CAITLYN MULLALLY


Address: 1350 Central Ave Ste 102, Los Alamos, NM 87544-3218
Phone: 5055511241

CAITLYN MULLALLY (NPI# 1083185185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083185185
Entity Type Individual
Full Name CAITLYN MULLALLY
Practice Address 1350 Central Ave Ste 102
Los Alamos
NM 87544-3218
Mailing Address 21600 Oxnard St Ste 1800
Woodland Hills
CA 91367-7807
Practice Telephone 5055511241
Mailing Telephone 8183452345
Enumeration Date 2018-12-16
Last Update Date 2019-09-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
21600 Oxnard St Ste 1800, Woodland Hills, CA 91367 8183452345

Office Location

Street Address 1350 CENTRAL AVE STE 102
City LOS ALAMOS
State NM
Zip Code 87544-3218

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417587619 Janna Dorren Behavioral Analyst 1350 Central Ave Ste 102, Los Alamos, NM 87544-3218 2020-01-16
1942851605 Elizabeth R Leyva Behavior Technician 1350 Central Ave Ste 102, Los Alamos, NM 87544-3218 2019-09-24
1023668910 Maria Guadalupe Romero Behavior Technician 1350 Central Ave Ste 102, Los Alamos, NM 87544-3218 2019-09-13
1356990345 Rique Natasha Fernandez-lymon Behavioral Analyst 1350 Central Ave Ste 102, Los Alamos, NM 87544-3218 2019-09-11
1467006262 Haleigh Sparks Behavior Technician 1350 Central Ave Ste 102, Los Alamos, NM 87544-3218 2019-07-30
1326608357 Esperanza L Garcia Behavior Technician 1350 Central Ave Ste 102, Los Alamos, NM 87544-3218 2019-06-20
1255998480 Jacquelynn Dior Pana Behavior Technician 1350 Central Ave Ste 102, Los Alamos, NM 87544-3218 2019-05-23
1639638380 Aspen Rayne Vallo Behavior Technician 1350 Central Ave Ste 102, Los Alamos, NM 87544-3218 2019-03-12
1952866550 Mackenzie Koppi Behavioral Analyst 1350 Central Ave Ste 102, Los Alamos, NM 87544-3218 2019-02-07
1740745884 Nancy Brugh Behavior Technician 1350 Central Ave Ste 102, Los Alamos, NM 87544-3218 2019-02-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679945935 Zia Home Health Home Health 1475 Central Ave., Suite 125, Los Alamos, NM 87544 2015-10-27
1295131167 Sara Pocernik Dietitian, Registered 1450 Iris Street, Los Alamos, NM 87544 2014-11-05
1760824890 Lisa Renee Marr Lyon Psychologist 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 2013-07-17
1558629725 Rachel Meyer Dentist 112 Central Park Square, Los Alamos, NM 87544 2012-04-25
1902183908 Susana T. Chavarria Occupational Therapist 5 Quemazon Pl., Los Alamos, NM 87544 2011-11-04
1881998664 Dr. Tom Child and Adolescent Medicine Pediatrics Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 2011-01-07
1952565905 Dawn Judy Barr Social Worker 3 Agila Ct, Los Alamos, NM 87544 2008-07-17
1649452129 Ellen Vandergust Ballard Dentist 111 Longview, Suite B-3, White Rock, NM 87544 2007-11-27
1629290283 Wildwind Dental Dentist 111 Longview Drive, Suite B3, Los Alamos, NM 87544 2007-05-03
1255407342 Sarah Sue Teasdale Counselor 1362 C Trinity Dr, Los Alamos, NM 87544 2006-11-28
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417587619 Janna Dorren Behavioral Analyst 1350 Central Ave Ste 102, Los Alamos, NM 87544-3218 2020-01-16
1114557337 Lesley Mendoza Beltran Behavioral Analyst 1350 Central Ave Ste 300, Los Alamos, NM 87544-6218 2020-01-16
1356990345 Rique Natasha Fernandez-lymon Behavioral Analyst 1350 Central Ave Ste 102, Los Alamos, NM 87544-3218 2019-09-11
1952866550 Mackenzie Koppi Behavioral Analyst 1350 Central Ave Ste 102, Los Alamos, NM 87544-3218 2019-02-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255940326 John Andrew Martinez Behavioral Analyst 211 N Auburn, Farmington, NM 87401 2020-07-24
1114548948 Camino Behavioral Health Services Behavioral Analyst 308 Arno St Ne Apt A, Albuquerque, NM 87102-3509 2020-05-04
1073132650 Aaron Beauford Behavioral Analyst 61 County Road 5590, Farmington, NM 87401-1456 2020-04-13
1437787546 Joannah Honke Behavioral Analyst 1300g El Paseo Rd # 110, Las Cruces, NM 88001-6024 2020-04-01
1962030650 Valerie Renee Baylon Behavioral Analyst 132 Lomas Ave, Mesquite, NM 88048-9527 2020-03-30
1083240733 Behaviors R Us LLC. Behavioral Analyst 2105 Vista Oeste Nw Ste E2025, Albuquerque, NM 87120-3693 2020-03-13
1114552676 Melissa Marie Sam Behavioral Analyst Cr 7165 Rd 3 #14, Bloomfield, NM 87413-8741 2020-03-05
1750912382 Khrystal Lynn Salomon Behavioral Analyst 2575 Desert Hills Dr, Alamogordo, NM 88310-7733 2020-02-02
1023648144 Pauline I Vigil Behavioral Analyst 4001 Office Court Dr Ste 705, Santa Fe, NM 87507-4958 2020-01-16
1679116305 Kaitlynn Kaiser Behavioral Analyst 2659 Pan American Fwy Ne, Albuquerque, NM 87107-1632 2019-10-25
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Competitor

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City LOS ALAMOS
Zip Code 87544

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Dataset Information

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.

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