EVAN HENRY (NPI# 1114457694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114457694 |
| Entity Type | Individual |
| Full Name | EVAN HENRY |
| Practice Address |
2141 Palomar Airport Rd Ste 350 Carlsbad CA 92011-1451 |
| Mailing Address |
640 Camino De La Reina Apt 1106 San Diego CA 92108-3205 |
| Practice Telephone | 7604380078 |
| Mailing Telephone | 6194147482 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-16-22280 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992274641 | Evan James Henry | Pharmacist | 316 Walnut St, Newport, PA 17074-1524 | 2018-11-23 |
| Street Address |
2141 PALOMAR AIRPORT RD STE 350 |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92011-1451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568822328 | Maxim Healthcare Services Inc | Community/Behavioral Health | 2141 Palomar Airport Rd Ste 350, Carlsbad, CA 92011-1451 | 2016-03-07 |
| 1699380311 | Theresa Dang | Behavior Technician | 2141 Palomar Airport Rd Ste 350, Carlsbad, CA 92011-1451 | 2020-09-10 |
| 1528673480 | Kodii Church | Behavioral Analyst | 2141 Palomar Airport Rd Ste 350, Carlsbad, CA 92011-1451 | 2020-09-08 |
| 1972138295 | Oscar Agustin Rosas | Behavior Technician | 2141 Palomar Airport Rd Ste 350, Carlsbad, CA 92011-1451 | 2020-03-06 |
| 1063063410 | Iliana Galvan | Behavior Technician | 2141 Palomar Airport Rd Ste 350, Carlsbad, CA 92011-1451 | 2019-09-26 |
| 1780237164 | Aura Lynn Shaner | Behavior Technician | 2141 Palomar Airport Rd Ste 350, Carlsbad, CA 92011-1451 | 2019-07-24 |
| 1861045312 | Alex Marie Elliott | Behavior Technician | 2141 Palomar Airport Rd Ste 350, Carlsbad, CA 92011-1451 | 2019-07-23 |
| 1225681711 | Alyxandria Jacquilin Bossom | Behavior Technician | 2141 Palomar Airport Rd Ste 350, Carlsbad, CA 92011-1451 | 2019-07-23 |
| 1760049316 | Melissa Marie Paine | Behavior Technician | 2141 Palomar Airport Rd Ste 350, Carlsbad, CA 92011-1451 | 2019-05-20 |
| 1871051110 | Itzamara Sparks | Behavior Technician | 2141 Palomar Airport Rd Ste 350, Carlsbad, CA 92011-1451 | 2019-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134691488 | Anne Meyers French | Nurse Practitioner | 6735 Palermi Place, Carlsbad, CA 92011 | 2018-12-27 |
| 1457876401 | Danika Enid Miranda | Behavioral Analyst | 2441 Palomar Airport Road #350, Carlsbad, CA 92011 | 2017-08-11 |
| 1902299472 | Jessica Tn Truong | Dentist | 520 Stern Way, Carlsbad, CA 92011 | 2015-03-09 |
| 1902140734 | Hygeia II Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 6241 Yarrow Dr, Suite A, Carlsbad, CA 92011 | 2012-11-16 |
| 1063522548 | Dawn Anderson | Physical Therapist | 6070 Avenida Encinas, Carlsbad, CA 92011 | 2006-08-30 |
| 1962512566 | Costco Wholesale Corporation | Pharmacy | 951 Palomar Airport Rd, Carlsbad, CA 92011 | 2006-08-30 |
| 1003860537 | North County Neurology Associates Medical Group | Psychiatry & Neurology | 6010 Hidden Valley Rd Ste 200, Carlsbad, CA 92011 | 2006-05-20 |
| 1932176898 | Garrett J Tallman | Orthopaedic Surgery | 6125 Paseo Del Norte Ste 110, Carlsbad, CA 92011 | 2006-02-28 |
| 1821096157 | Paul Eric Dicesare | Orthopaedic Surgery | 1544 Weatherly Road, Carlsbad, CA 92011 | 2005-07-11 |
| 1881192078 | Khaled Keriz | Behavior Technician | 2141 Palomar Airport Rd, Carlsbad, CA 92011 | 2018-01-23 |
| Find all providers in zip 92011 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527561 | Miriam Soledad Bautista | Behavioral Analyst | 1060 Chinquapin Ave Apt 3, Carlsbad, CA 92008-3539 | 2020-10-27 |
| 1174131197 | Wendy J Quigley | Behavioral Analyst | 1000 Chinquapin Ave Apt C6, Carlsbad, CA 92008-3530 | 2020-07-15 |
| 1326600933 | Reach Therapy, Inc. | Behavioral Analyst | 2292 Faraday Ave Ste 51, Carlsbad, CA 92008-7238 | 2019-07-03 |
| 1316407760 | Adelyn Vinuya | Behavioral Analyst | 5858 Dryden Pl Ste 230, Carlsbad, CA 92008-6518 | 2019-03-21 |
| 1104383496 | Stephanie Myung | Behavioral Analyst | 2337 Longfellow Rd, Carlsbad, CA 92008-3830 | 2019-02-23 |
| 1235607391 | Spencer Campbell | Behavioral Analyst | 54140 Avenida Encinas, Carlsbad, CA 92002 | 2018-11-07 |
| 1891280434 | Mckenna Breanne Barber | Behavioral Analyst | 2601 Jefferson St Apt 602, Carlsbad, CA 92008-1437 | 2018-06-26 |
| 1912499963 | Steffann Renee Kerpan | Behavioral Analyst | 5140 Avd Encinas, Carlsbad, CA 92008-4372 | 2018-06-05 |
| 1265937577 | Laura Ashley Hendricks | Behavioral Analyst | 2141 Palomar Airpt Rd Ste 350, Carlsbad, CA 92011-1451 | 2018-03-28 |
| 1427568252 | Matthew Unger | Behavioral Analyst | 2928 Jefferson St Ste 200, Carlsbad, CA 92008-2377 | 2017-10-06 |
| Find all providers in CARLSBAD | ||||
Please comment or provide details below to improve the information on EVAN HENRY.
| 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.