DENISE HALLSTROM (NPI# 1124630595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124630595 |
| Entity Type | Individual |
| Full Name | DENISE HALLSTROM |
| Practice Address |
5369 Inglewood Blvd Apt 3 Culver City CA 90230-5956 |
| Practice Telephone | 8338318946 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
5369 INGLEWOOD BLVD APT 3 |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90230-5956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376029264 | Lily Wen Shih | Behavioral Analyst | 5369 Inglewood Blvd Apt 3, Culver City, CA 90230-5956 | 2018-07-14 |
| 1487253563 | Aracely Maturino | Behavioral Analyst | 5369 Inglewood Blvd Apt 3, Culver City, CA 90230-5956 | 2020-10-20 |
| 1841778156 | Shih Applied Behavior Analysis | Behavioral Analyst | 5369 Inglewood Blvd Apt 3, Culver City, CA 90230-5956 | 2018-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558822064 | Smilemax Dental Center | Dentist | 10814 Jefferson Blvd. #g, Culver City, CA 90230 | 2019-03-27 |
| 1023532595 | Mary Alice Haye | Marriage & Family Therapist | 550 S. Vermont Ave., 7th Floor, 700, Los Angeles, CA 90230 | 2017-07-27 |
| 1902342074 | Dorene Lehavi | Social Worker | 5106 S Slauson Ave, Suite 192, Los Angeles, CA 90230 | 2017-01-13 |
| 1548634553 | Kimberly Henck | Speech-Language Pathologist | 607 Bristol Pkwy, Ste 105, Culver City, CA 90230 | 2015-11-15 |
| 1346628898 | Stephan Sepernia | Marriage & Family Therapist | 5601 W. Slavson Ave. #192, Culver City, CA 90230 | 2015-05-15 |
| 1558749291 | Sean Steven Mcknee | Chiropractor | 5839 Green Valley Cir Ste 102, Culver City, CA 90230 | 2015-05-14 |
| 1821484841 | Jasmine Lee | Family Medicine | 6000 Sepulveda Blvd Ste E10, Culver City, CA 90230 | 2015-04-07 |
| 1043609191 | Carrie Mays | Counselor | 4760 Sepulvda Blvd., Culver City, CA 90230 | 2015-01-13 |
| 1457759375 | Monquenta Felicia Young | Case Manager/Care Coordinator | 666 Green Valley Circle, Culver City, CA 90230 | 2014-12-09 |
| 1972902724 | Shana Chan Pope | Marriage & Family Therapist | 11949 Jefferson Blvd #106, Culver City, CA 90230 | 2014-08-18 |
| Find all providers in zip 90230 | ||||
| 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 |
|---|---|---|---|---|
| 1376029264 | Lily Wen Shih | Behavioral Analyst | 5369 Inglewood Blvd Apt 3, Culver City, CA 90230-5956 | 2018-07-14 |
| 1568915148 | Stavroula Vakis | Behavioral Analyst | 10736 Jefferson Blvd # 660, Culver City, CA 90230-4933 | 2016-07-29 |
| 1700244233 | Ellen Ouchi | Behavioral Analyst | 6167 Bristol Pkwy Ste 130, Culver City, CA 90230-6611 | 2016-01-28 |
| 1679830509 | Jennifer Keany & Associates, Inc | Behavioral Analyst | 10868 Oregon Ave, Culver City, CA 90232-3730 | 2012-04-17 |
| 1871876094 | Robert Adam Haupt | Behavioral Analyst | 6059 Bristol Pkwy Ste 100, Culver City, CA 90230-6673 | 2011-09-23 |
| 1164703468 | Helen Marie Fiteni | Behavioral Analyst | 5800 Hannum Ave Ste B, Culver City, CA 90230 | 2011-08-31 |
| 1881990224 | Lovaas Institute for Early Intervention | Behavioral Analyst | 5601 W Slauson Ave Ste 266, Culver City, CA 90230-6692 | 2011-02-02 |
| 1205062536 | Tiamarie Jenelle Harrison | Behavioral Analyst | 6060 Buckingham Pkwy, Apt 317, Culver City, CA 90230-6856 | 2009-06-01 |
| 1487253563 | Aracely Maturino | Behavioral Analyst | 5369 Inglewood Blvd Apt 3, Culver City, CA 90230-5956 | 2020-10-20 |
| 1669088035 | Delona Parubrub Huang | Behavioral Analyst | 5800 Hannum Ave Ste B, Culver City, CA 90230-6525 | 2020-09-21 |
| Find all providers in CULVER CITY | ||||
| City | CULVER CITY |
| Zip Code | 90230 |
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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.