KYLIE LEI PATRICK (NPI# 1467067033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467067033 |
| Entity Type | Individual |
| Full Name | KYLIE LEI PATRICK |
| Practice Address |
802 Magnolia Ave Corona CA 92879-3104 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 9516862020 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | F7008613 | CA | Behavioral Health & Social Service Providers |
| Street Address |
802 MAGNOLIA AVE |
| City | CORONA |
| State | CA |
| Zip Code | 92879-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568464048 | Farough Owiesy | Emergency Medicine | 802 Magnolia Ave, Suite #106, Corona, CA 92879-3125 | 2005-08-13 |
| 1609401314 | Crystal Yisel Valiente | Behavior Technician | 802 Magnolia Ave, Corona, CA 92879-3104 | 2020-03-03 |
| 1376102541 | Jada Carmichael | Behavior Technician | 802 Magnolia Ave, Corona, CA 92879-3104 | 2019-06-11 |
| 1073093209 | Miriam Doreen Torres | Behavioral Analyst | 802 Magnolia Ave, Corona, CA 92879-3104 | 2018-08-16 |
| 1164923306 | Hajara Azeem | Behavior Technician | 802 Magnolia Ave, Corona, CA 92879-3104 | 2018-02-23 |
| 1548761521 | Brynn Burciaga | Behavior Technician | 802 Magnolia Ave, Corona, CA 92879-3104 | 2018-02-23 |
| 1225579279 | Rebecca John | Nurse Practitioner | 802 Magnolia Ave, Ste 205, Corona, CA 92879-3104 | 2017-03-09 |
| 1841655099 | Algos Inc., A Medical Corporation | Psychologist | 802 Magnolia Ave, Suite 206, Corona, CA 92879-3104 | 2015-12-15 |
| 1447622048 | Brianna Segura | Behavioral Analyst | 802 Magnolia Ave, Suite 200, Corona, CA 92879-3104 | 2015-10-22 |
| 1063896470 | Rena Khandelwal | Behavioral Analyst | 802 Magnolia Ave, Suite 200, Corona, CA 92879-3104 | 2015-07-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
| Find all providers in zip 92879 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1760014039 | Marukh Naeem | Behavioral Analyst | 11119a Roosevelt Ave, Apt 2r, Apt 2r, Corona, NY 11368 | 2020-02-05 |
| 1396388344 | Cecilia Morfin | Behavioral Analyst | 751 Pescadero Cir, Corona, CA 92879-8513 | 2019-10-22 |
| 1366097461 | Kimberly Michelle Kay | Behavioral Analyst | 4195 Morales Way, Corona, CA 92883-0738 | 2019-08-06 |
| 1053970400 | Cornise Seawood | Behavioral Analyst | 2398 Benidorm Cir Apt 104, Corona, CA 92879-7978 | 2019-06-10 |
| 1376008607 | Rebecca Arthur | Behavioral Analyst | 1467 Burrero Way, Corona, CA 92882-6608 | 2019-01-31 |
| 1396209979 | Amanda Rounds | Behavioral Analyst | 2731 Ridgeline Dr # E202, Corona, CA 92882-8746 | 2019-01-28 |
| 1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
| 1417425570 | Stephanie Lee-souza | Behavioral Analyst | 341 Corporate Terrace Cir # 10, Corona, CA 92879-6028 | 2018-11-07 |
| 1679051619 | Christina Luisa Lowe | Behavioral Analyst | 521 E 8th St Apt A, Corona, CA 92879-2268 | 2018-08-01 |
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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.