KELLY LYNN KNOWLES (NPI# 1700303187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700303187 |
| Entity Type | Individual |
| Full Name | KELLY LYNN KNOWLES |
| Practice Address |
2425 Channing Way Ste B Berkeley CA 94704-2260 |
| Mailing Address |
2425 Channing Way Ste B, Pmb 454 Berkeley CA 94704-2260 |
| Practice Telephone | 5102965401 |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851326540 | Kelly S Knowles | Physical Therapist | 200 Medical St, Snead, AL 35952 | 2006-07-11 |
| 1003895798 | Kelly P Knowles | Pediatrics | 159 Millburn Ave, Ste 1, Millburn, NJ 07041-1849 | 2006-01-11 |
| 1588272835 | Kelly Jayne Knowles | Social Worker | 650 E Indian School Rd Bldg 23, Phoenix, AZ 85012-1892 | 2020-07-22 |
| Street Address |
2425 CHANNING WAY STE B |
| City | BERKELEY |
| State | CA |
| Zip Code | 94704-2260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346724788 | Inspire Behavioral Learning, LLC | Behavioral Analyst | 2425 Channing Way Ste B, Berkeley, CA 94704-2260 | 2018-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1821617168 | Michelle Nagal Hunt | Behavior Technician | 2080 Addison Street, #302, Berkeley, CA 94704 | 2020-04-15 |
| 1366097081 | Sabrina Barnett | Behavior Technician | 2080 Addison St, #302, Berkeley, CA 94704 | 2019-08-08 |
| 1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
| 1376014928 | Justin T Cooke | Specialist/Technologist | 2024 Durant Ave #508, Berkeley, CA 94704 | 2018-12-07 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
| 1952897332 | Jennifer Henry Henry | Naturopath | 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 | 2018-07-09 |
| 1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
| 1265951719 | Caitlin Mary Mcdonough | Student in an Organized Health Care Education/Training Program | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-09-15 |
| 1922525120 | Patrice Werling | Counselor | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-08-28 |
| Find all providers in zip 94704 | ||||
| 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 |
|---|---|---|---|---|
| 1811553621 | Brittney Jerrilena Monique Garrett | Behavioral Analyst | 1901 Stuart St, Berkeley, CA 94703 | 2019-05-16 |
| 1336610526 | Mikela Marie Mosley | Behavioral Analyst | 2218 Acton St, Berkeley, CA 94702-1915 | 2018-12-16 |
| 1568932697 | Sydney Breen Partos | Behavioral Analyst | 2208 Blake St, Berkeley, CA 94704-2710 | 2018-12-02 |
| 1861967937 | Mayleen Thi Leguzman | Behavioral Analyst | 1951 Chestnut St Apt 206, Berkeley, CA 94702-1702 | 2018-10-04 |
| 1033600333 | Jesse Raine Andros | Behavioral Analyst | 2080 Addison St Ste 3, Berkeley, CA 94704-1693 | 2018-05-22 |
| 1841727781 | Vivian Louise Flaherty | Behavioral Analyst | 2636 Martin Luther King Jr. Way, Berkeley, CA 94704 | 2017-05-22 |
| 1104361237 | Lauren Fish | Behavioral Analyst | 2560 9th Street, Suite 220, Berkeley, CA 94710-2516 | 2016-12-28 |
| 1750739751 | Adriana Lopez | Behavioral Analyst | 2330 Blake St Apt 1, Berkeley, CA 94704-2845 | 2016-05-31 |
| 1245624832 | Jody Slendebroek | Behavioral Analyst | 2560 9th Street Suite 220a, Ste Consultants LLC, Berkeley, CA 94710 | 2015-03-23 |
| 1356768139 | Gina Michelle Kirkish | Behavioral Analyst | 2212 Carleton St, Berkeley, CA 94704-3225 | 2014-03-18 |
| Find all providers in BERKELEY | ||||
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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.