MISS KAITLEND TATIANA SMITH


Address: 4899 Hildreth Ln, Stockton, CA 95212-1408
Phone: 2095137715

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Office Location

Street Address 4899 HILDRETH LN
City STOCKTON
State CA
Zip Code 95212-1408

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1962046524 Randy Sarnillo Morelos Residential Treatment Facility, Physical Disabilities 9152 Chianti Circle, Stockton, CA 95212 2019-11-06
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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
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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
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City STOCKTON
Zip Code 95212

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Dataset Information

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.

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