MICHELLE SLACK (NPI# 1437635471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437635471 |
Entity Type | Individual |
Full Name | MICHELLE SLACK |
Practice Address |
605 59th St Apt B San Diego CA 92114-2318 |
Practice Telephone | 6193798623 |
Mailing Telephone | 6193798623 |
Enumeration Date | 2018-07-12 |
Last Update Date | 2018-07-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106S00000X | Behavior Technician | BACB324163 | CA | Behavioral Health & Social Service Providers |
Street Address |
605 59TH ST APT B |
City | SAN DIEGO |
State | CA |
Zip Code | 92114-2318 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689280422 | Jason Vince Rather | Counselor | 333 Ledgewood Lane, San Diego, San Diego, CA 92114 | 2020-09-17 |
1144882622 | Melissa Ratsamy | Peer Specialist | 286 Euclid Ave Project Enable, #102, San Diego, CA 92114 | 2019-07-03 |
1285113951 | Janet Miller | Prosthetist | 6662 Charlene Ave, San Diego, CA 92114 | 2018-08-13 |
1568828671 | Ceferina Pulgar Ruiz | General Practice | 6809 Freed Manor Lane, San Diego, CA 92114 | 2016-01-05 |
1275919227 | Susan Reyes | Registered Nurse | 802a Cardiff Street, San Diego, CA 92114 | 2015-07-31 |
1760829097 | Rea Ordono Porciuncula | Registered Nurse | 982 Worthington St., San Diego, CA 92114 | 2013-05-28 |
1912170176 | Maxine Whitfield | Specialist | 5844 Mariposa Place, San Diego, CA 92114 | 2008-04-09 |
1124210844 | Bahghi Russom Keflezighi | Family Medicine | 220 Euclid Avenue, Suite 40, San Diego, CA 92114 | 2007-08-16 |
1982701058 | Mark Leroy Dimry | Pharmacist | 286 N Euclid Ave, Semca Pharmacy, San Diego, CA 92114 | 2006-09-20 |
1649241514 | Wendy G Chacon | Pediatrics | 292 Euclid Avenue, #220, San Diego, CA 92114 | 2006-01-30 |
Find all providers in zip 92114 |
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 |
---|---|---|---|---|
1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
1639776636 | Gabrielle Moriah Pero | Behavior Technician | 2644 Figueroa Blvd, San Diego, CA 92109-4822 | 2020-10-03 |
1437766532 | Alexandria Alexis Meier | Behavior Technician | 3838 Camino Del Rio N Ste 240, San Diego, CA 92108-1763 | 2020-09-23 |
1619582111 | Christopher Andre Simpson | Behavior Technician | 4810 Coronado Ave, San Diego, CA 92107-3316 | 2020-09-11 |
1669082087 | Briana Kathleen Murray | Behavior Technician | 1281 9th Ave Unit 216, San Diego, CA 92101-4636 | 2020-08-01 |
1790393478 | Virginia Herzog | Behavior Technician | 5875 Friars Rd Apt 4402, San Diego, CA 92110-6023 | 2020-07-17 |
1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
1225656325 | Jazmin Lopez | Behavior Technician | 4025 Camino Del Rio S Ste 100, San Diego, CA 92108-4108 | 2020-07-06 |
1790309052 | Laila S Hasenin | Behavior Technician | 7389 Via Carrillo, San Diego, CA 92129-2271 | 2020-06-02 |
1801425533 | Stephanie Lee Harmon | Behavior Technician | 12094 Daymark Ct, San Diego, CA 92131-3801 | 2020-04-04 |
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.