GRACIA J STARK (NPI# 1417571753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417571753 |
| Entity Type | Individual |
| Full Name | GRACIA J STARK |
| Practice Address |
4359 Kukui Grove St Ste 102 Lihue HI 96766-2008 |
| Mailing Address |
316 Mid Valley Ctr # 186 Carmel CA 93923-8516 |
| Practice Telephone | 8084314655 |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
4359 KUKUI GROVE ST STE 102 |
| City | LIHUE |
| State | HI |
| Zip Code | 96766-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801348487 | Crystal Nelson | Behavioral Analyst | 4359 Kukui Grove St Ste 102, Lihue, HI 96766-2008 | 2016-10-28 |
| 1770183980 | Pakolea Support Services | Behavioral Analyst | 4359 Kukui Grove St Ste 102, Lihue, HI 96766-2008 | 2020-10-27 |
| 1366040909 | Raven Howser | Behavior Technician | 4359 Kukui Grove St Ste 102, Lihue, HI 96766-2008 | 2020-10-15 |
| 1518570621 | Kathtryn Corbell | Behavior Technician | 4359 Kukui Grove St Ste 102, Lihue, HI 96766-2008 | 2020-08-28 |
| 1467062406 | Nicole Fisher | Behavioral Analyst | 4359 Kukui Grove St Ste 102, Lihue, HI 96766-2008 | 2020-08-04 |
| 1215545876 | Paige Kemerer | Behavior Technician | 4359 Kukui Grove St Ste 102, Lihue, HI 96766-2008 | 2020-07-20 |
| 1457973679 | Kiesha Mclean | Behavior Technician | 4359 Kukui Grove St Ste 102, Lihue, HI 96766-2008 | 2020-05-11 |
| 1770104911 | Celeste Indvik Brown | Behavior Technician | 4359 Kukui Grove St Ste 102, Lihue, HI 96766-2008 | 2020-04-28 |
| 1770117608 | Elicia M. Wetherington | Behavior Technician | 4359 Kukui Grove St Ste 102, Lihue, HI 96766-2008 | 2020-02-29 |
| 1417416991 | Kalanikauleleiaiwi Ah Len Jardine | Behavior Technician | 4359 Kukui Grove St Ste 102, Lihue, HI 96766-2008 | 2019-03-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154989747 | Amber Denise Leach | Hearing Instrument Specialist | 4405 Kukei Grove St Suite 101, Lihue, HI 96766 | 2019-05-30 |
| 1730746264 | Maria Celeste I Papa | Home Health | 2980 Ewalu St., Unit 1, Lihue, HI 96766 | 2019-05-20 |
| 1588141287 | Dr. Joseph Schafermeyer LLC. | Dentist | 4381 Kukui Grove St., Ste. 2, Lihue, HI 96766 | 2018-07-25 |
| 1497232466 | Island Hand Therapy Clinic LLC | Occupational Therapist | 3175 Elua St Ste A, Lihue, HI 96766 | 2018-07-23 |
| 1245717578 | Robert M. Long, Dds. Inc. | Dentist | 4359 Kukui Grove Street, Suite 104, Lihue, HI 96766 | 2018-07-19 |
| 1922599547 | Annette Marisa Martinez | Behavior Technician | 3-3367 Kuhio Hwy # 211, Lihue, HI 96766 | 2018-05-21 |
| 1053822510 | Christopher Michael Wilson | Behavior Technician | 3-3367 Kuhio Hwy Ste 204, Lihue, HI 96766 | 2017-10-23 |
| 1740706308 | Kaumualii Medical Supplies | Durable Medical Equipment & Medical Supplies | 3-2600 Kaumualii Hwy 1300 #114, Lihue, HI 96766 | 2017-08-16 |
| 1629598925 | Araceli Rapozo | Counselor | 4370-kukui Grove St Suite 3-211, Lihue, HI 96766 | 2017-06-27 |
| 1629504725 | Chantelle Kane | Behavioral Analyst | 3122 Kuhio Hwy, Lihue, HI 96766 | 2017-05-10 |
| Find all providers in zip 96766 | ||||
| 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 |
|---|---|---|---|---|
| 1063046753 | Amber Tamar Tadiarca | Behavior Technician | 3385 Unahe St, Lihue, HI 96766-1277 | 2020-03-03 |
| 1922599547 | Annette Marisa Martinez | Behavior Technician | 3-3367 Kuhio Hwy # 211, Lihue, HI 96766 | 2018-05-21 |
| 1336639848 | Ashley L.k. Furumoto | Behavior Technician | 3175 Elua St Ste B, Lihue, HI 96766-1203 | 2018-05-10 |
| 1053822510 | Christopher Michael Wilson | Behavior Technician | 3-3367 Kuhio Hwy Ste 204, Lihue, HI 96766 | 2017-10-23 |
| 1801317227 | Sharolyn Moises | Behavior Technician | 3-3367 Kuhio Hwy Ste 211, Lihue, HI 96766-1034 | 2017-07-06 |
| 1306385653 | Rhonda Dalynne Moore | Behavior Technician | 3-3367 Kuhio Hwy Unit 204, Lihue, HI 96766-1034 | 2017-02-20 |
| 1942745468 | Holly Mccool | Behavior Technician | 3-3367 Kuhio Hwy Unit 211, Lihue, HI 96766-1034 | 2016-12-20 |
| 1366040909 | Raven Howser | Behavior Technician | 4359 Kukui Grove St Ste 102, Lihue, HI 96766-2008 | 2020-10-15 |
| 1518570621 | Kathtryn Corbell | Behavior Technician | 4359 Kukui Grove St Ste 102, Lihue, HI 96766-2008 | 2020-08-28 |
| 1215545876 | Paige Kemerer | Behavior Technician | 4359 Kukui Grove St Ste 102, Lihue, HI 96766-2008 | 2020-07-20 |
| Find all providers in LIHUE | ||||
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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.