MARTIN GERARD ROSE (NPI# 1376089375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376089375 |
| Entity Type | Individual |
| Full Name | MARTIN GERARD ROSE |
| Practice Address |
3626 Balboa St San Francisco CA 94121-2604 |
| Practice Telephone | 4156685855 |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1699915843 | Martin Rose | Internal Medicine | 6709 Kenhill Rd, Bethesda, MD 20817-6015 | 2009-03-01 |
| 1376090480 | Martin Rose | Social Worker | 102 Mason Farm Rd, Cb #7705, Suite 3100, Chapel Hill, NC 27599-6134 | 2016-09-07 |
| 1184609034 | Martin Phillip Rose | Physician Assistant | 2501 Oakington St, Apg, MD 21005-5131 | 2005-12-14 |
| Street Address |
3626 BALBOA ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94121-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063591972 | Kavoos Ghanebassiri | Marriage & Family Therapist | 3626 Balboa St, San Francisco, CA 94121-2604 | 2006-11-02 |
| 1336751072 | Rory Pettigrew | Student in an Organized Health Care Education/Training Program | 3626 Balboa St, San Francisco, CA 94121-2604 | 2020-08-22 |
| 1811509631 | Lauren Glasgow | Student in an Organized Health Care Education/Training Program | 3626 Balboa St, San Francisco, CA 94121-2604 | 2020-08-21 |
| 1083246375 | Elena Ionov | Counselor | 3626 Balboa St, San Francisco, CA 94121-2604 | 2020-02-05 |
| 1740827880 | Christina Haejin Yum | Counselor | 3626 Balboa St, San Francisco, CA 94121-2604 | 2019-12-09 |
| 1801443486 | Mayra Hernandez | Counselor | 3626 Balboa St, San Francisco, CA 94121-2604 | 2019-08-20 |
| 1548817182 | Harmony Martinez | Counselor | 3626 Balboa St, San Francisco, CA 94121 | 2019-08-19 |
| 1972159747 | Rachael Mary Perlman | Student in an Organized Health Care Education/Training Program | 3626 Balboa St, San Francisco, CA 94121-2604 | 2019-08-16 |
| 1639725740 | Ridhi Shiv | Student in an Organized Health Care Education/Training Program | 3626 Balboa St, San Francisco, CA 94121-2604 | 2019-08-14 |
| 1356997944 | Peter Barrett Reynolds | Student in an Organized Health Care Education/Training Program | 3626 Balboa St, San Francisco, CA 94121-2604 | 2019-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316443815 | Joanne Mott | Community Health Worker | Richmond Area Multi Services, 3626 Balboa St., San Francisco, CA 94121 | 2018-04-03 |
| 1851897359 | Jeffrey Cheng | Community Health Worker | Richmond Area Multi Services 3626 Balboa St., San Francisco, CA 94121 | 2018-04-03 |
| 1245739283 | George Howard Herzog | Clinical Nurse Specialist | 4150 Clement St G1-111b1, San Francisco, CA 94121 | 2018-02-05 |
| 1063931228 | Dianna Welsh | Marriage & Family Therapist | 750 33rd Ave., San Francisco, CA 94121 | 2017-09-19 |
| 1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
| 1184027229 | Laura Weissberger | Social Worker | 6211 Geary Blvd, 2nd Floor, San Francisco, CA 94121 | 2014-10-03 |
| 1548676901 | Martha J Ignaszewski | Psychiatry & Neurology | 4150 Clement St Rm 19, San Francisco, CA 94121 | 2014-07-07 |
| 1912338195 | Katie Francesconi Peters | Physical Therapist | 1921 Lake St Apt 1, San Francisco, CA 94121 | 2013-12-12 |
| 1649601717 | William Hua | Psychologist | 4150 Clement St (116b), San Francisco, CA 94121 | 2013-11-27 |
| 1396182721 | Gregory Lariviere Judson | Student in an Organized Health Care Education/Training Program | 4150 Clement St. Box 111a, Vamc, San Francisco, CA 94121 | 2013-05-24 |
| Find all providers in zip 94121 | ||||
| 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 |
|---|---|---|---|---|
| 1437774767 | Taron Smith | Behavior Technician | 1414 Taraval St Apt 1, San Francisco, CA 94116-2348 | 2020-06-12 |
| 1124657440 | Kellee Marie Taylor | Behavior Technician | 1355 Golden Gate Ave Apt 1j, San Francisco, CA 94115-4701 | 2020-04-07 |
| 1548894470 | Caylin Meme-ok Chang | Behavior Technician | 849 47th Ave, San Francisco, CA 94121-3207 | 2020-02-29 |
| 1780215152 | Karen Elizabeth Beltran I | Behavior Technician | 2326 36th Ave, San Francisco, CA 94116-2248 | 2020-02-03 |
| 1386275972 | Eric Lee | Behavior Technician | 2000 43rd Ave, San Francisco, CA 94116 | 2020-01-31 |
| 1659901437 | Connie Brione Daniels Henderson | Behavior Technician | 70 Cashmere St Apt 2a, San Francisco, CA 94124-2405 | 2020-01-21 |
| 1518506708 | Meagan Mclaughlin | Behavior Technician | 1126 Persia Ave, San Francisco, CA 94112-2841 | 2020-01-05 |
| 1467090878 | Khadijah Maddox | Behavior Technician | 656 Fell St, San Francisco, CA 94102-5021 | 2019-12-16 |
| 1780220897 | Kari Leilani Miya | Behavior Technician | 1755 Ofarrell St Apt Ph1e, San Francisco, CA 94115-5298 | 2019-11-24 |
| 1962046722 | Linda Martina Gallardo | Behavior Technician | 1600 Holloway Ave # Ssb201, San Francisco, CA 94132-1722 | 2019-11-04 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94121 |
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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.