TIMOTHY FITZPATRICK (NPI# 1992245039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992245039 |
| Entity Type | Individual |
| Full Name | TIMOTHY FITZPATRICK |
| Practice Address |
10620 Treena St San Diego CA 92131-1140 |
| Mailing Address |
515 S 700 E Ste 2a Salt Lake City UT 84102-2855 |
| Practice Telephone | 8019354171 |
| Practice Fax Number | 8882616694 |
| Mailing Telephone | 8019354171 |
| Mailing Fax Number | 8882616694 |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881155398 | Timothy Fitzpatrick | Counselor | 601 W Nifong Blvd Ste 1b, Columbia, MO 65203-6804 | 2019-03-27 |
| 1023578853 | Timothy Fitzpatrick | Pharmacist | 76 Pike St, Port Jervis, NY 12771-1827 | 2019-03-19 |
| 1780700179 | Timothy M Fitzpatrick | Social Worker | 110 N Mill St, Festus, MO 63028-1816 | 2007-03-21 |
| 1598870396 | Timothy K Fitzpatrick | Obstetrics & Gynecology | 299 Carew St, Suite #215, Springfield, MA 01104-2301 | 2006-08-20 |
| 1861450322 | Timothy Sean Fitzpatrick | Emergency Medicine | 6300 La Calma Dr, Suite 200, Austin, TX 78752-3843 | 2006-05-03 |
| 1760444145 | Timothy Fitzpatrick | Nurse Anesthetist, Certified Registered | 119 Belmont St, Worcester, MA 01605-2903 | 2006-04-03 |
| 1467456947 | Timothy Fitzpatrick | Emergency Medicine | 3131 Queen City Ave, Cincinnati, OH 45238-2316 | 2005-06-13 |
| Street Address |
10620 TREENA ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92131-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700288156 | Casa Companion Homecare Solutions, LLC | In Home Supportive Care | 10620 Treena St, Suite 230, San Diego, CA 92131-1140 | 2014-09-17 |
| 1134669344 | Amanda Gillette | Behavioral Analyst | 10620 Treena St, San Diego, CA 92131-1140 | 2017-03-07 |
| 1457893521 | Ericka Smith | Behavioral Analyst | 10620 Treena St, San Diego, CA 92131-1140 | 2016-11-07 |
| 1013363522 | The J. Moss Foundation | Nutritionist | 10620 Treena St, 230, San Diego, CA 92131-1140 | 2016-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609416965 | Susan Cannon | Behavior Technician | 10680 Treena Street Suite 170, San Diego, CA 92131 | 2020-01-14 |
| 1265929442 | Lydia Besterfeldt | Registered Nurse | 9967 Mesa Madera Dr, San Diego, CA 92131 | 2018-04-13 |
| 1235649690 | Mac Dental Corporation | Oral & Maxillofacial Surgery | 9855 Erma Road, #110, Scripps Periodontics, San Diego, CA 92131 | 2017-10-11 |
| 1679019087 | Karyn Rose Giaquinto Fistonich | Assistant Behavior Analyst | 10060 Old Grove Road, San Diego, CA 92131 | 2017-01-09 |
| 1710439559 | Fred Finch Youth Center Cares | Psychologist | 10174 Old Grove Road, Sutie 100, San Diego, CA 92131 | 2016-10-27 |
| 1346647153 | Neurosound, Inc. | Specialist | 10755 Scripps Poway Parkway, Suite 581, San Diego, CA 92131 | 2014-11-21 |
| 1679985329 | Catherine Margaret Myers | Counselor | 10065 Old Grove Road, Suite 200, San Diego, CA 92131 | 2014-05-29 |
| 1225399512 | Sarah Merrill | Family Medicine | 9909 Mira Mesa Blvd Ste 200, San Diego, CA 92131 | 2012-06-03 |
| 1386964997 | Nicole Jacaruso Skinner | Physical Therapist | 10555 Pine Falls Ct, San Diego, CA 92131 | 2010-06-04 |
| 1316272636 | David Paul Anderson | Chiropractor | 10585 Scripps Poway Parkway, #c, San Diego, CA 92131 | 2009-10-05 |
| Find all providers in zip 92131 | ||||
| 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 |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1639776636 | Gabrielle Moriah Pero | Behavior Technician | 2644 Figueroa Blvd, San Diego, CA 92109-4822 | 2020-10-03 |
| 1437766532 | Alexandria Alexis Meier | Behavior Technician | 3838 Camino Del Rio N Ste 240, San Diego, CA 92108-1763 | 2020-09-23 |
| 1619582111 | Christopher Andre Simpson | Behavior Technician | 4810 Coronado Ave, San Diego, CA 92107-3316 | 2020-09-11 |
| 1669082087 | Briana Kathleen Murray | Behavior Technician | 1281 9th Ave Unit 216, San Diego, CA 92101-4636 | 2020-08-01 |
| 1790393478 | Virginia Herzog | Behavior Technician | 5875 Friars Rd Apt 4402, San Diego, CA 92110-6023 | 2020-07-17 |
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1225656325 | Jazmin Lopez | Behavior Technician | 4025 Camino Del Rio S Ste 100, San Diego, CA 92108-4108 | 2020-07-06 |
| 1790309052 | Laila S Hasenin | Behavior Technician | 7389 Via Carrillo, San Diego, CA 92129-2271 | 2020-06-02 |
| 1801425533 | Stephanie Lee Harmon | Behavior Technician | 12094 Daymark Ct, San Diego, CA 92131-3801 | 2020-04-04 |
| Find all providers in SAN DIEGO | ||||
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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.