BRAYDEN CARL PETERSON (NPI# 1932709219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932709219 |
| Entity Type | Individual |
| Full Name | BRAYDEN CARL PETERSON |
| Practice Address |
203 Kapaa Quarry Place Kailua HI 96734 |
| Mailing Address |
147 Justicia Pl Honolulu HI 96818-1288 |
| Practice Telephone | 8082472973 |
| Mailing Telephone | 4699199348 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
203 KAPAA QUARRY PLACE |
| City | KAILUA |
| State | HI |
| Zip Code | 96734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776366 | Amanda Lindsay Krasniewski | Behavior Technician | 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 | 2020-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1134726979 | Sara Eller | Radiology | Building 6905 Mcbh, Pearl Harbor, HI 96734 | 2020-10-05 |
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1760007108 | Yoli Gabrielle Teran | Behavior Technician | 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 | 2020-06-11 |
| 1902427206 | Amberlie Remily | Behavior Technician | 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 | 2020-04-28 |
| 1417586264 | Jennifer Eng | Marriage & Family Therapist | 6842 Harris Ave, Kailua, HI 96734 | 2020-04-03 |
| 1023644523 | Roxan Mae Sardido Okamoto | Specialist | 1178 Lunahana Place, Kailua, HI 96734 | 2020-03-16 |
| 1811520240 | Sherly Macion | Registered Nurse | 720 A1 Kihapai Place, Kailua, HI 96734 | 2020-02-13 |
| 1558906107 | Emma Ann Farrel | Behavioral Analyst | 2 Aarona Placd, Kailua, HI 96734 | 2019-11-07 |
| Find all providers in zip 96734 | ||||
| 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 |
|---|---|---|---|---|
| 1689289316 | Christin Tesoro | Behavior Technician | 25 Kaneohe Bay Dr Ste 211, Kailua, HI 96734-1734 | 2020-09-10 |
| 1437776366 | Amanda Lindsay Krasniewski | Behavior Technician | 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 | 2020-06-26 |
| 1760007108 | Yoli Gabrielle Teran | Behavior Technician | 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 | 2020-06-11 |
| 1902427206 | Amberlie Remily | Behavior Technician | 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 | 2020-04-28 |
| 1790327773 | Emmeline Mina Turiano | Behavior Technician | 203 Kapa'a Quarry Place, #5002, Kailua, HI 96734 | 2019-10-11 |
| 1336780071 | Sunshine Gay Warren | Behavior Technician | 905 Kalanianaole Hwy Spc 5002, Kailua, HI 96734-4669 | 2019-10-03 |
| 1356982169 | Sean Kiyo Sakata | Behavior Technician | 203 Kapa'a Quarry Pl, #5002, Kailua, HI 96734-4155 | 2019-10-02 |
| 1720629728 | Noelle Sturgill | Behavior Technician | 905 Kalanianaole Hwy, Kailua, HI 96734-4645 | 2019-10-01 |
| 1760033641 | Jenna Williams | Behavior Technician | 905 Kalanianaole Hwy Spc 5001, Kailua, HI 96734-4669 | 2019-09-23 |
| 1306496450 | Claudine Leinaala Ah Yat | Behavior Technician | 203 Kapa'a Quary Pl., #5002, Kailua, HI 96734-3670 | 2019-09-19 |
| Find all providers in KAILUA | ||||
Please comment or provide details below to improve the information on BRAYDEN CARL PETERSON.
| 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.