ALISA RENEE CORNELL (NPI# 1699259994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699259994 |
| Entity Type | Individual |
| Full Name | ALISA RENEE CORNELL |
| Credential | MA, BCBA |
| Practice Address |
1670 Corporate Cir Ste 100 Petaluma CA 94954 |
| Mailing Address |
1670 Corporate Cir Ste 100 Petaluma CA 94954-6947 |
| Practice Telephone | 5079518556 |
| Mailing Telephone | 5079518556 |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-17-28299 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 160 Wikiup Dr Ste 102, Santa Rosa, CA 954037776 | 5079518556 | |
| 2730 Shadelands Dr Bldg 10, Walnut Creek, CA 94598 | 5079518556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144670720 | Alisa Cornell | Specialist | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2016-06-15 |
| Street Address |
1670 CORPORATE CIR STE 100 |
| City | PETALUMA |
| State | CA |
| Zip Code | 94954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134678204 | Ashley Leveroni | Behavioral Analyst | 1670 Corporate Cir Ste 100, Petaluma, CA 94954-6947 | 2016-09-29 |
| 1487274726 | Zona Veirs | Behavior Technician | 1670 Corporate Cir Ste 100, Petaluma, CA 94954-6947 | 2020-04-16 |
| 1144849944 | Sydney Taylor Casey | Behavior Technician | 1670 Corporate Cir Ste 100, Petaluma, CA 94954-6947 | 2020-04-11 |
| 1235764747 | Morgan Michelle Wenell | Behavior Technician | 1670 Corporate Cir Ste 100, Petaluma, CA 94954-6947 | 2020-03-04 |
| 1639718083 | Aliyah White | Behavior Technician | 1670 Corporate Cir Ste 100, Petaluma, CA 94954-6947 | 2020-01-02 |
| 1164068664 | Annie Linden | Behavior Technician | 1670 Corporate Cir Ste 100, Petaluma, CA 94954-6947 | 2019-11-20 |
| 1841834470 | Kaila Alexandra Eddy-cooke | Behavior Technician | 1670 Corporate Cir Ste 100, Petaluma, CA 94954-6947 | 2019-11-06 |
| 1174167829 | Emma Newman | Behavior Technician | 1670 Corporate Cir Ste 100, Petaluma, CA 94954-6947 | 2019-11-05 |
| 1730723776 | Christine Finch | Behavior Technician | 1670 Corporate Cir Ste 100, Petaluma, CA 94954-6947 | 2019-11-02 |
| 1134777006 | Elizabeth Pak | Specialist | 1670 Corporate Cir Ste 100, Petaluma, CA 94954-6947 | 2019-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883840 | Miguel Ibarra | Counselor | 5350 Old Redwood Highway, Petaluma, CA 94954 | 2019-10-28 |
| 1073169223 | Monica Renee Najera | Behavior Technician | 1670 Corporate Circle, Ste. 100, Petaluma, CA 94954 | 2019-08-14 |
| 1326607201 | Making Magic Happen - People Helping People, Inc. | Marriage & Family Therapist | 1318 Redwood Way, Suite 260, Petaluma, CA 94954 | 2019-06-13 |
| 1477019917 | Rubi Isela Cruz Mendoza I | Behavioral Analyst | 8 Round Walk Circle, Petaluma, CA 94954 | 2019-02-20 |
| 1932679511 | Karen Christianson | Behavior Technician | 1670 Corporate Circle Suite 100, Petaluma, CA 94954 | 2018-11-27 |
| 1669956967 | Alyssa Messer | Assistant Behavior Analyst | 1670 Corporate Cir, Petaluma, CA 94954 | 2018-09-21 |
| 1235620592 | Mallory Paige Mullikin | Nurse Practitioner | 141 Lynch Creek Trail, Ste C, Petaluma, CA 94954 | 2018-05-22 |
| 1457723710 | Lisabel Dolne | Counselor | 1360 N. Mcdowell Blvd.1a, Petaluma, CA 94954 | 2015-10-27 |
| 1083080717 | Pacific Restorative Center | Clinic/Center | 1456 Professional Drive, Suite 404, Petaluma, CA 94954 | 2015-08-17 |
| 1619354198 | Accu Quest Hearing Centers | Clinic/Center | 1456 Professional Dr., Suite 404, Petaluma, CA 94954 | 2015-05-04 |
| Find all providers in zip 94954 | ||||
| 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 |
|---|---|---|---|---|
| 1477019917 | Rubi Isela Cruz Mendoza I | Behavioral Analyst | 8 Round Walk Circle, Petaluma, CA 94954 | 2019-02-20 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1134678204 | Ashley Leveroni | Behavioral Analyst | 1670 Corporate Cir Ste 100, Petaluma, CA 94954-6947 | 2016-09-29 |
| 1518310556 | Monica R Frank | Behavioral Analyst | 1309 Saint Francis Dr, Petaluma, CA 94954-5333 | 2016-07-14 |
| 1740542604 | Laura Briggin | Behavioral Analyst | 3835 Cypress Dr Ste 103, Petaluma, CA 94954-6966 | 2012-06-15 |
| 1942855192 | Cecilia Roy | Behavioral Analyst | 101 H St, Petaluma, CA 94952-5152 | 2019-08-05 |
| 1780242891 | Yesenia Sierra I | Behavioral Analyst | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-06-04 |
| 1467019984 | Travis Philipsen | Behavioral Analyst | 101 H St, Petaluma, CA 94952-5152 | 2019-05-20 |
| 1912564436 | Diane Dorticos | Behavioral Analyst | 101 H St, Petaluma, CA 94952-5152 | 2019-05-20 |
| 1790240216 | Thyra Nicole Magallanes | Behavioral Analyst | 1670 Corporate Cir Ste 100, Petaluma, CA 94954-6947 | 2019-02-08 |
| Find all providers in PETALUMA | ||||
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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.