DAVID CARLSON (NPI# 1639778533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639778533 |
| Entity Type | Individual |
| Full Name | DAVID CARLSON |
| Practice Address |
881 Embarcadero Dr Ste 1 El Dorado Hills CA 95762-4092 |
| Mailing Address |
2675 La Crescenta Dr Apt 228 Cameron Park CA 95682-7968 |
| Practice Telephone | 9166936469 |
| Mailing Telephone | 5303918804 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BEHAVIORAL HEALTH | 825047437 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582941 | David K. Carlson | Psychologist | 5112 Leeray Rd, Fort Worth, TX 76244-9233 | 2016-12-16 |
| 1700914967 | David Michael Carlson | Chiropractor | 3030 N Hancock Ave, Suite D, Colorado Springs, CO 80907-5761 | 2007-03-01 |
| 1407994718 | David Alan Carlson | Chiropractor | 4890 Topanga Cyn Blvd, Woodland Hills, CA 91364-4229 | 2007-02-01 |
| 1700961406 | David William Carlson | Family Medicine | 4402 Broadway Blvd Ste 1, Garland, TX 75043-3400 | 2006-10-25 |
| 1316039993 | David Adelbert Carlson | Psychiatry & Neurology | 255 Bradley St, New Haven, CT 06510-1105 | 2006-09-29 |
| 1871695296 | David J Carlson | Internal Medicine | 1 Lumber Street, Hopkinton, MA 01748 | 2006-09-05 |
| 1609983212 | David Herbert Carlson | Chiropractor | 7248 Murieta Pkwy, B-3, Sloughhouse, CA 95683 | 2006-08-23 |
| 1134133226 | David L. Carlson | Dentist | 610 E Roosevelt Rd Ste 101, Wheaton, IL 60187-5575 | 2006-07-27 |
| 1073538468 | David L. Carlson | Psychiatry & Neurology | 5190 Neil Rd, 215, Reno, NV 89502-6599 | 2006-07-13 |
| 1326085382 | David J Carlson | Nurse Anesthetist, Certified Registered | 195 Roxboro Ct, Fayetteville, GA 30215-5323 | 2006-05-31 |
| Street Address |
881 EMBARCADERO DR STE 1 |
| City | EL DORADO HILLS |
| State | CA |
| Zip Code | 95762-4092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568910685 | Vilaivan Xiong | Behavioral Analyst | 881 Embarcadero Dr Ste 1, El Dorado Hills, CA 95762-4092 | 2016-09-18 |
| 1003414277 | Carolina Padilla | Behavior Technician | 881 Embarcadero Dr Ste 1, El Dorado Hills, CA 95762-4092 | 2020-10-11 |
| 1801404850 | Kelly Melahn | Behavior Technician | 881 Embarcadero Dr Ste 1, El Dorado Hills, CA 95762-4092 | 2020-07-16 |
| 1972111920 | Taylor Raye Coate | Behavior Technician | 881 Embarcadero Dr Ste 1, El Dorado Hills, CA 95762-4092 | 2020-07-15 |
| 1467953596 | Tai Yustat | Behavioral Analyst | 881 Embarcadero Dr Ste 1, El Dorado Hills, CA 95762-4092 | 2018-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611163 | Melanie Kim Dental Corporation | Dentist | 3381 Bass Lake Rd, Suite 140, El Dorado Hills, CA 95762 | 2020-02-13 |
| 1063042083 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3383 Bass Lake Rd, El Dorado Hills, CA 95762 | 2020-01-17 |
| 1427557230 | California Joint & Spine, LLC | Clinic/Center | 8135 Saratoga Way, El Dorado Hills, CA 95762 | 2018-02-07 |
| 1871008433 | Claire Maurenn Goss | Psychologist | 5406 Da Vinci Drive, El Dorado Hills, CA 95762 | 2017-12-05 |
| 1275063000 | Melinda Diane Keeler | Marriage & Family Therapist | 1150 Sunfast Lane, 2, El Dorado Hills, CA 95762 | 2017-06-14 |
| 1205379021 | Lauren Marie Shanks Rigsbee | Physical Therapist | 4990 Hillsdale Circle # 100, El Dorado Hills, CA 95762 | 2016-11-28 |
| 1962825935 | Wendy Pickren | Psychologist | 1150 Suncast Lane, Suite 2, El Dorado Hills, CA 95762 | 2014-01-28 |
| 1588087597 | Edwards Everhart Dental | Dentist | 1192 Suncast Lane, Suite 3, El Dorado Hills, CA 95762 | 2014-01-27 |
| 1447694542 | Ksenia Voronina | Psychiatry & Neurology | 1020 Suncast Lane, St 108, El Dorado Hills, CA 95762 | 2013-04-19 |
| 1205188471 | Pirasteh Guity Shafe | Pediatrics | 5001 Gresham Dr, El Dorado Hills, CA 95762 | 2012-10-11 |
| Find all providers in zip 95762 | ||||
| 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 |
|---|---|---|---|---|
| 1568070928 | Raeanna Isabel Harrison-fowler | Behavior Technician | 881 Embarcadero Dr, El Dorado Hills, CA 95762-4092 | 2020-07-21 |
| 1275151862 | Isabella Sierra Gutierrez | Behavior Technician | 982 King George Way, El Dorado Hills, CA 95762-4135 | 2020-07-09 |
| 1548800139 | Rachel Gunter | Behavior Technician | 1233 Heathcot Pl, El Dorado Hills, CA 95762-5928 | 2020-01-10 |
| 1104464858 | Josephine Lee Slavensky | Behavior Technician | 877 Embarcadero Dr, El Dorado Hills, CA 95762-1400 | 2019-12-12 |
| 1215427323 | Kim Springer | Behavior Technician | 877 Embarcadero Dr Ste 2, El Dorado Hills, CA 95762-1400 | 2018-05-14 |
| 1598272304 | Dana Christiansen | Behavior Technician | 612 Calabria Ct, El Dorado Hills, CA 95762-3961 | 2018-01-02 |
| 1326551185 | Yusuf Can | Behavior Technician | 5180 Garlenda Dr, El Dorado Hills, CA 95762-5457 | 2017-11-14 |
| 1295246734 | Allyson Lynn Carter | Behavior Technician | 3639 Rosecrest Cir, El Dorado Hills, CA 95762-9523 | 2017-10-23 |
| 1700485448 | Demetre Marcelis | Behavior Technician | 877 Embarcadero Dr Ste 2, El Dorado Hills, CA 95762-1400 | 2020-10-23 |
| 1003414277 | Carolina Padilla | Behavior Technician | 881 Embarcadero Dr Ste 1, El Dorado Hills, CA 95762-4092 | 2020-10-11 |
| Find all providers in EL DORADO HILLS | ||||
| City | EL DORADO HILLS |
| Zip Code | 95762 |
Please comment or provide details below to improve the information on DAVID CARLSON.
| 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.