KITTRENA D NIU (NPI# 1124524509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124524509 |
| Entity Type | Individual |
| Full Name | KITTRENA D NIU |
| Practice Address |
101 H St Ste L Petaluma CA 94952-5100 |
| Mailing Address |
4812 Forecast Way Stockton CA 95206-6311 |
| Practice Telephone | 8662062008 |
| Practice Fax Number | 8663171665 |
| Mailing Telephone | 5103030277 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
101 H ST STE L |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457737074 | Katey Marin | Student in an Organized Health Care Education/Training Program | 101 H St Ste L, Petaluma, CA 94952-5100 | 2015-08-05 |
| 1881249159 | Tanoya Law | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-08-05 |
| 1558914226 | Samantha Ambroise | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-07-22 |
| 1467005132 | Gabriella Martinez | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-07-22 |
| 1811540586 | Lorena Garay | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-07-22 |
| 1548813215 | Adil Khan | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-07-22 |
| 1427601178 | Lesly Racquel Salmeron | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-07-22 |
| 1790337293 | Syeda Savaira Zia | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-07-15 |
| 1316599814 | Johnathan Redic | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-07-15 |
| 1609428192 | Lehnen Rc Brown | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-07-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1972077238 | Rebecca Griffith | Assistant Behavior Analyst | 101 H St Ste H, Petaluma, CA 94952-5100 | 2019-01-18 |
| 1669956967 | Alyssa Messer | Assistant Behavior Analyst | 1670 Corporate Cir, Petaluma, CA 94954 | 2018-09-21 |
| 1699232157 | Caitlin Reeves | Assistant Behavior Analyst | 1670 Corporate Cir Ste 100, Petaluma, CA 94954-6947 | 2019-02-20 |
| 1104390434 | Kala Minkley | Assistant Behavior Analyst | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-01-21 |
| 1023598950 | Jennifer Lin Cedergren | Assistant Behavior Analyst | 101 H St Ste L, Petaluma, CA 94952-5100 | 2018-08-20 |
| 1184114308 | Arthur Robert Anderson | Assistant Behavior Analyst | 101 H St Ste L, Petaluma, CA 94952-5100 | 2018-05-14 |
| 1396233326 | Karen Ojeda | Assistant Behavior Analyst | 101 H St Ste L, Petaluma, CA 94952-5100 | 2018-04-25 |
| 1386132660 | Lizvet Chavez | Assistant Behavior Analyst | 101 H St Ste L, Petaluma, CA 94952-5100 | 2018-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457716 | Amanda B Ford | Assistant Behavior Analyst | 12412 Crystal Ranch Rd, Moorpark, CA 93021-2916 | 2020-11-03 |
| 1700493327 | Natalie N Taylor | Assistant Behavior Analyst | 620 E Angela St, Pleasanton, CA 94566-7414 | 2020-09-28 |
| 1174139729 | Janea Jones | Assistant Behavior Analyst | 9377 Haven Ave, Rancho Cucamonga, CA 91730-5340 | 2020-09-18 |
| 1285249300 | Janette Lopez | Assistant Behavior Analyst | 15490 Civic Dr, Victorville, CA 92392-2924 | 2020-09-15 |
| 1073126983 | Raena A Juarez | Assistant Behavior Analyst | 2488 Shield Dr, Union City, CA 94587-1925 | 2020-08-28 |
| 1306459573 | Loremari Samantha Mohr | Assistant Behavior Analyst | 4688 Ontario Mills Parkwar, Ontario, CA 91764 | 2020-08-28 |
| 1730799354 | Krystle Lam | Assistant Behavior Analyst | 7871 Mission Grove Pkwy S Apt 106, Riverside, CA 92508-5032 | 2020-08-07 |
| 1346850344 | James Kahler | Assistant Behavior Analyst | 40509 Calla Lilly St, Murrieta, CA 92563-6443 | 2020-08-04 |
| 1154931244 | Cathern Hedge | Assistant Behavior Analyst | 255 E Rincon St Ste 109, Corona, CA 92879-1367 | 2020-08-04 |
| 1801406814 | Garrett Chase | Assistant Behavior Analyst | 29782 Smugglers Point Dr, Canyon Lake, CA 92587-7474 | 2020-08-04 |
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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.