JACQUELINE COTTOM (NPI# 1356957088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356957088 |
| Entity Type | Individual |
| Full Name | JACQUELINE COTTOM |
| Practice Address |
1362 S Longwood Ave Apt 4 Los Angeles CA 90019-2958 |
| Practice Telephone | 3106944111 |
| Mailing Telephone | 3106944111 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-20-44221 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1362 S LONGWOOD AVE APT 4 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90019-2958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386299139 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1302 South La Brea, Los Angeles, CA 90019 | 2019-08-08 |
| 1104383694 | 310 Recovery Inc. | Clinic/Center | 1723 1/2 Hauser Blvd, Los Angeles, CA 90019 | 2019-02-21 |
| 1184131328 | Sehyeong Son | Acupuncturist | 1722 Crenshaw Blvd, Los Angeles, CA 90019 | 2018-01-09 |
| 1285158154 | Vanessa A. Myrie | Social Worker | 5562 Packard St., Los Angeles, CA 90019 | 2017-08-01 |
| 1093241309 | Hamburger Home | Community/Behavioral Health | 4066 W. 17th Street, Los Angeles, CA 90019 | 2017-05-05 |
| 1639614779 | Jung Ho Kang | Acupuncturist | 903 S. Crenshaw Blvd #304a, Los Angeles, CA 90019 | 2016-12-28 |
| 1912353491 | Sung Won Lee | Acupuncturist | 4027 W. Pico Bl., Los Angeles, CA 90019 | 2016-05-13 |
| 1497188528 | Sfvcmhc | Community/Behavioral Health | 5754 San Vicente Blvd, 401, Los Angeles, CALIFORNIA 90019 | 2013-08-13 |
| 1467890160 | Denise Breheny | Lactation Consultant, Non-RN | 1053 Carmona Ave., Los Angeles, CA 90019 | 2013-06-05 |
| 1336483122 | Nancy Denise - Latten Davidson | Student in an Organized Health Care Education/Training Program | 4073-75 West Pico Blvd, Los Angeles, CA 90019 | 2012-11-16 |
| Find all providers in zip 90019 | ||||
| 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 |
|---|---|---|---|---|
| 1093326225 | Behavioral Analytics LLC | Behavioral Analyst | 770 S Grand Ave Apt 6049, Los Angeles, CA 90017-3955 | 2020-08-12 |
| 1447860317 | Elizabeth Sciutto | Behavioral Analyst | 2915 S Bronson Ave, Los Angeles, CA 90018-2837 | 2020-08-05 |
| 1639789860 | Katharine Ann Martini | Behavioral Analyst | 417 S Hill St Apt 921, Los Angeles, CA 90013-1776 | 2020-08-03 |
| 1417575689 | Vanessa Martinez | Behavioral Analyst | 11900 W Olympic Blvd Ste 520, Los Angeles, CA 90064-1183 | 2020-07-13 |
| 1437770583 | Samantha Porpora | Behavioral Analyst | 3450 Sawtelle Blvd Apt 352, Los Angeles, CA 90066-2171 | 2020-04-29 |
| 1770118564 | Reyna Maleny Amparo | Behavioral Analyst | 5553 Long Beach Ave, Los Angeles, CA 90058-3817 | 2020-03-11 |
| 1023658572 | Dorrey Sproatt | Behavioral Analyst | 3637 Motor Ave Ste 280, Los Angeles, CA 90034-4884 | 2020-01-13 |
| 1164062139 | Luis Abreu | Behavioral Analyst | 972 Marietta St, Los Angeles, CA 90023-1404 | 2020-01-08 |
| 1346889235 | Hannah Chung | Behavioral Analyst | 1234 Wilshire Blvd Apt 236, Los Angeles, CA 90017-1975 | 2019-12-25 |
| 1760029664 | Ken Kankibaho Kabukuru | Behavioral Analyst | 249 South Ave 55 Apt 213, Los Angeles, CA 90042-4641 | 2019-12-10 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90019 |
Please comment or provide details below to improve the information on JACQUELINE COTTOM.
| 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.