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).
| 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 |
| 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 |
| Street Address |
9466 BLACK MOUNTAIN RD STE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92126-4550 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 92126 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in SAN DIEGO | ||||
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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.