KELLY ANNE METZ (NPI# 1508351115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508351115 |
| Entity Type | Individual |
| Full Name | KELLY ANNE METZ |
| Practice Address |
1001 Sneath Ln Ste 200 San Bruno CA 94066-2349 |
| Practice Telephone | 6502439849 |
| Mailing Telephone | 6502439849 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609072123 | Kelly Allred Metz | Allergy & Immunology | 8250 Kenwood Crossing Way Ste 200, Cincinnati, OH 45236-3669 | 2007-06-22 |
| 1962726778 | Kelly Metz | Physician Assistant | 7342 E Thomas Rd, Suite 105, Scottsdale, AZ 85251-7243 | 2010-03-23 |
| Street Address |
1001 SNEATH LN STE 200 |
| City | SAN BRUNO |
| State | CA |
| Zip Code | 94066-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154431120 | Michael C Glafkides | Plastic Surgery | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2006-08-30 |
| 1972103315 | Julie B Alsibai | Behavior Technician | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2020-10-26 |
| 1497361877 | Amapola Garcia-gomez | Behavior Technician | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2020-09-21 |
| 1902411135 | Alexandra Andrea Kuzmin | Behavior Technician | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2020-09-14 |
| 1043823016 | Hezekiah Izreal Ramirez | Behavior Technician | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2020-08-28 |
| 1013520378 | James Valencia | Behavior Technician | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2020-08-26 |
| 1932711231 | Elizabeth Sword | Behavior Technician | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2020-08-18 |
| 1922619121 | Sean Peterson | Behavior Technician | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2020-08-11 |
| 1871103853 | Yanubi Elizabeth Aguayo | Behavior Technician | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2020-08-05 |
| 1013525658 | Giselle Theodora Sardjono | Behavior Technician | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2020-07-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497392468 | Harold Relosimon | Behavior Technician | 901 Sneath Lane, Suite 105, San Bruno, Ca 94066, San Bruno, CA 94066 | 2019-12-09 |
| 1093365926 | Liana Greene | Behavior Technician | 1001 Sneath Lane #200, San Bruno, CA 94066 | 2019-09-12 |
| 1568018406 | Susan Page Gadegone | Community Health Worker | 931 San Bruno West Avenue Suite 2, San Bruno, CA 94066 | 2019-08-15 |
| 1184198780 | Sonya Oey Kramer | Pharmacist | 10 Bayhill Drive, San Bruno, CA 94066 | 2019-01-16 |
| 1316410350 | Brennen Marques Mcdowell | Behavioral Analyst | 101 Sneath Lane Ste. 200, 200, San Bruno, CA 94066 | 2019-01-02 |
| 1306317649 | Jacqueline R Lalucis | Behavior Technician | 751 Camino Plaza, San Bruno, Ca 94066, A, San Bruno, CA 94066 | 2018-12-16 |
| 1992275952 | Kenny Malunay | Behavior Technician | 75a El Camino Plaza, San Bruno, CA 94066 | 2018-12-03 |
| 1396236584 | Mariela Pena Yerena | Behavior Technician | 751 El Camino Plaza, Suite A, San Bruno, CA 94066 | 2018-05-23 |
| 1568845816 | Paula Leeanne Park | Physical Therapist | 106 Quail Point Cir, San Bruno, CA 94066 | 2015-07-06 |
| 1275921231 | C & C's Care Home | Assisted Living Facility | 2700 Oakmont Dr., San Bruno, CA 94066 | 2014-12-29 |
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| 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 |
|---|---|---|---|---|
| 1619575917 | Brittany Frederiksen | Behavioral Analyst | 415 Piccadilly Pl Apt 11, San Bruno, CA 94066-2031 | 2020-10-09 |
| 1700349149 | Elizabeth A Nunez | Behavioral Analyst | 952 Easton Ave Apt 3, San Bruno, CA 94066-3186 | 2019-04-11 |
| 1316410350 | Brennen Marques Mcdowell | Behavioral Analyst | 101 Sneath Lane Ste. 200, 200, San Bruno, CA 94066 | 2019-01-02 |
| 1104321280 | Hagop Rouchanian | Behavioral Analyst | 751 Camino Plz Ste A, San Bruno, CA 94066-3401 | 2018-03-29 |
| 1982112579 | Breanna Mottau | Behavioral Analyst | 751a Camino Plaza, San Bruno, CA 94080 | 2018-01-17 |
| 1093268039 | Brian Long | Behavioral Analyst | 751a Camino Plz, San Bruno, CA 94066-3401 | 2016-07-26 |
| 1831558915 | Iridian Irma Martinez | Behavioral Analyst | 1637 Hickory Ave, San Bruno, CA 94066-2941 | 2016-02-17 |
| 1811352206 | Veronika Rohleder | Behavioral Analyst | 2401 Rosewood Dr, San Bruno, CA 94066-4022 | 2015-12-29 |
| 1013307016 | Kisa Korello | Behavioral Analyst | 2770 Plymouth Way, San Bruno, CA 94066-2731 | 2015-01-28 |
| 1235472051 | Paula Byrne | Behavioral Analyst | 778 Olive Ct, San Bruno, CA 94066-3354 | 2013-03-29 |
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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.