GARRETT CHASE (NPI# 1801406814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801406814 |
| Entity Type | Individual |
| Full Name | GARRETT CHASE |
| Practice Address |
29782 Smugglers Point Dr Canyon Lake CA 92587-7474 |
| Mailing Address |
255 E Rincon St Corona CA 92879-1367 |
| Practice Telephone | 9516094810 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
29782 SMUGGLERS POINT DR |
| City | CANYON LAKE |
| State | CA |
| Zip Code | 92587-7474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964635 | Aliah Hasan | Marriage & Family Therapist | 29049 Scout Crt, Canyon Lake, CA 92587 | 2019-07-22 |
| 1316308166 | Chanel Chew Castillo | Dentist | 30290 Skippers Way Dr, Canyon Lake, CA 92587 | 2016-03-08 |
| 1306165709 | Jennifer D Lewis | Massage Therapist | 23717 Cruise Circle Dr, Canyon Lake, CA 92587 | 2010-05-25 |
| 1902901630 | William Brent Robinson | Dentist | 31570 Railroad Canyon Rd, Ste 101, Canyon Lake, CA 92587 | 2006-09-14 |
| 1629582820 | Ashleigh Brown | Specialist/Technologist | 30060 Skippers Way Dr, Canyon Lake, CA 92587-7404 | 2017-11-27 |
| 1013171255 | California Medical Supply | Durable Medical Equipment & Medical Supplies | 30199 Skippers Way Dr, Canyon Lake, CA 92587-7405 | 2008-07-16 |
| 1548748635 | Mason Dental Hygiene Group | Dental Hygienist | 30168 Point Marina Dr, Canyon Lake, CA 92587-7411 | 2018-08-01 |
| 1720633027 | Amy Lynn Mason | Dental Hygienist | 30168 Point Marina Dr, Canyon Lake, CA 92587-7411 | 2019-08-05 |
| 1477752558 | Roger Strong | Dentist | 30389 Point Marina Dr, Canyon Lake, CA 92587-7413 | 2007-07-17 |
| 1508193392 | Ku Il Lee | Chiropractor | 29806 Santa Maria Dr, Canyon Lake, CA 92587-7426 | 2009-11-16 |
| Find all providers in zip 92587 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1407457716 | Amanda B Ford | Assistant Behavior Analyst | 12412 Crystal Ranch Rd, Moorpark, CA 93021-2916 | 2020-11-03 |
| 1700493327 | Natalie N Taylor | Assistant Behavior Analyst | 620 E Angela St, Pleasanton, CA 94566-7414 | 2020-09-28 |
| 1174139729 | Janea Jones | Assistant Behavior Analyst | 9377 Haven Ave, Rancho Cucamonga, CA 91730-5340 | 2020-09-18 |
| 1285249300 | Janette Lopez | Assistant Behavior Analyst | 15490 Civic Dr, Victorville, CA 92392-2924 | 2020-09-15 |
| 1073126983 | Raena A Juarez | Assistant Behavior Analyst | 2488 Shield Dr, Union City, CA 94587-1925 | 2020-08-28 |
| 1306459573 | Loremari Samantha Mohr | Assistant Behavior Analyst | 4688 Ontario Mills Parkwar, Ontario, CA 91764 | 2020-08-28 |
| 1730799354 | Krystle Lam | Assistant Behavior Analyst | 7871 Mission Grove Pkwy S Apt 106, Riverside, CA 92508-5032 | 2020-08-07 |
| 1346850344 | James Kahler | Assistant Behavior Analyst | 40509 Calla Lilly St, Murrieta, CA 92563-6443 | 2020-08-04 |
| 1154931244 | Cathern Hedge | Assistant Behavior Analyst | 255 E Rincon St Ste 109, Corona, CA 92879-1367 | 2020-08-04 |
| 1336759646 | Jasmine Scott | Assistant Behavior Analyst | 17928 Hermosa Rd Apt C, Adelanto, CA 92301-2056 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | CANYON LAKE |
| Zip Code | 92587 |
Please comment or provide details below to improve the information on GARRETT CHASE.
| 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.