MISS KAITLEND TATIANA SMITH (NPI# 1396281507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396281507 |
| Entity Type | Individual |
| Full Name | MISS KAITLEND TATIANA SMITH |
| Credential | B.A. |
| Practice Address |
4899 Hildreth Ln Stockton CA 95212-1408 |
| Practice Telephone | 2095137715 |
| Mailing Telephone | 2095137715 |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
4899 HILDRETH LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95212-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962046524 | Randy Sarnillo Morelos | Residential Treatment Facility, Physical Disabilities | 9152 Chianti Circle, Stockton, CA 95212 | 2019-11-06 |
| 1316494339 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 9555 Priscilla Ln, Stockton, CA 95212 | 2016-09-07 |
| 1487058848 | Faith Isiderio | Physical Therapy Assistant | 5650 Patti Lynn Way, Stockton, CA 95212 | 2014-10-14 |
| 1124173448 | George T Lin | Dentist | 3459 Matterhorn Drive, Stockton, CA 95212 | 2007-01-25 |
| 1851395131 | Eric Chapa | Family Medicine | 5040 E Morada Ln, Stockton, CA 95212 | 2005-06-02 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1629489315 | Charles Vansicklen | Student in an Organized Health Care Education/Training Program | 8619 Emanuel Way, Stockton, CA 95212-1423 | 2014-05-15 |
| 1891853826 | Raleys | Pharmacy | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2006-12-04 |
| 1881006351 | Phillip H Shin | Pharmacist | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2014-06-02 |
| 1437560968 | Stephanie Lau | Pharmacist | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2014-05-19 |
| Find all providers in zip 95212 | ||||
| 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 |
|---|---|---|---|---|
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1033678768 | Pao Huwg Moua | Behavioral Analyst | 1616 N Harrison St Ste A, Stockton, CA 95204-5642 | 2019-03-12 |
| 1205391976 | Maurqui Wonsook C.l. Burks | Behavioral Analyst | 717 Paloma Ave, Stockton, CA 95210-1866 | 2019-02-06 |
| 1679054605 | Jessica Subia | Behavioral Analyst | 4981 Moorcroft Cir, Stockton, CA 95206-6154 | 2018-08-28 |
| 1437645793 | Kanasha Allen | Behavioral Analyst | 4030 E Morada Ln Apt 9206, Stockton, CA 95212-1658 | 2018-07-10 |
| 1396231049 | Karina Gonzalez | Behavioral Analyst | 3016 Malisa Way, Stockton, CA 95206-3891 | 2018-07-05 |
| 1104312800 | Melissa Delossantos | Behavioral Analyst | 2180 Lucerne Ave, Stockton, CA 95203-1257 | 2018-07-05 |
| 1336633122 | Donisha Harrison | Behavioral Analyst | 2013 Franklin Ave, Stockton, CA 95204-4805 | 2018-06-15 |
| 1194214601 | Denise Mendez | Behavioral Analyst | 1706 Sacchetti Cir, Stockton, CA 95206-5660 | 2018-05-10 |
| 1679076400 | Kasey Miller Ross | Behavioral Analyst | 60 Ferry Rd, Stockton, NJ 08559-1003 | 2018-03-18 |
| Find all providers in STOCKTON | ||||
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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.