MALAK AHMAD HASSAN (NPI# 1578172888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578172888 |
| Entity Type | Individual |
| Full Name | MALAK AHMAD HASSAN |
| Practice Address |
2542 Colony Dr Lodi CA 95242-4774 |
| Practice Telephone | 2093136883 |
| Mailing Telephone | 2093136883 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
| Street Address |
2542 COLONY DR |
| City | LODI |
| State | CA |
| Zip Code | 95242-4774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| 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 |
|---|---|---|---|---|
| 1003420928 | Dasha Spears | Behavior Technician | 505 Pioneer Dr Apt 60, Lodi, CA 95240-7635 | 2020-09-08 |
| 1558865469 | Aamenah Ravaid | Behavior Technician | 1011 Priebe Street, Lodi, CA 95240-9524 | 2018-03-23 |
| 1437651890 | Christina Monique Yanez | Behavior Technician | 18051 N Ray Rd, Lodi, CA 95242-9309 | 2018-03-01 |
| 1083129555 | Morgan Rineheart | Behavior Technician | 1121 Lloyd St Apt 6, Lodi, CA 95240-4368 | 2017-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639057 | Rebecca Quinones | Behavior Technician | 4434 Kennett Ter, Fremont, CA 94536-5735 | 2020-11-06 |
| 1245831015 | Ayanna D Davis | Behavior Technician | 425 E Monterey Rd, Corona, CA 92879-2839 | 2020-11-06 |
| 1659972446 | Kellyn Hartsfield | Behavior Technician | 3252 W Barstow Ave, Fresno, CA 93711-2606 | 2020-11-06 |
| 1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1598366551 | Jennifer Rene Chavez | Behavior Technician | 2015 Donner Ave, Clovis, CA 93611-5274 | 2020-11-05 |
| 1063013969 | Jamie Ann Cunningham | Behavior Technician | 9551 S Coast Ln, Elk Grove, CA 95758-1168 | 2020-11-05 |
| 1568063592 | Katie Nester | Behavior Technician | 1926 Via Centre Dr, Suite B, Vista, CA 92081-6056 | 2020-11-05 |
| 1801497821 | Daisia Newman | Behavior Technician | 3038 Great Egret Way, Sacramento, CA 95834-1096 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.