ADIL KHAN (NPI# 1548813215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548813215 |
| Entity Type | Individual |
| Full Name | ADIL KHAN |
| Practice Address |
101 H St Ste L Petaluma CA 94952-5100 |
| Mailing Address |
33158 Great Salt Lake Dr Fremont CA 94555-1208 |
| Practice Telephone | 8662062008 |
| Practice Fax Number | 8663171665 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437644283 | Adil Khan | Dentist | 10909 Webb Chapel Rd Ste 159, Dallas, TX 75229-3739 | 2018-06-25 |
| 1780117176 | Adil Khan | Internal Medicine | Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2017-04-04 |
| 1588218036 | Adil Khan | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103 | 2019-08-01 |
| 1013335967 | Adil Khan | Psychiatry & Neurology | 3555 W 13 Mile Rd # N120, Royal Oak, MI 48073-6710 | 2014-03-28 |
| 1417210717 | Adil Arshad Khan | Surgery | 3599 University Blvd S, Ste 602, Jacksonville, FL 32216 | 2012-06-21 |
| 1598044299 | Adil Haleem Khan | Student in an Organized Health Care Education/Training Program | 20 York Street, T-209, Yale-new Haven Hospital, New Haven, CT 06510 | 2011-08-11 |
| 1538140884 | Adil A Khan | Psychiatry & Neurology | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2005-11-11 |
| Street Address |
101 H ST STE L |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457737074 | Katey Marin | Student in an Organized Health Care Education/Training Program | 101 H St Ste L, Petaluma, CA 94952-5100 | 2015-08-05 |
| 1881249159 | Tanoya Law | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-08-05 |
| 1558914226 | Samantha Ambroise | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-07-22 |
| 1467005132 | Gabriella Martinez | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-07-22 |
| 1811540586 | Lorena Garay | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-07-22 |
| 1427601178 | Lesly Racquel Salmeron | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-07-22 |
| 1790337293 | Syeda Savaira Zia | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-07-15 |
| 1316599814 | Johnathan Redic | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-07-15 |
| 1609428192 | Lehnen Rc Brown | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-07-15 |
| 1336791821 | Alisha Louise Noel | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| 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 |
|---|---|---|---|---|
| 1669080446 | Meredith Elise Fore | Behavior Technician | 1301 Redwood Way Ste 120, Petaluma, CA 94954-1136 | 2020-07-17 |
| 1386285443 | Serina Michelle Granville | Behavior Technician | 101 H St Ste A, Petaluma, CA 94952-5100 | 2019-09-30 |
| 1730735705 | Crystle Nancovski | Behavior Technician | 320 Upham St, Petaluma, CA 94952-2645 | 2019-08-14 |
| 1073169223 | Monica Renee Najera | Behavior Technician | 1670 Corporate Circle, Ste. 100, Petaluma, CA 94954 | 2019-08-14 |
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1932679511 | Karen Christianson | Behavior Technician | 1670 Corporate Circle Suite 100, Petaluma, CA 94954 | 2018-11-27 |
| 1497240055 | Jhaunee Sahara Kelley | Behavior Technician | 101 H St St L, Petaluma, CA 94952-5100 | 2018-06-26 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1821609736 | Emma Li Elliott | Behavior Technician | 1301 Redwood Way Ste 120, Petaluma, CA 94954-1136 | 2020-08-13 |
| 1457960361 | Sychack Forbes | Behavior Technician | 1301 Redwood Way Ste 120, Petaluma, CA 94954-1136 | 2020-07-27 |
| Find all providers in PETALUMA | ||||
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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.