BETSY A. SLAVIK (NPI# 1407815087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407815087 |
| Entity Type | Individual |
| Full Name | BETSY A. SLAVIK |
| Credential | M.A., OTR/L |
| Practice Address |
11665 Avena Pl Suite 106 San Diego CA 92128-2427 |
| Mailing Address |
Po Box 507175 San Diego CA 92150-7175 |
| Practice Telephone | 8586735437 |
| Practice Fax Number | 8586735434 |
| Mailing Telephone | 8586738018 |
| Mailing Fax Number | 8586735434 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OT 2076 | CA | Other Service Providers |
| Street Address |
11665 AVENA PL SUITE 106 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-2427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073021523 | Allebasi Yu | Behavior Technician | 11665 Avena Pl, San Diego, CA 92128-2421 | 2018-01-18 |
| 1699281618 | Nettie Celedon | Behavioral Analyst | 11665 Avena Pl, San Diego, CA 92128-2421 | 2017-12-28 |
| 1114437977 | Jillian Laine Robinson | Behavioral Analyst | 11665 Avena Pl, San Diego, CA 92128-2421 | 2017-10-06 |
| 1811432370 | Jacqueline Berlo | Assistant Behavior Analyst | 11665 Avena Pl, Ste.204, San Diego, CA 92128-2421 | 2016-12-19 |
| 1174067649 | Patrick W Betters | Behavioral Analyst | 11665 Avena Pl, Suite 204, San Diego, CA 92128-2421 | 2016-12-18 |
| 1023567575 | Arye Hartal | Behavioral Analyst | 11665 Avena Pl, Suite 204, San Diego, CA 92128-2421 | 2016-09-26 |
| 1992160618 | Scott Rustulka | Behavioral Analyst | 11665 Avena Pl, Ste 204, San Diego, CA 92128-2421 | 2015-12-22 |
| 1326418385 | Liberty O'mahony | Behavioral Analyst | 11665 Avena Pl, Ste 204, San Diego, CA 92128-2421 | 2015-10-03 |
| 1881064913 | Joshua Alfonse Mello | Behavioral Analyst | 11665 Avena Pl, Ste 204, San Diego, CA 92128-2421 | 2015-10-01 |
| 1225346463 | Beau Armande Duvall | Counselor | 11665 Avena Pl, Ste 204, San Diego, CA 92128 | 2010-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1023648201 | Pamela Renea Crane | Specialist | 3237 Meade Ave, San Diego, CA 92116-4519 | 2020-01-16 |
| 1184199853 | Oliver Rakeem Taylor | Specialist | 1265 Angelus Ave, San Diego, CA 92114-3108 | 2018-10-09 |
| 1376040923 | Mark Edmond Rierson | Specialist | 2333 1st Ave Ste 106, San Diego, CA 92101-1538 | 2018-04-10 |
| 1790232635 | Cristina Zheng-castruita | Specialist | 9308 Babauta Rd, Apt. 62, San Diego, CA 92129-4922 | 2016-09-08 |
| 1689027955 | Neelam Agashe | Specialist | 3445 Lebon Dr Apt 1215, San Diego, CA 92122-5267 | 2016-07-21 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1952765935 | Jacqueline Morgan | Specialist | 9625 Black Mountain Rd Ste 300, San Diego, CA 92126-4598 | 2016-04-06 |
| 1710341862 | Comprehensive Medical Reporting Services | Specialist | 9040 Friars Rd., Ste. 410, San Diego, CA 92108 | 2016-04-05 |
| 1790150555 | Mahmood Nazari | Specialist | 6209 Lake Apopka Pl, 6209 Lake Apopka Place, San Diego, CA 92119-3520 | 2015-12-04 |
| Find all providers in SAN DIEGO | ||||
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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.