JAMES ROBERT CARLSON (NPI# 1598319618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598319618 |
| Entity Type | Individual |
| Full Name | JAMES ROBERT CARLSON |
| Practice Address |
4950 San Bernardino St Ste 101 Montclair CA 91763-2328 |
| Mailing Address |
1301 E Orangewood Ave Anaheim CA 92805-6807 |
| Practice Telephone | 8002491266 |
| Mailing Telephone | 8002491266 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |
| 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 |
|---|---|---|---|---|
| 1376082511 | James Carlson | Counselor | 5 Braewood Dr, Bradford, MA 01835-8110 | 2017-02-21 |
| 1518031475 | James Edward Carlson | Family Medicine | 6831 133rd Ave, Cedar Lake, IN 46303-9998 | 2006-11-20 |
| 1366545642 | James Lennart Carlson | Family Medicine | 7490 Andrew Jackson Hwy.sw, Cerro Gordo, NC 28430 | 2006-09-05 |
| 1225041866 | James Roy Carlson | Otolaryngology | 3172 N Swan Rd, Tucson, AZ 85712-1227 | 2006-08-14 |
| 1508877747 | James E. Carlson | Chiropractor | 5875 Pacific St Ste D, Rocklin, CA 95677-3146 | 2006-08-11 |
| 1003837584 | James Craig Carlson | Specialist/Technologist | 2525 N Grandview Ave Ste 400, Odessa, TX 79761-1600 | 2006-07-21 |
| 1104800994 | James Michael Carlson | Obstetrics & Gynecology | 2400 Ne Neff Rd, Ste A, Bend, OR 97701-6752 | 2005-12-05 |
| 1073010005 | James Donald Carlson | Case Manager/Care Coordinator | 461 34th St S Ste C, Fargo, ND 58103-2215 | 2018-04-06 |
| 1750827283 | James Carlson | Pharmacist | 2182 Highway 4, Arnold, CA 95223-9908 | 2017-01-08 |
| 1073966784 | James Carlson | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2016-07-18 |
| Street Address |
4950 SAN BERNARDINO ST STE 101 |
| City | MONTCLAIR |
| State | CA |
| Zip Code | 91763-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467936906 | Bronislava Kroulik | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763 | 2018-09-20 |
| 1780285536 | Kevin Luna | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-11-06 |
| 1912508763 | Erin Kline | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-11-06 |
| 1760083513 | Stephanie Topete | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-11-06 |
| 1306447164 | Vartkes Chakmakchyan | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-11-06 |
| 1396345054 | Jazmin Quero | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-10-30 |
| 1558961466 | Meris Hernandez | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-10-29 |
| 1245830165 | Adrian Mercado | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-10-29 |
| 1710587704 | Emily Macias | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-10-28 |
| 1720688237 | Monica Agraz | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335760 | Cho Jeon Yun Dental Partnership | Dentist | 9655 Monte Vista Ave #406, Montclair, CA 91763 | 2020-08-07 |
| 1215498811 | Above Urgent Care Center | Emergency Medicine | 8891 N. Central Ave Ste A, Montclair, CA 91763 | 2019-03-27 |
| 1063936110 | Monique Karina Enriquez | Licensed Vocational Nurse | 5580 Moreno St #82, Montclair, CA 91763 | 2017-07-31 |
| 1972961159 | Lacy Pinsky | Specialist/Technologist | 5035 Flora St., Montclair, CA 91763 | 2016-02-03 |
| 1912333790 | Cinta Hospice Care Inc | Hospice Care, Community Based | 5050 Palo Verde Street, Suite 101, Montclair, CA 91763 | 2013-09-24 |
| 1720334626 | Priority One Hospice, Inc. | Hospice Care, Community Based | 4959 Palo Verde St Ste 107c, Montclair, CA 91763 | 2012-07-28 |
| 1689982498 | Paulina Trujillo Perez | Counselor | 9916 Central Ave., Montclair, CA 91763 | 2010-09-15 |
| 1982846499 | Esther Phillips Agepogu | Physician Assistant | 9301 Central Ave., Montclair, CA 91763 | 2009-03-30 |
| 1568633139 | Mahin Nosrati-jahromi | Dentist | 9509 Central Ave #d, Montclair, CA 91763 | 2008-03-21 |
| 1578742953 | Rita T Deragobian | Dentist | 9509 Central Ave. Suite # D, Montclair, CA 91763 | 2007-11-01 |
| Find all providers in zip 91763 | ||||
| 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 |
|---|---|---|---|---|
| 1255970943 | Jessica Santos Reyes | Behavior Technician | 4361 Mission Blvd Spc 180, Montclair, CA 91763-6065 | 2019-12-30 |
| 1649831728 | Natalija Tesla | Behavior Technician | 9 Carlton Dr, Montclair, NJ 07043-2603 | 2019-06-27 |
| 1407412380 | Regina Lorraine Lopez | Behavior Technician | 10319 Mills Ave Apt 307, Montclair, CA 91763-4092 | 2019-05-15 |
| 1013475763 | Yesenia Noriega Garcia | Behavior Technician | 9612 Helena Ave, Montclair, CA 91763-2210 | 2019-03-12 |
| 1134698897 | Joanne Onque Mcghee | Behavior Technician | 9 High Street #n2, Montclair, NJ 07042-2450 | 2018-11-23 |
| 1467936906 | Bronislava Kroulik | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763 | 2018-09-20 |
| 1780285536 | Kevin Luna | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-11-06 |
| 1912508763 | Erin Kline | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-11-06 |
| 1760083513 | Stephanie Topete | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-11-06 |
| 1306447164 | Vartkes Chakmakchyan | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-11-06 |
| Find all providers in MONTCLAIR | ||||
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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.