CRYSTAL HAN (NPI# 1184256158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184256158 |
| Entity Type | Individual |
| Full Name | CRYSTAL HAN |
| Practice Address |
3550 Camino Del Rio N Ste 104 San Diego CA 92108-1738 |
| Mailing Address |
3880 Radcliffe Ln San Diego CA 92122-3438 |
| Practice Telephone | 7606341125 |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922539352 | Crystal Han | Student in an Organized Health Care Education/Training Program | 701 W Pratt St, Rm 474, Baltimore, MD 21201-1023 | 2017-03-27 |
| 1760897235 | Crystal Han | Optometrist | 3925 Bell Blvd, Bayside, NY 11361-2060 | 2014-06-24 |
| Street Address |
3550 CAMINO DEL RIO N STE 104 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-1738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568838357 | Angelina Jeanait Rienecker | Behavioral Analyst | 3550 Camino Del Rio N Ste 104, San Diego, CA 92108-1738 | 2015-08-14 |
| 1861024564 | Alexis Nicole Mcsurdy | Behavior Technician | 3550 Camino Del Rio N Ste 104, San Diego, CA 92108-1738 | 2020-02-10 |
| 1467083428 | Abigail Noelle Patino | Behavior Technician | 3550 Camino Del Rio N Ste 104, San Diego, CA 92108-1738 | 2020-01-29 |
| 1952952301 | Ruby Mora | Behavior Technician | 3550 Camino Del Rio N Ste 104, San Diego, CA 92108-1738 | 2019-09-26 |
| 1518512276 | Megan Guico | Behavior Technician | 3550 Camino Del Rio N Ste 104, San Diego, CA 92108-1738 | 2019-08-08 |
| 1750936688 | Zaria Rose Ealy | Behavior Technician | 3550 Camino Del Rio N Ste 104, San Diego, CA 92108-1738 | 2019-08-07 |
| 1124673991 | Soo Been Choe | Community/Behavioral Health | 3550 Camino Del Rio N Ste 104, San Diego, CA 92108-1738 | 2019-08-07 |
| 1144875576 | Viridiana Salgado Garcia | Community/Behavioral Health | 3550 Camino Del Rio N Ste 104, San Diego, CA 92108-1738 | 2019-08-02 |
| 1881248565 | Torrey Gload | Community/Behavioral Health | 3550 Camino Del Rio N Ste 104, San Diego, CA 92108-1738 | 2019-07-30 |
| 1932675683 | Toai Tran | Community/Behavioral Health | 3550 Camino Del Rio N Ste 104, San Diego, CA 92108-1738 | 2018-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| 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 |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1639776636 | Gabrielle Moriah Pero | Behavior Technician | 2644 Figueroa Blvd, San Diego, CA 92109-4822 | 2020-10-03 |
| 1437766532 | Alexandria Alexis Meier | Behavior Technician | 3838 Camino Del Rio N Ste 240, San Diego, CA 92108-1763 | 2020-09-23 |
| 1619582111 | Christopher Andre Simpson | Behavior Technician | 4810 Coronado Ave, San Diego, CA 92107-3316 | 2020-09-11 |
| 1669082087 | Briana Kathleen Murray | Behavior Technician | 1281 9th Ave Unit 216, San Diego, CA 92101-4636 | 2020-08-01 |
| 1790393478 | Virginia Herzog | Behavior Technician | 5875 Friars Rd Apt 4402, San Diego, CA 92110-6023 | 2020-07-17 |
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1225656325 | Jazmin Lopez | Behavior Technician | 4025 Camino Del Rio S Ste 100, San Diego, CA 92108-4108 | 2020-07-06 |
| 1790309052 | Laila S Hasenin | Behavior Technician | 7389 Via Carrillo, San Diego, CA 92129-2271 | 2020-06-02 |
| 1801425533 | Stephanie Lee Harmon | Behavior Technician | 12094 Daymark Ct, San Diego, CA 92131-3801 | 2020-04-04 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on CRYSTAL HAN.
| 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.