LEAH GULLEY (NPI# 1639702160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639702160 |
| Entity Type | Individual |
| Full Name | LEAH GULLEY |
| Practice Address |
1929 Contra Costa Ave Santa Rosa CA 95405-8104 |
| Mailing Address |
7108 S Kanner Hwy Stuart FL 34997-7462 |
| Practice Telephone | 7072801635 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1929 CONTRA COSTA AVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-8104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| 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 |
|---|---|---|---|---|
| 1396364311 | Smrity Singh Burritt | Behavior Technician | 2133 Fairfax Pl, Santa Rosa, CA 95404-8033 | 2020-04-09 |
| 1194350611 | Hannah Teal | Behavior Technician | 5040 Charmian Dr, Santa Rosa, CA 95409-3538 | 2020-03-04 |
| 1932732971 | Mercedes Chanel Johnson | Behavior Technician | 3 San Luis Pl, Santa Rosa, CA 95409-2806 | 2020-02-18 |
| 1326670704 | Jackeline Howard | Behavior Technician | 560 Dexter St Apt F, Santa Rosa, CA 95404-2403 | 2020-02-04 |
| 1255979670 | Anahy Tinoco Lopez | Behavior Technician | 170 Eddy Dr, Santa Rosa, CA 95407-7852 | 2019-12-16 |
| 1588206528 | Erika K Chavez | Behavior Technician | 526 Kirkwood Ct, Santa Rosa, CA 95407-7074 | 2019-10-10 |
| 1780247999 | Amanda Kay Bourke | Behavior Technician | 703 2nd St Ste 106, Santa Rosa, CA 95404-6505 | 2019-04-15 |
| 1205309473 | Jay Vien Marquez | Behavior Technician | 1335 N Dutton Ave Ste 11, Santa Rosa, CA 95401-4609 | 2019-01-09 |
| 1215400932 | Philip Drasny | Behavior Technician | 4818 School St, Santa Rosa, CA 95409-3535 | 2019-01-04 |
| 1215405998 | Julia Lynn Mcdonnell | Behavior Technician | 1210 Albert Dr, Santa Rosa, CA 95405-7002 | 2018-11-11 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
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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.