
| Practice Address |
8000 West End Road Anchorage AK 99501 |
| Mailing Address |
3600 E 20th Ave Anchorage AK 99508-3416 |
| Practice Telephone | 9077438730 |
| Mailing Telephone | 9077438733 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |
| 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 |
| Street Address |
8000 WEST END ROAD |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503267 | The Salvation Army, A California Corporation | Community/Behavioral Health | 8000 West End Road, Anchorage, AK 99519 | 2019-11-18 |
| 1396391710 | Caleb Stepp | Counselor | 8000 West End Road, Anchorage, AK 99502 | 2019-08-12 |
| 1710549621 | Shalom A-rose So'o | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-07-01 |
| 1801457072 | Marion Louise Perry | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-06-27 |
| 1699336867 | John Ross Waggoner | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-06-27 |
| 1548821994 | Justin Tsurnos | Counselor | 8000 West End Road, Anchorage, AK 99501 | 2019-06-26 |
| 1982265336 | Erich R Walter | Counselor | 8000 West End Road, Anchorage, AK 99501 | 2019-06-26 |
| 1306407754 | David Joshua Boyer | Behavior Technician | 8000 West End Road, Salvation Army Clitheroe Center, Anchorage, AK 99501 | 2019-06-26 |
| 1215598669 | Antonio A Fajardo | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-06-26 |
| 1124689575 | Maggie Beans | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093304 | Ryan Garcia | Military Health Care Provider | 673d Med Group, Jber, AK 99501 | 2020-11-02 |
| 1033755798 | The Salvation Army, A California Corporation | Community/Behavioral Health | 1700 A Street, Anchorage, AK 99501 | 2019-11-18 |
| 1740841170 | Christina Lynne Arent Cook | Registered Nurse | 8000 West End Rd, Anchorage, AK 99501 | 2019-06-26 |
| 1306312574 | Patricia Estella Gould | Marriage & Family Therapist | 731 N St, Anchorage, AK 99501 | 2018-10-15 |
| 1497235642 | Beth Alta Fletcher | Specialist | 737 W 5th Ave Ste 202, Anchorage, AK 99501 | 2018-08-17 |
| 1699289645 | Jae Won Lee | Dentist | 726 E. 9th Avenue, Anchorage, AK 99501 | 2017-11-29 |
| 1649797796 | Seong Guy Hyung | Dentist | 726 E 9th Avenue, Anchorage, AK 99501 | 2017-08-29 |
| 1871952705 | Warren Anderson | Massage Therapist | 737 West 5th Avenue Suite 202, Anchorage, AK 99501 | 2016-02-20 |
| 1780072603 | Epoch - Alaska Limited Liability Company | General Practice | 3074 Mt. View Drive, Suite 193, Anchorage, AK 99501 | 2014-12-30 |
| 1174928113 | Patrick Dennis Ventgen | Counselor | 1015 E. 6th Ave, Anchorage, AK 99501 | 2014-11-04 |
| Find all providers in zip 99501 | ||||
| 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 |
|---|---|---|---|---|
| 1801422142 | Jacqueline Tarner | Behavior Technician | 13030 Brandon St, Anchorage, AK 99515-3536 | 2020-03-18 |
| 1134770035 | Samantha Jones | Behavior Technician | 1153 E 72nd Ave, Anchorage, AK 99518-2369 | 2019-09-23 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1316509805 | Kelly J Ross | Behavior Technician | 3819 Remington Cir, Anchorage, AK 99507-2888 | 2019-07-03 |
| 1669038493 | Sharone Elaine Thornton | Behavior Technician | 8731 Flamingo Dr, Anchorage, AK 99502-5423 | 2019-05-16 |
| 1306402789 | Benjamin Fielder | Behavior Technician | 6045 E 43rd Ave, Anchorage, AK 99504-4322 | 2019-05-11 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| 1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
| Find all providers in ANCHORAGE | ||||
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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.