BEAU ARMANDE DUVALL (NPI# 1225346463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225346463 |
| Entity Type | Individual |
| Full Name | BEAU ARMANDE DUVALL |
| Credential | PSYD |
| Practice Address |
11665 Avena Pl Ste 204 San Diego CA 92128 |
| Mailing Address |
11665 Avena Pl Suitee 204 San Diego CA 92128-2421 |
| Practice Telephone | 7603494200 |
| Mailing Telephone | 7603494200 |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2016-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
11665 AVENA PL STE 204 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407815087 | Betsy A. Slavik | Specialist | 11665 Avena Pl, Suite 106, San Diego, CA 92128-2427 | 2006-03-21 |
| 1073021523 | Allebasi Yu | Behavior Technician | 11665 Avena Pl, San Diego, CA 92128-2421 | 2018-01-18 |
| 1699281618 | Nettie Celedon | Behavioral Analyst | 11665 Avena Pl, San Diego, CA 92128-2421 | 2017-12-28 |
| 1114437977 | Jillian Laine Robinson | Behavioral Analyst | 11665 Avena Pl, San Diego, CA 92128-2421 | 2017-10-06 |
| 1811432370 | Jacqueline Berlo | Assistant Behavior Analyst | 11665 Avena Pl, Ste.204, San Diego, CA 92128-2421 | 2016-12-19 |
| 1174067649 | Patrick W Betters | Behavioral Analyst | 11665 Avena Pl, Suite 204, San Diego, CA 92128-2421 | 2016-12-18 |
| 1023567575 | Arye Hartal | Behavioral Analyst | 11665 Avena Pl, Suite 204, San Diego, CA 92128-2421 | 2016-09-26 |
| 1992160618 | Scott Rustulka | Behavioral Analyst | 11665 Avena Pl, Ste 204, San Diego, CA 92128-2421 | 2015-12-22 |
| 1326418385 | Liberty O'mahony | Behavioral Analyst | 11665 Avena Pl, Ste 204, San Diego, CA 92128-2421 | 2015-10-03 |
| 1881064913 | Joshua Alfonse Mello | Behavioral Analyst | 11665 Avena Pl, Ste 204, San Diego, CA 92128-2421 | 2015-10-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789573 | Shayla Robertson | Psychologist | 2602 Crosshaven Ln, San Diego, CA 92139-2952 | 2020-04-20 |
| 1467083949 | Corrine Joslyn Hufford | Psychologist | 6549 Jaffe Ct Apt 10, San Diego, CA 92119-2150 | 2020-02-03 |
| 1225678840 | Nicholas Buhr | Psychologist | 140 Sylvester Road Bldg 500, Navy Drug Alcohol Counselor School, San Diego, CA 92106-3521 | 2020-01-11 |
| 1215572003 | Alpha Theta Center, Inc | Psychologist | 6540 Lusk Blvd Ste C175, San Diego, CA 92121-2768 | 2019-11-15 |
| 1740825686 | Jill Allison Cooley | Psychologist | 8543 Old Stonefield Chase, San Diego, CA 92127-6133 | 2019-11-14 |
| 1093350456 | Annie Lin | Psychologist | 10531 4s Commons Dr # 530, San Diego, CA 92127-3517 | 2019-11-08 |
| 1164066072 | Elizabeth Kristin Stanton | Psychologist | 3910 Chapman St Ste I, San Diego, CA 92110-5644 | 2019-11-04 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1225505480 | Margaret Marie Williams | Psychologist | 4010 Sorrento Valley Blvd Ste 400, San Diego, CA 92121-1433 | 2018-10-25 |
| 1841779154 | Carla Payne, Psychology, Inc. | Psychologist | 2525 Camino Del Rio S. #245, San Diego, CA 92108 | 2018-08-08 |
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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.