DEREK STEPHEN WHITE (NPI# 1063023497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063023497 |
| Entity Type | Individual |
| Full Name | DEREK STEPHEN WHITE |
| Practice Address |
1055 E Colorado Blvd Ste 560 Pasadena CA 91106-2380 |
| Practice Telephone | 8182416780 |
| Practice Fax Number | 8182416853 |
| Mailing Telephone | 8182416780 |
| Mailing Fax Number | 8182416853 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598385072 | Derek White | Specialist/Technologist | 520 E Main St Apt Suite, Carmel, IN 46032-2259 | 2020-04-24 |
| 1992215354 | Derek Lee White | Nurse Practitioner | 385 Old Troy Rd, Monticello, AR 71655-9181 | 2017-10-11 |
| 1952436578 | Derek Alan White | Pharmacist | 841 S State Rd, Davison, MI 48423-1751 | 2007-02-22 |
| 1063013365 | Derek White | Pharmacist | Walmart Pharmacy, 1123 Highway 79-167 Bypass, Fordyce, AR 71742 | 2020-11-03 |
| 1619497294 | Derek Wayne White Jr. | Family Medicine | 613 Campus Dr Ste 200, Abingdon, VA 24210-9703 | 2017-06-23 |
| 1851708523 | Derek Wayne White | Pharmacist | 300 Towne Center Dr, Abingdon, VA 24210-3248 | 2014-07-15 |
| 1134494404 | Derek L White | Nurse Anesthetist, Certified Registered | 5731 Bee Ridge Rd, Sarasota, FL 34233-5056 | 2012-03-20 |
| 1841452810 | Derek L White | Psychologist | 4615 Government St, Building 2, Baton Rouge, LA 70806-5820 | 2008-06-30 |
| 1417083064 | Derek Omar White | Physical Therapist | 50 E 9000 S, Sandy, UT 84070-2201 | 2007-02-26 |
| 1710025382 | Derek William White | Pharmacist | 1886 Homeville Rd, Inside Foodland Fresh, West Mifflin, PA 15122-3650 | 2007-02-03 |
| Street Address |
1055 E COLORADO BLVD STE 560 |
| City | PASADENA |
| State | CA |
| Zip Code | 91106-2380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134432198 | Dana Ann Mitchell | Behavior Technician | 1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380 | 2010-07-20 |
| 1972103976 | Anita Zepeda | Behavior Technician | 1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380 | 2020-10-28 |
| 1518567940 | Alaina Adessa Cook | Behavior Technician | 1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380 | 2020-10-26 |
| 1801494836 | Angelita Iniguez | Behavior Technician | 1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380 | 2020-10-12 |
| 1053927269 | Jessica L Madore | Behavior Technician | 1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380 | 2020-09-22 |
| 1285240408 | Karen Monserrat Rivas | Behavioral Analyst | 1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380 | 2020-09-22 |
| 1922614734 | Ana Ruth Olivarez | Behavior Technician | 1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380 | 2020-09-17 |
| 1760095046 | Sarah Dale | Behavior Technician | 1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380 | 2020-08-26 |
| 1104438670 | Jacob Mata | Behavior Technician | 1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380 | 2020-08-17 |
| 1669083010 | Michael Peter Barrella | Behavior Technician | 1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380 | 2020-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625987 | Alexa Ann Mettrick | Behavior Technician | 1055 E. Colorado Blcd., Suite 560, Pasadena, CA 91106 | 2020-06-25 |
| 1780205344 | Giovani Telusma | Behavior Technician | 1055 E Colorado Blvd Ste 560 Pasadena, Pasadena, CT 91106 | 2020-05-05 |
| 1356838973 | Susan Ende | Marriage & Family Therapist | 945 Hillcrest Place, Pasadena, CA 91106 | 2018-04-19 |
| 1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
| 1023558848 | Gregory Ohanian Dds Ms Inc. | Dentist | 225 North Allen Avenue, Pasadena, CA 91106 | 2017-02-27 |
| 1508308586 | Quik Care Express Inc | Non-emergency Medical Transport (VAN) | 592 N. Wilson Ave, 5, Pasadena, CA 91106 | 2016-11-08 |
| 1194119867 | Kimberly Ann Ebner | Dentist | 1060 E. Green St., Suite 105, Pasadena, CA 91106 | 2015-03-20 |
| 1346645512 | Neogenomics Laboratories Inc | Specialist | 840 Cameron Dr, Pasadena, CA 91106 | 2014-10-29 |
| 1255756524 | Tirso Deljunco Sr. | Surgery | 1010 E. Union St., #130, Pasadena, CA 91106 | 2014-02-24 |
| 1386072601 | Hiroko Ogura | Acupuncturist | 1224 E Green St Ste 100, Pasadena, CA 91106 | 2013-10-23 |
| Find all providers in zip 91106 | ||||
| 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 |
|---|---|---|---|---|
| 1790390318 | Kendall Audrey Hamlin | Behavior Technician | 8686 Scorton Harbour, Pasadena, MD 21122-6512 | 2020-09-10 |
| 1295346047 | Kelly Lynn Gielner | Behavior Technician | 305 Stone Hollow Ct, Pasadena, MD 21122-7519 | 2020-08-14 |
| 1881212447 | Amira Aiomanu Lawrence | Behavior Technician | 1055 E Colorado Blvd., 560, Pasadena, CA 91106-2380 | 2020-07-10 |
| 1760009443 | Benjimen C Weidman | Behavior Technician | 55 E Colorado Blvd Ste 560, Pasadena, CA 91105-1901 | 2020-06-29 |
| 1922625987 | Alexa Ann Mettrick | Behavior Technician | 1055 E. Colorado Blcd., Suite 560, Pasadena, CA 91106 | 2020-06-25 |
| 1841816113 | Janet Akhtar | Behavior Technician | 1055 E Colorado Blvd Ste 56, Pasadena, CA 91106-2327 | 2020-06-22 |
| 1780205344 | Giovani Telusma | Behavior Technician | 1055 E Colorado Blvd Ste 560 Pasadena, Pasadena, CT 91106 | 2020-05-05 |
| 1083249361 | Sarah Manetti | Behavior Technician | 2835 Nina St Apt 8, Pasadena, CA 91107-6700 | 2020-03-07 |
| 1740826742 | Taylor Hollier | Behavior Technician | 177 E Colorado Blvd Ste 2082, Pasadena, CA 91105-1986 | 2019-11-25 |
| 1386288223 | Aneeka Ahmed I | Behavior Technician | 1055 E Colorado Blvd # 91106, Pasadena, CA 91106-2327 | 2019-11-04 |
| Find all providers in PASADENA | ||||
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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.