KIM SUSANE LOPEZ (NPI# 1316410756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316410756 |
| Entity Type | Individual |
| Full Name | KIM SUSANE LOPEZ |
| Practice Address |
901 O St Arcata CA 95521-5789 |
| Mailing Address |
3280 Nelson Dr Fortuna CA 95540-1713 |
| Practice Telephone | 7074999335 |
| Mailing Telephone | 6024003460 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528011616 | Kim Lopez | Anesthesiology | 7000 W Plano Pkwy, Ste. 110, Plano, TX 75093-8466 | 2006-05-18 |
| Street Address |
901 O ST |
| City | ARCATA |
| State | CA |
| Zip Code | 95521-5789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659731966 | Julie Sanborn | Behavioral Analyst | 901 O St, Suite C, Arcata, CA 95521-5789 | 2016-02-29 |
| 1710585310 | Austin Jones | Behavior Technician | 901 O St, Suite C, Arcata, CA 95521-5789 | 2020-10-15 |
| 1407453962 | Emmarose Smith | Behavior Technician | 901 O St, Suite C, Arcata, CA 95521-5789 | 2020-10-07 |
| 1316544877 | David Tsirelson | Behavior Technician | 901 O St, Suite C, Arcata, CA 95521-5789 | 2020-10-07 |
| 1861099327 | Caitlin Harp | Behavior Technician | 901 O St, Suite C, Arcata, CA 95521-5789 | 2020-10-07 |
| 1427655133 | Victoria Zendejas | Behavior Technician | 901 O St, Suite C, Arcata, CA 95521-5789 | 2020-10-06 |
| 1508472127 | Chavely Morales Martinez | Behavior Technician | 901 O St, Suite C, Arcata, CA 95521-5789 | 2020-09-18 |
| 1497361018 | Kiya Guire | Behavior Technician | 901 O St, Suite C, Arcata, CA 95521-5789 | 2020-09-18 |
| 1659987279 | Rena Dragony | Behavior Technician | 901 O St, Suite C, Arcata, CA 95521-5789 | 2020-09-18 |
| 1215563960 | Valeria Pena Palomino | Behavior Technician | 901 O St, Suite C, Arcata, CA 95521-5789 | 2020-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912553736 | Mcc Medical, LLC | Durable Medical Equipment & Medical Supplies | Mcc Medical, LLC, 1565 J Street, Arcata, CA 95521 | 2019-08-16 |
| 1376008599 | Nathan Klier | Behavior Technician | 901 Ost, Arcata, CA 95521 | 2019-02-01 |
| 1740753995 | Maria Sophia Stathos | Behavior Technician | 901 0 Street, Suite C, Arcata, CA 95521 | 2019-01-09 |
| 1639674146 | Choong Yuk Kim | Psychologist | 381 Bayside Rd Ste B, Arcata, CA 95521 | 2018-03-27 |
| 1194089805 | Gary Wilson Barsuaskas | Nurse Practitioner | 4677 Valley West Blvd., Arcata, CA 95521 | 2012-06-27 |
| 1265708424 | Alison Marie Palacios | Family Medicine | 3798 Janes Rd. Suite 10, Arcata, CA 95521 | 2012-03-31 |
| 1538434857 | Kristen Noell Kelley | Behavioral Analyst | 901 O Street, Suite C, Arcata, CA 95521 | 2012-03-20 |
| 1518241264 | Brian D. Lieberman | Psychologist | 730 Bayside Rd, Apt A, Arcata, CA 95521 | 2011-09-29 |
| 1427369412 | John S Yamas | Acupuncturist | 1460 G. Street, Arcata, CA 95521 | 2010-06-24 |
| 1669619391 | Kevin John Mcalerney | Massage Therapist | 770 11th Street, Lost Coast Healing Arts, Arcata, CA 95521 | 2009-01-16 |
| Find all providers in zip 95521 | ||||
| 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 |
|---|---|---|---|---|
| 1134737547 | Daybreak Behavioral Services, LLC | Behavior Technician | 791 8th St Ste S, Arcata, CA 95521-6234 | 2020-07-21 |
| 1588221105 | Nathan Fine | Behavior Technician | 2948 L K Wood Blvd, Arcata, CA 95521-4920 | 2019-05-20 |
| 1376008599 | Nathan Klier | Behavior Technician | 901 Ost, Arcata, CA 95521 | 2019-02-01 |
| 1740753995 | Maria Sophia Stathos | Behavior Technician | 901 0 Street, Suite C, Arcata, CA 95521 | 2019-01-09 |
| 1710585310 | Austin Jones | Behavior Technician | 901 O St, Suite C, Arcata, CA 95521-5789 | 2020-10-15 |
| 1407453962 | Emmarose Smith | Behavior Technician | 901 O St, Suite C, Arcata, CA 95521-5789 | 2020-10-07 |
| 1316544877 | David Tsirelson | Behavior Technician | 901 O St, Suite C, Arcata, CA 95521-5789 | 2020-10-07 |
| 1861099327 | Caitlin Harp | Behavior Technician | 901 O St, Suite C, Arcata, CA 95521-5789 | 2020-10-07 |
| 1427655133 | Victoria Zendejas | Behavior Technician | 901 O St, Suite C, Arcata, CA 95521-5789 | 2020-10-06 |
| 1508472127 | Chavely Morales Martinez | Behavior Technician | 901 O St, Suite C, Arcata, CA 95521-5789 | 2020-09-18 |
| Find all providers in ARCATA | ||||
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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.