MS. CAROL DUTTON HOLLENBERG (NPI# 1063955771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063955771 |
| Entity Type | Individual |
| Full Name | MS. CAROL DUTTON HOLLENBERG |
| Other Name | MS. CAROL DUTTON HOLLENBERG |
| Credential | MFT |
| Practice Address |
503 D St. San Rafael CA 94901 |
| Mailing Address |
503 D St Ste 4 San Rafael CA 94901-3864 |
| Practice Telephone | 4154575867 |
| Mailing Telephone | 4154575867 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | MFT21105 | CA | Behavioral Health & Social Service Providers |
| Street Address |
503 D ST. |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| 1952763724 | Donald Lee Merriam IIi | Counselor | 603 D Street, San Rafael, CA 94901 | 2016-03-22 |
| Find all providers in zip 94901 | ||||
| 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 |
|---|---|---|---|---|
| 1750911079 | Marika Irene Yakumithis | Behavior Technician | 190 Union St Apt B, San Rafael, CA 94901-3693 | 2020-01-26 |
| 1346755329 | Kelly Breslin | Behavior Technician | 63 Cottonwood Dr, San Rafael, CA 94901-1467 | 2017-12-12 |
| 1811597537 | Eugenia Clark | Behavior Technician | 4000 Civic Center Dr, San Rafael, CA 94903-4171 | 2020-10-30 |
| 1316547698 | Will Perkins | Behavior Technician | 4000 Civic Center Dr, San Rafael, CA 94903-4171 | 2020-10-27 |
| 1427657725 | Emily Anne Thompson | Behavior Technician | 4000 Civic Center Dr, San Rafael, CA 94903-4171 | 2020-10-19 |
| 1346855772 | Aaron I Rudy | Behavior Technician | 4000 Civic Center Dr Ste 100, San Rafael, CA 94903-4151 | 2020-09-11 |
| 1639796147 | Kayla Andersen | Behavior Technician | 4000 Civic Center Dr Ste 300, San Rafael, CA 94903-4129 | 2020-06-30 |
| 1326675232 | Cerena Pham Thuy Nguyen | Behavior Technician | 4000 Civic Center Dr Ste 300, San Rafael, CA 94903-4129 | 2020-03-23 |
| 1124651120 | Juliana Kathleen Biro | Behavior Technician | 4000 Civic Center Dr, San Rafael, CA 94903-4171 | 2020-02-18 |
| 1699308163 | Rebecca Marie Moore | Behavior Technician | 4000 Civic Center Dr Ste 300, San Rafael, CA 94903-4129 | 2020-02-12 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on MS. CAROL DUTTON HOLLENBERG.
| 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.