PHILLIP SHAWN PERALTA I (NPI# 1437718459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437718459 |
| Entity Type | Individual |
| Full Name | PHILLIP SHAWN PERALTA I |
| Practice Address |
9197 W 6th Ave Ste 1000 Lakewood CO 80215-5109 |
| Practice Telephone | 3032333122 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Gender Code | M |
| 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 |
9197 W 6TH AVE STE 1000 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80215-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629590914 | Chloe Leslie Fahrberger | Behavioral Analyst | 9197 W 6th Ave Ste 1000, Lakewood, CO 80215-5109 | 2017-07-09 |
| 1013568666 | Elyse L Shires | Behavior Technician | 9197 W 6th Ave Ste 1000, Lakewood, CO 80215-5109 | 2019-09-25 |
| 1144878174 | Daisy M Ruvalcaba | Behavior Technician | 9197 W 6th Ave Ste 1000, Lakewood, CO 80215-5109 | 2019-09-03 |
| 1891340329 | Sadyee Hernandez | Behavior Technician | 9197 W 6th Ave Ste 1000, Lakewood, CO 80215-5109 | 2019-08-01 |
| 1700448487 | Trisha Harjo | Behavior Technician | 9197 W 6th Ave Ste 1000, Lakewood, CO 80215-5109 | 2019-07-02 |
| 1285294769 | Nicholas S Carter | Behavior Technician | 9197 W 6th Ave Ste 1000, Lakewood, CO 80215-5109 | 2019-06-18 |
| 1871151167 | Kagen Dismang | Behavior Technician | 9197 W 6th Ave Ste 1000, Lakewood, CO 80215-5109 | 2019-05-31 |
| 1982261780 | Jarrett Austin Durant | Behavior Technician | 9197 W 6th Ave Ste 1000, Lakewood, CO 80215-5109 | 2019-05-28 |
| 1538726278 | Bailey Lynn Stang | Behavior Technician | 9197 W 6th Ave Ste 1000, Lakewood, CO 80215-5109 | 2019-05-28 |
| 1780241968 | Johannah Peay Foster | Behavior Technician | 9197 W 6th Ave Ste 1000, Lakewood, CO 80215-5109 | 2019-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199566 | Alta Vista Center for Autism | Speech-Language Pathologist | 2001 Hoyt Street, Lakewood, CO 80215 | 2020-06-17 |
| 1871154419 | Ahc of Lakewood, LLC | Skilled Nursing Facility | 1565 Pierson Street, Lakewood, CO 80215 | 2019-06-25 |
| 1235646209 | Ashley Wiersma | Social Worker | 9485 W. Colfax Ave, Lakewood, CO 80215 | 2017-12-29 |
| 1619480563 | Amy Christine Ladebue | Counselor | 2596 Moore St, Lakewood, CO 80215 | 2017-11-14 |
| 1407374408 | Carly Young | Physician Assistant | 11171 W 17th Ave, Apt 303, Lakewood, CO 80215 | 2017-08-30 |
| 1356876700 | Our Family Care Home Assisted Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1169 Johnson Street, Lakewood, CO 80215 | 2017-04-24 |
| 1194263251 | Daniela Rosenberg | Student in an Organized Health Care Education/Training Program | 9845 W. Colfax Avenue, Jefferson Center for Mental Health, Lakewood, CO 80215 | 2017-02-08 |
| 1033596747 | Autumn Grove | Physical Therapist | 11185 W. 6th Avenue, Lakewood, CO 80215 | 2015-05-01 |
| 1649690264 | Neil George Norton | Dentist | 9990 W. 26th Ave, Lakewood, CO 80215 | 2014-04-22 |
| 1366873820 | Whitney Anne Post | Counselor | 1439 Estes St., Lakewood, CO 80215 | 2013-12-10 |
| Find all providers in zip 80215 | ||||
| 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 |
|---|---|---|---|---|
| 1710502489 | Emily Russell | Behavior Technician | 265 S Harlan St # 80226, Lakewood, CO 80226-2261 | 2020-06-09 |
| 1194359943 | Carlee Lacer | Behavior Technician | 573 Van Gordon St Apt 3-320, Lakewood, CO 80228-1226 | 2020-03-01 |
| 1073153771 | Kaeley Marie Moffatt | Behavior Technician | 265 Harlan St, Lakewood, CO 80226 | 2020-01-10 |
| 1871130849 | Karla C Lara | Behavior Technician | 265 South Horland, Lakewood, CO 80226 | 2019-12-09 |
| 1992352926 | Madison Comstock | Behavior Technician | 14237 W Iliff Ave, Lakewood, CO 80228-5421 | 2019-08-23 |
| 1598311474 | Amber Jasmine Mcwha | Behavior Technician | Trumpet Behaviroal Health, 390 Union Blvd Ste 300, Lakewood, CA 80228-6514 | 2019-08-15 |
| 1194385708 | Edward Robert Johnson | Behavior Technician | West 6th Avenue Suite 1000, Lakewood, CO 80215-8021 | 2019-06-17 |
| 1548829575 | Taryn Noelle Syler | Behavior Technician | 7220 W Jefferson Ave Ste 220, Lakewood, CO 80235-2031 | 2019-06-12 |
| 1477111227 | Prana Briggs | Behavior Technician | 7902 Jade Drive Sw, Lakewood, WA 98498 | 2019-06-05 |
| 1689135246 | Paige Poudrier | Behavior Technician | 6446 Eberle St, Lakewood, CA 90713-2208 | 2019-03-27 |
| Find all providers in LAKEWOOD | ||||
Please comment or provide details below to improve the information on PHILLIP SHAWN PERALTA I.
| 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.