DAYBREAK BEHAVIORAL SERVICES, LLC (NPI# 1134737547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134737547 |
| Entity Type | Organization |
| Organization Name | DAYBREAK BEHAVIORAL SERVICES, LLC |
| Practice Address |
791 8th St Ste S Arcata CA 95521-6234 |
| Practice Telephone | 7078342621 |
| Mailing Telephone | 7078342621 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |
| Authorized Official Name | KIMBERLY MAY KOWALSKI (OWNER) |
| Authorized Official Telephone | 7078342621 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
791 8TH ST STE S |
| City | ARCATA |
| State | CA |
| Zip Code | 95521-6234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912553736 | Mcc Medical, LLC | Durable Medical Equipment & Medical Supplies | Mcc Medical, LLC, 1565 J Street, Arcata, CA 95521 | 2019-08-16 |
| 1376008599 | Nathan Klier | Behavior Technician | 901 Ost, Arcata, CA 95521 | 2019-02-01 |
| 1740753995 | Maria Sophia Stathos | Behavior Technician | 901 0 Street, Suite C, Arcata, CA 95521 | 2019-01-09 |
| 1639674146 | Choong Yuk Kim | Psychologist | 381 Bayside Rd Ste B, Arcata, CA 95521 | 2018-03-27 |
| 1194089805 | Gary Wilson Barsuaskas | Nurse Practitioner | 4677 Valley West Blvd., Arcata, CA 95521 | 2012-06-27 |
| 1265708424 | Alison Marie Palacios | Family Medicine | 3798 Janes Rd. Suite 10, Arcata, CA 95521 | 2012-03-31 |
| 1538434857 | Kristen Noell Kelley | Behavioral Analyst | 901 O Street, Suite C, Arcata, CA 95521 | 2012-03-20 |
| 1518241264 | Brian D. Lieberman | Psychologist | 730 Bayside Rd, Apt A, Arcata, CA 95521 | 2011-09-29 |
| 1427369412 | John S Yamas | Acupuncturist | 1460 G. Street, Arcata, CA 95521 | 2010-06-24 |
| 1669619391 | Kevin John Mcalerney | Massage Therapist | 770 11th Street, Lost Coast Healing Arts, Arcata, CA 95521 | 2009-01-16 |
| Find all providers in zip 95521 | ||||
| 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 |
|---|---|---|---|---|
| 1669917076 | Christine Michelle Gorshe-olsen | Behavioral Analyst | 901 O St Ste C, Arcata, CA 95521-5789 | 2016-12-21 |
| 1851846190 | Ashlee Ann Zima | Behavioral Analyst | 214 Dean St, A, Arcata, CA 95521-9663 | 2016-08-16 |
| 1659731966 | Julie Sanborn | Behavioral Analyst | 901 O St, Suite C, Arcata, CA 95521-5789 | 2016-02-29 |
| 1508226846 | Tricia Ann Wood | Behavioral Analyst | 1745 Jessica Ct, Arcata, CA 95521-5043 | 2016-02-29 |
| 1528324027 | Kimberly Kowalski | Behavioral Analyst | 2134 Daina Ct, Arcata, CA 95521-5420 | 2012-04-09 |
| 1538434857 | Kristen Noell Kelley | Behavioral Analyst | 901 O Street, Suite C, Arcata, CA 95521 | 2012-03-20 |
| 1275172371 | Amanda Marie Moitoso | Behavioral Analyst | 875 Crescent Way, Arcata, CA 95521-6741 | 2020-01-06 |
| 1740840297 | David Lee Branson Jr. | Behavioral Analyst | 875 Crescent Way, Arcata, CA 95521-6741 | 2019-06-17 |
| 1629559034 | Melissa Nichole Koren | Behavioral Analyst | 901 O St Ste C, Arcata, CA 95521-5789 | 2018-08-23 |
| 1124535679 | Danette Rachelle Montano | Behavioral Analyst | 875 Crescent Way, Arcata, CA 95521-6741 | 2018-01-05 |
| Find all providers in ARCATA | ||||
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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.