KYLE CLARK (NPI# 1750906533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750906533 |
| Entity Type | Individual |
| Full Name | KYLE CLARK |
| Practice Address |
13101 W Washington Blvd Los Angeles CA 90066-5131 |
| Mailing Address |
7730 Miramar Pkwy Miramar FL 33023-5849 |
| Practice Telephone | 3108538025 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787902 | Kyle Clark | Acupuncturist | 917 Sw Oak St Ste 308, Portland, OR 97205-2806 | 2019-12-13 |
| 1891955662 | Kyle Warner Clark | Dentist | 1008 Rushleigh Rd, Cleveland Heights, OH 44121-1415 | 2008-06-14 |
| 1922608926 | Kyle Clark | Pharmacist | 401 Linwood Plz, Lindsay, OK 73052-4602 | 2020-10-28 |
| 1427669480 | Kyle Clark | Behavior Technician | 1300 Locust St Ste C, Harrisonville, MO 64701-1366 | 2020-08-13 |
| 1801415864 | Kyle R Clark | Physician Assistant | 5666 E State St, Rockford, IL 61108-2425 | 2020-04-10 |
| 1376170613 | Kyle Clark | Physical Therapist | 3155 N Point Pkwy, Alpharetta, GA 30005-5481 | 2020-03-26 |
| 1669031829 | Kyle N Clark | Behavior Technician | 100 Spenryn Dr, Madison, AL 35758-1890 | 2019-06-11 |
| 1588134068 | Kyle Clark | Behavior Technician | 601 University Ave Ste 175, Sacramento, CA 95825-6739 | 2018-11-28 |
| 1639521206 | Kyle Allen Clark | Dentist | 113 Cross Creek Blvd, Salem, IL 62881-1921 | 2016-07-07 |
| 1679946057 | Kyle Clark | Pharmacist | 3780 E 15th St, Loveland, CO 80538-8766 | 2015-11-05 |
| Street Address |
13101 W WASHINGTON BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90066-5131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366597072 | Dorothy M. Polite | Speech-Language Pathologist | 13101 W Washington Blvd, Suite 130, Los Angeles, CA 90066-5131 | 2007-01-24 |
| 1265056808 | Roxsana Cortez | Behavior Technician | 13101 W Washington Blvd, Los Angeles, CA 90066-5131 | 2020-05-29 |
| 1710501473 | Michael Leroy | Behavior Technician | 13101 W Washington Blvd, Los Angeles, CA 90066-5131 | 2020-05-29 |
| 1306469028 | Christian Leon | Behavioral Analyst | 13101 W Washington Blvd, Los Angeles, CA 90066-5131 | 2020-05-28 |
| 1124641030 | Stephanie Beatriz Way-zavaleta | Behavior Technician | 13101 W Washington Blvd, Los Angeles, CA 90066-5131 | 2020-05-26 |
| 1013530971 | Jeffrey Campbell Jr. | Behavior Technician | 13101 W Washington Blvd, Los Angeles, CA 90066-5131 | 2020-05-26 |
| 1396367827 | Rachel Zhou | Behavioral Analyst | 13101 W Washington Blvd, Los Angeles, CA 90066-5131 | 2020-05-06 |
| 1962951178 | Lisa Leanne Gridley | Acupuncturist | 13101 W Washington Blvd, Ste 109, Los Angeles, CA 90066-5131 | 2016-09-28 |
| 1538517461 | Michael Nee | Marriage & Family Therapist | 13101 W Washington Blvd, Suite 216, Los Angeles, CA 90066-5131 | 2016-06-01 |
| 1710334990 | Darls, Inc | Counselor | 13101 W Washington Blvd, Los Angeles, CA 90066-5131 | 2016-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1073167458 | Rosario Tabares | Marriage & Family Therapist | 4173 Inglewood Blvd., Los Angeles, CA 90066 | 2019-07-24 |
| 1396200739 | Ruzziel Pio | Licensed Vocational Nurse | 4344 Harding Avenue, Los Angeles, CA 90066 | 2019-02-08 |
| 1164992731 | Erfan Nazeri | Student in an Organized Health Care Education/Training Program | 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 | 2018-11-27 |
| 1972096600 | Tricia Kim Ann Walters | Licensed Vocational Nurse | 1233 S. La Cienega Blvd, Los Angeles, CA 90066 | 2018-06-07 |
| 1174015622 | Nicole Hiorns | Occupational Therapist | 11605 Washington Place, Los Angeles, CA 90066 | 2018-05-31 |
| 1225549934 | Gary Sattler | Psychoanalyst | 3133 Federal Ave., Los Angeles, CA 90066 | 2017-10-20 |
| 1669991568 | Nexus Recovery Services, LLC | Clinic/Center | 11515 Washington Blvd, Culver City, CA 90066 | 2017-09-12 |
| 1336669381 | Andrea Michelle Bakke | Dentist | 3636 Rosewood Ave, Los Angeles, CA 90066 | 2017-06-21 |
| 1659820686 | Pegah Ghassemi Bakhtiari Dds Inc | Dentist | 12756 West Washington Blvd, Los Angeles, CA 90066 | 2016-10-03 |
| Find all providers in zip 90066 | ||||
| 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 |
|---|---|---|---|---|
| 1124628904 | Toya Hill | Behavior Technician | 2229 S Gramercy Pl, Los Angeles, CA 90018-1322 | 2020-10-29 |
| 1346847464 | Cristhina A Perez | Behavior Technician | 158 W 50th St, Los Angeles, CA 90037-3265 | 2020-10-01 |
| 1558975300 | Osariemen Raymond Eguavoen | Behavior Technician | 1826 S Bundy Dr Apt 1, Los Angeles, CA 90025-5222 | 2020-08-31 |
| 1437773199 | Sonia Preciado | Behavior Technician | 13101 W Washington Blvd Ste 13101w, Los Angeles, CA 90066-5131 | 2020-05-29 |
| 1770106866 | Wendy Carrillo | Behavior Technician | 1200 S Figueroa St Apt 2306, Los Angeles, CA 90015-4457 | 2020-05-22 |
| 1831712934 | Guillermo Theodoro Vasquez | Behavior Technician | 340 S St Andrews Pl Apt 107, Los Angeles, CA 90020-4332 | 2020-05-22 |
| 1851910038 | Mirna Alguera | Behavior Technician | 2121 James M Wood Blvd Apt 416, Los Angeles, CA 90006-2218 | 2020-04-08 |
| 1568098085 | Adrian Zaldana | Behavior Technician | 1117 W 18th St, Los Angeles, CA 90015-3325 | 2020-03-16 |
| 1629602628 | Monica Sherlyne Barrios | Behavior Technician | 850 N Mariposa Ave Apt 310, Los Angeles, CA 90029-4602 | 2020-02-27 |
| 1881228294 | Ann Bailey | Behavior Technician | 210 E 60th St, Los Angeles, CA 90003-1209 | 2020-02-24 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90066 |
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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.