LISA MARIE KAKISH (NPI# 1770103251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770103251 |
| Entity Type | Individual |
| Full Name | LISA MARIE KAKISH |
| Practice Address |
2930 Inland Empire Blvd Ste 101 Ontario CA 91764-4802 |
| Mailing Address |
10130 Foothill Blvd Unit 331 Rancho Cucamonga CA 91730-0384 |
| Practice Telephone | 9095323526 |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
2930 INLAND EMPIRE BLVD STE 101 |
| City | ONTARIO |
| State | CA |
| Zip Code | 91764-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316455330 | Illiany Jazmin Pulido | Behavior Technician | 2930 Inland Empire Blvd Ste 101, Ontario, CA 91764-4802 | 2018-01-11 |
| 1578186698 | Juana Isabel Perez | Behavior Technician | 2930 Inland Empire Blvd Ste 101, Ontario, CA 91764-4802 | 2020-05-22 |
| 1003439571 | Ana Karen Pavia | Behavior Technician | 2930 Inland Empire Blvd Ste 101, Ontario, CA 91764-4802 | 2020-05-19 |
| 1255967691 | Leon Uriel Rosa | Behavioral Analyst | 2930 Inland Empire Blvd Ste 101, Ontario, CA 91764-4802 | 2020-03-17 |
| 1841822244 | Nikole Marie Hughes | Behavior Technician | 2930 Inland Empire Blvd Ste 101, Ontario, CA 91764-4802 | 2020-02-04 |
| 1689206070 | Melinda Banuet | Behavior Technician | 2930 Inland Empire Blvd Ste 101, Ontario, CA 91764-4802 | 2020-02-04 |
| 1588206031 | Claudia Gallegos | Behavior Technician | 2930 Inland Empire Blvd Ste 101, Ontario, CA 91764-4802 | 2019-10-16 |
| 1457993925 | Christina Calacsan | Behavior Technician | 2930 Inland Empire Blvd Ste 101, Ontario, CA 91764-4802 | 2019-10-16 |
| 1649812256 | Rachel Nemeth | Behavior Technician | 2930 Inland Empire Blvd Ste 101, Ontario, CA 91764-4802 | 2019-10-15 |
| 1629610241 | Tamara Abugharbieh | Behavior Technician | 2930 Inland Empire Blvd Ste 101, Ontario, CA 91764-4802 | 2019-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760096952 | Jacqueline Iriart | Behavior Technician | 2930 Inland Empire Blvd St 100, Ontario, CA 91764 | 2020-09-03 |
| 1306459573 | Loremari Samantha Mohr | Assistant Behavior Analyst | 4688 Ontario Mills Parkwar, Ontario, CA 91764 | 2020-08-28 |
| 1023629649 | Yazmin Ramos | Behavior Technician | 4688 Ontario Mills Pwky, Ontario, CA 91764 | 2020-08-17 |
| 1184234999 | Adoniram Morales | Behavior Technician | 4688 Ontatio Mills Parkway, Ontario, CA 91764 | 2020-08-06 |
| 1396395489 | Enhanced Sleep Solutions | Clinic/Center | 2990 E. Inland Empire Blvd. #105, Antonio, CA 91764 | 2019-09-19 |
| 1013561588 | Jaquelyn Herrera | Behavior Technician | 2151 E Convention Center Way Ste #103, Ontario, CA 91764 | 2019-08-01 |
| 1285287995 | Ha Tran Tsai Dental Corporation | Dentist | 1361 East 4th Street, Ontario, CA 91764 | 2019-07-22 |
| 1346702974 | Rocio Sandoval | Behavior Technician | 800 Ferrari Ln Ste 100, Ontario, CA 91764 | 2019-04-02 |
| 1275011678 | Jquana Lucille Dowdy | Behavior Technician | 2903 Inland Empire Blvd, Suite 101, Ontario, CA 91764 | 2018-07-30 |
| 1063917458 | Maria Veronica Heard | Specialist/Technologist | 740 E Princeton St, Ontario, CA 91764 | 2018-03-27 |
| Find all providers in zip 91764 | ||||
| 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 |
|---|---|---|---|---|
| 1609476241 | Asia Elaine Bennett | Behavior Technician | 1801s Excise Ave, Ontario, CA 91761-8525 | 2020-10-30 |
| 1497360416 | Jessica Gabriela Martinez | Behavior Technician | 3350 Concours Apt 27e, Ontario, CA 91764-4891 | 2020-09-15 |
| 1760096952 | Jacqueline Iriart | Behavior Technician | 2930 Inland Empire Blvd St 100, Ontario, CA 91764 | 2020-09-03 |
| 1023629649 | Yazmin Ramos | Behavior Technician | 4688 Ontario Mills Pwky, Ontario, CA 91764 | 2020-08-17 |
| 1184234999 | Adoniram Morales | Behavior Technician | 4688 Ontatio Mills Parkway, Ontario, CA 91764 | 2020-08-06 |
| 1538779848 | Wesly Lopez | Behavior Technician | 2999 S Haven Ave, Ontario, CA 91761-0119 | 2020-08-03 |
| 1811521305 | Cheresse Hall | Behavior Technician | 1125 E Hazeltine Ct, Ontario, CA 91761-6912 | 2020-02-24 |
| 1629601307 | Guadalupe Barreto Gonzalez | Behavior Technician | 1237 E Airport Dr Apt Eariport, Ontario, CA 91761-2008 | 2020-02-20 |
| 1629601562 | Donna Weldon | Behavior Technician | 1806 N Vineyard Ave Apt A, Ontario, CA 91764-1200 | 2020-02-19 |
| 1104466747 | Elizabeth Alvarado Aguilar | Behavior Technician | 251 N Elderberry Ave Apt 9, Ontario, CA 91762-2857 | 2020-01-12 |
| Find all providers in ONTARIO | ||||
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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.