KEALA ELAINE OBILLO (NPI# 1568024354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568024354 |
| Entity Type | Individual |
| Full Name | KEALA ELAINE OBILLO |
| Practice Address |
5900 Hollis St Ste X Emeryville CA 94608-2008 |
| Practice Telephone | 5105005124 |
| Practice Fax Number | 5103806122 |
| Mailing Telephone | 5105005124 |
| Mailing Fax Number | 5103806122 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
5900 HOLLIS ST STE X |
| City | EMERYVILLE |
| State | CA |
| Zip Code | 94608-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194020446 | Elyse Lenore Hunt Bain | Behavioral Analyst | 5900 Hollis St Ste X, Emeryville, CA 94608-2008 | 2011-01-18 |
| 1790392538 | Basheera Ali-el | Behavior Technician | 5900 Hollis St Ste X, Emeryville, CA 94608-2008 | 2020-09-25 |
| 1457964306 | Jennifer Arreguin | Behavior Technician | 5900 Hollis St Ste X, Emeryville, CA 94608-2008 | 2020-08-28 |
| 1053920959 | Mary-caitlin Turner | Behavior Technician | 5900 Hollis St Ste X, Emeryville, CA 94608-2008 | 2020-07-27 |
| 1194333047 | Lanae Irene Prendez | Behavior Technician | 5900 Hollis St Ste X, Emeryville, CA 94608-2008 | 2020-07-16 |
| 1477190833 | Natashia Osby | Behavior Technician | 5900 Hollis St Ste X, Emeryville, CA 94608-2008 | 2019-12-04 |
| 1316596927 | Wilma Chua | Behavior Technician | 5900 Hollis St Ste X, Emeryville, CA 94608-2008 | 2019-09-06 |
| 1336708189 | Chariaha Scott | Behavior Technician | 5900 Hollis St Ste X, Emeryville, CA 94608-2008 | 2019-06-06 |
| 1518427897 | Antonae Marcel Roberson | Behavior Technician | 5900 Hollis St Ste X, Emeryville, CA 94608-2008 | 2019-03-22 |
| 1104385608 | Martha Reyes | Behavior Technician | 5900 Hollis St Ste X, Emeryville, CA 94608-2008 | 2019-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363610 | Francine Marie Madrid-bizari | Midwife | 5854 Fremont St, Oakland, CA 94608 | 2020-07-13 |
| 1457853921 | Jimmy Yan | Behavior Technician | 5900 Hollis Street Suite X, Emeryville, CA 94608 | 2018-03-01 |
| 1609395961 | Bay Wellness | Durable Medical Equipment & Medical Supplies | 5715 Market St Ste #d, Oakland, CA 94608 | 2017-09-18 |
| 1871023630 | Philip Staley | Registered Nurse | 1890 Alcatraz Avenue, Berkeley, CA 94608 | 2017-06-14 |
| 1114379120 | Leah Jane Tapscott | Registered Nurse | 6121 Hollis St Ste 900, Emeryville, CA 94608 | 2016-07-01 |
| 1295122273 | Paramjit S Virk | Nurse Practitioner | 888 Stanford Ave., Oakland, CA 94608 | 2015-04-17 |
| 1295123453 | Sports Injury Medical Group | Preferred Provider Organization | 5900 Hollis St., Suite K, Emeryville, CA 94608 | 2014-12-22 |
| 1144630583 | Adeline Lopez | Social Worker | 925 Brockhurst St., Oakland, CA 94608 | 2014-05-07 |
| 1710201603 | Rachna Gurjeet Wadia | Pediatrics | 6121 Hollis St. Suite #2, Emeryville, CALIFORNIA 94608 | 2010-03-21 |
| 1184872285 | I 5 Medical Group, Inc. | Clinic/Center | 5915 B Hollis Street, Emeryville, CA 94608 | 2008-09-03 |
| Find all providers in zip 94608 | ||||
| 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 |
|---|---|---|---|---|
| 1275134371 | Beranah Azela Blaylock | Behavior Technician | 6401 Shellmound St Apt 6327, Emeryville, CA 94608-1057 | 2020-11-04 |
| 1568957850 | Stephanie Castillo | Behavior Technician | 2354 Powell St Ste A-1, Emeryville, CA 94608-1738 | 2018-06-28 |
| 1457853921 | Jimmy Yan | Behavior Technician | 5900 Hollis Street Suite X, Emeryville, CA 94608 | 2018-03-01 |
| 1790392538 | Basheera Ali-el | Behavior Technician | 5900 Hollis St Ste X, Emeryville, CA 94608-2008 | 2020-09-25 |
| 1578179602 | Xitiana Edgerton | Behavior Technician | 2354 Powell St Ste A-1, Emeryville, CA 94608-1738 | 2020-09-23 |
| 1043825870 | Katelyn Leinbach | Behavior Technician | 2354 Powell St Ste A-1, Emeryville, CA 94608-1738 | 2020-09-09 |
| 1881209617 | Amani Shirif | Behavior Technician | 2354 Powell St Ste A-1, Emeryville, CA 94608-1738 | 2020-09-09 |
| 1457964306 | Jennifer Arreguin | Behavior Technician | 5900 Hollis St Ste X, Emeryville, CA 94608-2008 | 2020-08-28 |
| 1194338723 | Mollie Davis | Behavior Technician | 2354 Powell St Ste A-1, Emeryville, CA 94608-1738 | 2020-08-24 |
| 1093325607 | Graham Holoch | Behavior Technician | 2354 Powell St Ste A-1, Emeryville, CA 94608-1738 | 2020-08-07 |
| Find all providers in EMERYVILLE | ||||
| City | EMERYVILLE |
| Zip Code | 94608 |
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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.