KATHLEEN HARRISON-ELLIS (NPI# 1396391413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396391413 |
| Entity Type | Individual |
| Full Name | KATHLEEN HARRISON-ELLIS |
| Practice Address |
2201 Woolsey St Berkeley CA 94705-1832 |
| Practice Telephone | 3179899980 |
| Mailing Telephone | 3179899980 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| 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 |
| Street Address |
2201 WOOLSEY ST |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-1832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1821625930 | John Paul Castro | Behavior Technician | 2201 Woolsey St, Berkeley, CA 94705-1832 | 2020-03-26 |
| 1861032153 | Lelyanne Zeidan | Behavior Technician | 2201 Woolsey St, Berkeley, CA 94705-1832 | 2020-01-14 |
| 1720623556 | Haleyrae Wadkins | Behavior Technician | 2201 Woolsey St, Berkeley, CA 94705-1832 | 2019-11-15 |
| 1053956888 | Raihaana Khan | Behavior Technician | 2201 Woolsey St, Berkeley, CA 94705-1832 | 2019-11-15 |
| 1396386702 | Lauren Henry | Behavior Technician | 2201 Woolsey St, Berkeley, CA 94705-1832 | 2019-10-07 |
| 1447891841 | Sascha Owens | Behavior Technician | 2201 Woolsey St, Berkeley, CA 94705-1832 | 2019-10-07 |
| 1023659596 | Marina Mehta | Behavior Technician | 2201 Woolsey St, Berkeley, CA 94705-1832 | 2019-10-04 |
| 1114573235 | Nicole Machado-potestio | Behavior Technician | 2201 Woolsey St, Berkeley, CA 94705-1832 | 2019-08-14 |
| 1447806567 | Elaralani Rivers | Behavior Technician | 2201 Woolsey St, Berkeley, CA 94705-1832 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| 1306139126 | Kalub J Jarosh | Acupuncturist | 2835 Ellsworth St, Berkeley, CA 94705 | 2011-05-26 |
| Find all providers in zip 94705 | ||||
| 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 |
|---|---|---|---|---|
| 1821617168 | Michelle Nagal Hunt | Behavior Technician | 2080 Addison Street, #302, Berkeley, CA 94704 | 2020-04-15 |
| 1053944710 | Dayana Jazmin Frias | Behavior Technician | 1917 6th St Apt 1, Berkeley, CA 94710-2052 | 2020-02-20 |
| 1770134736 | Lynnette Stormy Wafer | Behavior Technician | 2022 Ward St, Berkeley, CA 94703-2240 | 2019-09-21 |
| 1760030548 | Ashley Monet Cook | Behavior Technician | 2080 Addison St # 302, Berkeley, CA 94704-1692 | 2019-08-26 |
| 1366097081 | Sabrina Barnett | Behavior Technician | 2080 Addison St, #302, Berkeley, CA 94704 | 2019-08-08 |
| 1841767787 | Riley Mcdanal | Behavior Technician | 1757 Oxford St Apt 16, Berkeley, CA 94709-1730 | 2018-10-29 |
| 1821625930 | John Paul Castro | Behavior Technician | 2201 Woolsey St, Berkeley, CA 94705-1832 | 2020-03-26 |
| 1861032153 | Lelyanne Zeidan | Behavior Technician | 2201 Woolsey St, Berkeley, CA 94705-1832 | 2020-01-14 |
| 1720623556 | Haleyrae Wadkins | Behavior Technician | 2201 Woolsey St, Berkeley, CA 94705-1832 | 2019-11-15 |
| 1053956888 | Raihaana Khan | Behavior Technician | 2201 Woolsey St, Berkeley, CA 94705-1832 | 2019-11-15 |
| Find all providers in BERKELEY | ||||
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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.