BEN CHETTIPALLY (NPI# 1053960138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053960138 |
| Entity Type | Individual |
| Full Name | BEN CHETTIPALLY |
| Practice Address |
1710 S Amphlett Blvd San Mateo CA 94402-2703 |
| Mailing Address |
1842 Loyola Dr Burlingame CA 94010-5749 |
| Practice Telephone | 6509316300 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| 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 |
1710 S AMPHLETT BLVD |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94402-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669525911 | Farzana Amin | Psychiatry & Neurology | 1710 S Amphlett Blvd, Suite 301, San Mateo, CA 94402-2703 | 2007-01-19 |
| 1497380901 | Charles Phinehas Schwartz IIi | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2020-03-04 |
| 1144860586 | Camille Evelyn Kellstedt | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2020-01-14 |
| 1417599614 | Pragna Tantravahi | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402 | 2019-10-09 |
| 1942859020 | Peter M Kitsamba | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2019-09-10 |
| 1750938775 | Sabrina Kelly Gonzales | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2019-08-23 |
| 1578123477 | Matthew Wong | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2019-06-13 |
| 1619536679 | Amanda Rodriguez | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2019-06-12 |
| 1083271829 | Elydia Gonzalez | Behavioral Analyst | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2019-05-28 |
| 1649836131 | Bailey Elise Norman | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2019-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1760997902 | Blue Lotus Connection | Point of Service | 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 2017-12-11 |
| 1982122503 | Madeline Pielert | Social Worker | 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 | 2017-09-04 |
| 1629512348 | Travis Woodmansee | Marriage & Family Therapist | 419 S El Dorado St, San Mateo, CA 94402 | 2016-12-14 |
| 1669820858 | Mohan Sundareson | Pediatrics | 1638 South Grant St, San Mateo, CA 94402 | 2016-05-27 |
| 1457712572 | New Life Acupuncture Clinic | Acupuncturist | 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 | 2016-03-17 |
| 1871951434 | Nanami Oba | Physical Therapy Assistant | 20 Bennigton Dr., San Mateo, CA 94402 | 2016-02-10 |
| 1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
| Find all providers in zip 94402 | ||||
| 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 |
|---|---|---|---|---|
| 1417556242 | Elizabeth Veach | Behavior Technician | 631 S B St, San Mateo, CA 94401-4120 | 2020-10-22 |
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1063069474 | Michele Ann Howes | Behavior Technician | 38 Creekridge Ct, San Mateo, CA 94402-3753 | 2019-08-20 |
| 1821657768 | Sandra Wiederkehr | Behavior Technician | 1710 S Amphlett Blvd Ste 220, San Mateo, CA 94402-2705 | 2019-06-12 |
| 1093284416 | Gillyflower Lucinda Coomes-poultney | Behavior Technician | 110 S Quebec St, San Mateo, CA 94401-2037 | 2018-11-14 |
| 1518436104 | Erick Russell Bowman Jr. | Behavior Technician | 800 S Claremont St Unit 100, San Mateo, CA 94402-1451 | 2018-11-13 |
| 1013403401 | Dominique A Negrette | Behavior Technician | 424 Peninsula Ave # 2864396, San Mateo, CA 94401-1653 | 2018-07-09 |
| 1952802019 | Alicia Cabral I | Behavior Technician | 800 S Claremont St Ste 108, San Mateo, CA 94402-1449 | 2018-02-23 |
| 1225639016 | Neha Kumar | Behavior Technician | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2020-11-06 |
| 1326649591 | Leo Aldair Maldonado-canales | Behavior Technician | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2020-11-04 |
| Find all providers in SAN MATEO | ||||
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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.