DEBORAH PANDULLO (NPI# 1265905996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265905996 |
| Entity Type | Individual |
| Full Name | DEBORAH PANDULLO |
| Credential | BCBA |
| Practice Address |
275 W Hospitality Ln # 324 San Bernardino CA 92408-3249 |
| Mailing Address |
2158 Casa Grande St Pasadena CA 91104-4105 |
| Practice Telephone | 8009519813 |
| Mailing Telephone | 6263729474 |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-14-15745 | CA | Behavioral Health & Social Service Providers |
| Street Address |
275 W HOSPITALITY LN # 324 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92408-3249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427512458 | Elizabeth Yasian Ho | Technician | 275 W Hospitality Ln # 324, San Bernardino, CA 92408-3249 | 2019-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
| 1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
| 1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
| 1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
| 1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
| 1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
| Find all providers in zip 92408 | ||||
| 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 |
|---|---|---|---|---|
| 1518571108 | New Behavior Transitions | Behavioral Analyst | 1154 E 36th St, San Bernardino, CA 92404-1812 | 2020-09-01 |
| 1326662321 | Rosa Amelia Torres | Behavioral Analyst | 1677 Pumalo St Apt 24, San Bernardino, CA 92404-6541 | 2020-06-04 |
| 1174152953 | Kristine Ashley Lopez | Behavioral Analyst | 163 E Marshall Blvd, San Bernardino, CA 92404-2262 | 2020-04-03 |
| 1134752124 | Araly A Negrete Garcia | Behavioral Analyst | 732 Carnegie Dr Ste 100, San Bernardino, CA 92408-3589 | 2020-02-18 |
| 1669027454 | Kaira Padilla | Behavioral Analyst | 4017 N 1st Ave, San Bernardino, CA 92407-3507 | 2019-08-07 |
| 1902467343 | Maria Veronica Alvarez | Behavioral Analyst | 4700 N Sierra Way Apt 214, San Bernardino, CA 92404-1245 | 2019-06-26 |
| 1629541800 | Janelle Jackson | Behavioral Analyst | 540 W 19th St Apt 103, San Bernardino, CA 92405-4204 | 2019-01-10 |
| 1295204949 | Miguel Guerra | Behavioral Analyst | 648 N Gardena St, San Bernardino, CA 92411-2418 | 2018-11-23 |
| 1750856829 | Sherronda Davis | Behavioral Analyst | 347 W 8th St Apt 14, San Bernardino, CA 92401-1037 | 2018-10-04 |
| 1760965420 | Suzanne Rodriguez | Behavioral Analyst | 1292 E 37th St, San Bernardino, CA 92404-1971 | 2018-09-10 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92408 |
Please comment or provide details below to improve the information on DEBORAH PANDULLO.
| 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.