MITCHELL DEWAYNE MEDLEY (NPI# 1679069579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679069579 |
| Entity Type | Individual |
| Full Name | MITCHELL DEWAYNE MEDLEY |
| Practice Address |
7300 Ming Ave Bakersfield CA 93309-3492 |
| Mailing Address |
1721 Westwind Dr Bakersfield CA 93301-3026 |
| Practice Telephone | 6618348670 |
| Mailing Telephone | 6614311466 |
| Mailing Fax Number | 6618345423 |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-15-18048 | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7300 Ming Ave, Bakersfield, CA 933093492 | 6618348670 |
| Street Address |
7300 MING AVE |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93309-3492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932766805 | Brianna M Walker | Psychologist | 7300 Ming Ave, Bakersfield, CA 93309-3492 | 2019-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760042 | Jovana Calvillo | Counselor | 5959 Truxtun Ave # 100, Bakersfield, CA 93309 | 2020-01-30 |
| 1972146090 | Lauryn A Cooper | Physician Assistant | 5060 California Ave., Suite 620, Bakersfield, CA 93309 | 2019-10-21 |
| 1164906814 | Emergency Physicians Urgent Care Inc | Clinic/Center | 212 Coffee Road, Bakersfield, CA 93309 | 2018-09-19 |
| 1497258487 | Emerald Family Medical Group Inc | Clinic/Center | 212 Coffee Rd, Bakersfield, CA 93309 | 2018-03-15 |
| 1508368069 | Outpatient Surgery Center LLC | Podiatrist | 5000 Commerce Drive, Suite 203, Bakersfield, CA 93309 | 2018-03-01 |
| 1114431012 | Milka Lara | Marriage & Family Therapist | 3628 Stockdale Hwm, Bakersfield, CA 93309 | 2017-11-30 |
| 1598275661 | Viviana Janet Rojas | Case Manager/Care Coordinator | 1521 Stockdale Hwy, Ste 150, Bakersfield, CA 93309 | 2017-10-03 |
| 1821512963 | Robert A. Spack | Family Medicine | 5129 Ming Avenue, Bakersfield, CA 93309 | 2017-07-31 |
| 1982125431 | Darlene Porter | Home Health Aide | 3900 Adair Ct, Bakersfield, CA 93309 | 2017-07-05 |
| 1700316783 | Ana Isela An | Social Worker | 5121 Stockdale Hwy # Hwym150a, Bakersfield, CA 93309 | 2017-06-13 |
| Find all providers in zip 93309 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255982815 | Morgan Farmer | Behavioral Analyst | 5329 Office Center Ct Ste 150, Bakersfield, CA 93309-7403 | 2019-09-25 |
| 1972158897 | Lisa Marie Gonzalez | Behavioral Analyst | 3815 Europa Ln, Bakersfield, CA 93312-6511 | 2019-08-07 |
| 1295391258 | Sierra Sandra-faye Myers-caldarella | Behavioral Analyst | 8302 Expresso Dr., Suite 100, Bakersfield, CA 93312 | 2019-05-15 |
| 1104386333 | Eunji Kong | Behavioral Analyst | 11504 Alton Manor Dr, Bakersfield, CA 93312-7071 | 2019-03-22 |
| 1467912691 | Karina Villarreal | Behavioral Analyst | 5611 Laurel Canyon Dr, Bakersfield, CA 93313-5217 | 2019-03-22 |
| 1558825794 | Maritza Romero-ramon | Behavioral Analyst | 901 Tower Way Ste 304&306, Bakersfield, CA 93309-1585 | 2019-01-22 |
| 1659847051 | Cheyanne Sagasta | Behavioral Analyst | 2600 Rose Marie Dr, Bakersfield, CA 93304-4259 | 2018-10-23 |
| 1487140331 | Kalli J Beckwith | Behavioral Analyst | 15108 Sage Vineyard Ct, Bakersfield, CA 93314-4735 | 2018-07-03 |
| 1881189298 | Simran Randhawa | Behavioral Analyst | 4707 Whitegate Ave, Bakersfield, CA 93313 | 2018-06-27 |
| 1386133593 | Maurina Krystal Fanous | Behavioral Analyst | 6204 Galanos Ct, Bakersfield, CA 93313-5103 | 2018-05-02 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93309 |
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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.