KAILEY SHAW (NPI# 1447758396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447758396 |
| Entity Type | Individual |
| Full Name | KAILEY SHAW |
| Practice Address |
3878 Ruffin Rd Ste B San Diego CA 92123-1842 |
| Mailing Address |
1261 34th St Apt 27 San Diego CA 92102-2469 |
| Practice Telephone | 6195782208 |
| Mailing Telephone | 8186579340 |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2020-05-08 |
| 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 | ||
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3611 Louisiana St, San Diego, CA 921044024 | 8186579340 | |
| 625 Pennsylvania Ave, San Diego, CA 921034321 | 8586034812 |
| Street Address |
3878 RUFFIN RD STE B |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811336910 | Mebe San Diego | Assistant Behavior Analyst | 3878 Ruffin Rd Ste B, San Diego, CA 92123-1842 | 2013-06-21 |
| 1093316812 | Estrella Madrid | Behavior Technician | 3878 Ruffin Rd Ste B, San Diego, CA 92123-1842 | 2020-11-06 |
| 1467069542 | Chloe A Lazarus | Speech-Language Pathologist | 3878 Ruffin Rd Ste B, San Diego, CA 92123-1842 | 2020-09-23 |
| 1083237044 | Chanel Terry Konja | Speech-Language Pathologist | 3878 Ruffin Rd Ste B, San Diego, CA 92123-1842 | 2020-05-26 |
| 1306476098 | Marisa Tucci | Behavioral Analyst | 3878 Ruffin Rd Ste B, San Diego, CA 92123-1842 | 2020-01-22 |
| 1881172765 | Laura Heppell | Assistant Behavior Analyst | 3878 Ruffin Rd Ste B, San Diego, CA 92123-1842 | 2018-08-01 |
| 1093222655 | Chelsea Thompson Anstead | Behavioral Analyst | 3878 Ruffin Rd Ste B, San Diego, CA 92123-1842 | 2018-01-04 |
| 1336524370 | Meghan Stuhmer | Behavioral Analyst | 3878 Ruffin Rd Ste B, San Diego, CA 92123-1842 | 2015-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1548829310 | Nathaniel Wehner | Assistant Behavior Analyst | 5763 Riley St Apt 6, San Diego, CA 92110-1700 | 2019-06-06 |
| 1619439882 | Alison M Hranek | Assistant Behavior Analyst | 8996 Miramar Rd, San Diego, CA 92126-4451 | 2019-04-04 |
| 1194248773 | Charmin Campano | Assistant Behavior Analyst | 7860 Mission Center Ct Ste 100, San Diego, CA 92108-1330 | 2017-07-25 |
| 1679019087 | Karyn Rose Giaquinto Fistonich | Assistant Behavior Analyst | 10060 Old Grove Road, San Diego, CA 92131 | 2017-01-09 |
| 1811336910 | Mebe San Diego | Assistant Behavior Analyst | 3878 Ruffin Rd Ste B, San Diego, CA 92123-1842 | 2013-06-21 |
| 1245831775 | Karla Samantha Wade | Assistant Behavior Analyst | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-11-02 |
| 1861028334 | Rebecca Lynn Collins | Assistant Behavior Analyst | 8885 Rio San Diego Dr Ste 340, San Diego, CA 92108-1669 | 2020-03-17 |
| 1679109193 | Seo Hyun Park | Assistant Behavior Analyst | 501 W Broadway Ste 800, San Diego, CA 92101-3546 | 2020-03-16 |
| 1427609114 | Mary Mcnew | Assistant Behavior Analyst | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128-2426 | 2019-09-24 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on KAILEY SHAW.
| 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.