KATHRYN M BOVINO


Address: 9466 Black Mountain Rd Ste 100, San Diego, CA 92126-4550
Phone: 8586892027

KATHRYN M BOVINO (NPI# 1225244767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225244767
Entity Type Individual
Full Name KATHRYN M BOVINO
Credential M.A., B.C.B.A.
Practice Address 9466 Black Mountain Rd Ste 100
San Diego
CA 92126-4550
Practice Telephone 8586892027
Practice Fax Number 8583972172
Mailing Telephone 8586892027
Mailing Fax Number 8583972172
Enumeration Date 2007-05-14
Last Update Date 2018-01-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 1-17-26371 CA Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst CA Behavioral Health & Social Service Providers
N 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 9466 BLACK MOUNTAIN RD STE 100
City SAN DIEGO
State CA
Zip Code 92126-4550

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730780396 William Webb Behavior Technician 9466 Black Mountain Rd Ste 100, San Diego, CA 92126-4550 2020-11-02
1861090789 Steven Roberts Behavior Technician 9466 Black Mountain Rd Ste 100, San Diego, CA 92126-4550 2020-10-13
1255972220 Robert James Williams Behavior Technician 9466 Black Mountain Rd Ste 100, San Diego, CA 92126-4550 2019-10-01
1326691395 Carli Proctor Behavior Technician 9466 Black Mountain Rd Ste 100, San Diego, CA 92126-4550 2019-07-18
1013573567 Amanda Smith Specialist/Technologist 9466 Black Mountain Rd Ste 100, San Diego, CA 92126-4550 2019-05-09
1730653296 Lelani Myburgh Specialist/Technologist 9466 Black Mountain Rd Ste 100, San Diego, CA 92126 2019-01-17
1225509177 Courtney Haight Specialist/Technologist 9466 Black Mountain Rd Ste 100, San Diego, CA 92126-4550 2018-12-17
1699257352 Suzanne Louise Clements Specialist/Technologist 9466 Black Mountain Rd Ste 100, San Diego, CA 92126-4550 2018-08-29
1174060586 Krystadare El-najjjar Speech-Language Pathologist 9466 Black Mountain Rd Ste 100, San Diego, CA 92126-4550 2017-01-23
1407398811 Michelle Cohen Marriage & Family Therapist 9466 Black Mountain Rd Ste 100, San Diego, CA 92126-4550 2016-11-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730741299 Eye Connection Optometry, Inc Optometrist 9516 Miramar Road, San Diego, CA 92126 2019-07-05
1811450935 Anne Phabmixay Student in an Organized Health Care Education/Training Program Douglas Young Wellness Center, 10717 Camino Ruiz Suite 207, San Diego, CA 92126 2019-04-08
1679035588 Emily Nguyen Registered Nurse 8210 Elston Place, San Diego, CA 92126 2019-04-01
1558832139 Dana Douglas-hiley Speech-Language Pathologist 9606 Tierra Grande St., Suite 107, San Diego, CA 92126 2018-12-08
1275022873 Breeann Nicole Poulson Speech-Language Pathologist 9466 Black Mountain Rd Suite 100, San Diego, CA 92126 2018-05-09
1659878882 My Phuong Thi Phan Registered Nurse 10938 Hyades Way, San Diego, CA 92126 2018-04-13
1083132153 Ruth Tamar Morales Occupational Therapist Children's Ot Services, Inc, 9606 Tierra Grande St., #104, San Diego, CA 92126 2017-09-08
1487184339 Chelsea Irene Johnson Marriage & Family Therapist 8670 New Salem St. Unit 106, San Diego, CA 92126 2017-06-14
1336508506 Brenda L. Bebal Nurse Practitioner 10737 Camino Ruiz; Ste 235, Operation Samahan Health Clinic, San Diego, CA 92126 2016-02-17
1700245099 Naval Medical Center San Diego Pharmacy Mcas Miramar Exchange Pharmacy, Bldg 2660, San Diego, CA 92126 2016-02-16
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437766698 Daniela Tablas Behavioral Analyst 303 47th St Spc D-22, San Diego, CA 92102 2020-09-30
1124637384 Best Life Aba Behavioral Analyst 5227 Lenore Dr, San Diego, CA 92115-1639 2020-07-23
1992313423 Vailala Felicia Gregory Behavioral Analyst 2721 Ridge View Dr, San Diego, CA 92105-4857 2020-07-21
1295359768 Jake Wylie Behavioral Analyst 2848 Ash St, San Diego, CA 92102-1753 2020-06-01
1881215739 Arasila Behavioral Analyst 4653 Carmel Mountain Rd Ste 308-252, San Diego, CA 92130-6650 2020-05-01
1255978623 Playba Behavioral Analyst 4504 60th St Unit 6, San Diego, CA 92115-5470 2019-12-04
1689217374 Elizabeth Gallagher Behavioral Analyst 1721 Grand Ave, San Diego, CA 92109-4415 2019-10-24
1679122568 Carolyn Newtson Behavioral Analyst 9620 Chesapeake Dr Ste 205, San Diego, CA 92123-1324 2019-09-04
1518519933 Communication Lab LLC Behavioral Analyst 4566 Pescadero Ave, San Diego, CA 92107-3537 2019-07-15
1538722889 Seeds Therapy Center Behavioral Analyst 2707 Congress St Ste 1r, San Diego, CA 92110-2764 2019-04-22
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Competitor

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City SAN DIEGO
Zip Code 92126

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Dataset Information

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.

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