MRS. KARLY MATALASI JEAN (NPI# 1063991461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063991461 |
| Entity Type | Individual |
| Full Name | MRS. KARLY MATALASI JEAN |
| Practice Address |
334 Via Vera Cruz Ste 107 San Marcos CA 92078-2637 |
| Mailing Address |
250 N City Dr Apt 347 San Marcos CA 92078-4507 |
| Practice Telephone | 6198404536 |
| Mailing Telephone | 6198404536 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 250 N City Dr Apt 347, San Marcos, CA 920784507 | 6198404536 |
| Street Address |
334 VIA VERA CRUZ STE 107 |
| City | SAN MARCOS |
| State | CA |
| Zip Code | 92078-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861887416 | Breanna Locke | Behavioral Analyst | 334 Via Vera Cruz Ste 107, San Marcos, CA 92078-2637 | 2015-03-31 |
| 1790390920 | Bethany Marilyn Fuller | Behavior Technician | 334 Via Vera Cruz Ste 107, San Marcos, CA 92078-2637 | 2020-09-14 |
| 1811509847 | Irma Sagrario Barajas Bobadilla | Behavioral Analyst | 334 Via Vera Cruz Ste 107, San Marcos, CA 92078-2637 | 2020-08-20 |
| 1881204725 | Fabiola Sanchez | Behavioral Analyst | 334 Via Vera Cruz Ste 107, San Marcos, CA 92078-2637 | 2020-08-05 |
| 1710595491 | Hannah Kennedy | Behavioral Analyst | 334 Via Vera Cruz Ste 107, San Marcos, CA 92078-2637 | 2020-07-17 |
| 1306471008 | Daisy Vergara | Behavior Technician | 334 Via Vera Cruz Ste 107, San Marcos, CA 92078-2637 | 2020-03-03 |
| 1629602602 | Dayanna Sanchez Gonzalez | Behavior Technician | 334 Via Vera Cruz Ste 107, San Marcos, CA 92078-2637 | 2020-02-27 |
| 1942830435 | Jenny Peng Teng | Behavior Technician | 334 Via Vera Cruz Ste 107, San Marcos, CA 92078-2637 | 2020-01-23 |
| 1841820602 | Journey Boggs | Behavior Technician | 334 Via Vera Cruz Ste 107, San Marcos, CA 92078-2637 | 2020-01-21 |
| 1104465616 | Cecilia Hernandez | Behavior Technician | 334 Via Vera Cruz Ste 107, San Marcos, CA 92078-2637 | 2019-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437623253 | Tania Borja-rodriguez | Nurse Practitioner | 334 Via Vera Cruz #257, San Marcos, CA 92078 | 2019-01-15 |
| 1558846824 | Mckenzie Daile Sorensen | Dentist | 145 S Las Posas Rd Ste 162, San Marcos, CA 92078 | 2018-10-02 |
| 1548750169 | West2north Medical Solutions Inc | Physical Medicine & Rehabilitation | 1595 Grand Ave Ste 100, San Marcos, CA 92078 | 2018-05-18 |
| 1700385747 | Wytoshery Monea Williams | Nurse Practitioner | 1912 Northstar Way, 130, San Marcos, CA 92078 | 2018-02-05 |
| 1457878415 | Smile Community Clinic Inc | Dentist | 670 W. San Marcos Blvd. Ste 103-b, San Marcos, CA 92078 | 2017-08-29 |
| 1740636232 | Ethelaine Centeno | Occupational Therapist | 1615 S. Rancho Santa Fe Road, San Marcos, CA 92078 | 2016-05-13 |
| 1336506203 | Nga Thien Ta | Pharmacist | 671 Rancho Santa Fe, San Marcos, CA 92078 | 2016-01-24 |
| 1689039349 | Kayleigh Ann Desrosiers | Physical Therapist | 137 S Las Posas Rd Ste 254, San Marcos, CA 92078 | 2015-12-23 |
| 1821475930 | Anna Yu | Social Worker | 310 S. Twin Oaks Valley Rd., #107-381, San Marcos, CA 92078 | 2015-04-28 |
| 1831582592 | Bewell Home Physical Therapy P C | Clinic/Center | 1582 W San Marcos Blvd Ste 105b, San Marcos, CA 92078 | 2015-03-05 |
| Find all providers in zip 92078 | ||||
| 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 |
|---|---|---|---|---|
| 1861091357 | Diamond S Taylor | Behavior Technician | 620 Mill St # B, San Marcos, TX 78666-6731 | 2020-10-26 |
| 1619587730 | Kathryn Nicole Walpole | Behavior Technician | 4006 Day Dr, San Marcos, TX 78666-9539 | 2020-08-04 |
| 1093331100 | Melisa Morse | Behavior Technician | 911 Cheatham St, San Marcos, TX 78666-7015 | 2020-06-24 |
| 1437786266 | Isabela Diana Rios | Behavior Technician | 250 N City Dr Apt 113, San Marcos, CA 92078-4411 | 2020-03-23 |
| 1386275261 | Alexis Rene Lovings | Behavior Technician | 1850 Aquarena Springs Dr Apt 1023, San Marcos, TX 78666-3074 | 2020-01-30 |
| 1174162002 | Charizma Jynelle Sinthavong | Behavior Technician | 334 Via Vera Cruz Ste 102, San Marcos, CA 92078-2636 | 2019-12-23 |
| 1710525399 | Yessenia Gutierrez | Behavior Technician | 464 N Twin Oaks Valley Rd Apt C, San Marcos, CA 92069-1746 | 2019-12-14 |
| 1629633144 | Keerti Agrawal | Behavior Technician | 807 Via Barquero, San Marcos, CA 92069-7395 | 2019-05-09 |
| 1639645823 | Amber Smith | Behavior Technician | 101 Uhland Rd Ste 204, San Marcos, TX 78666-6681 | 2018-10-16 |
| 1447739347 | Wendell Christopher Starling I | Behavior Technician | 1215 Armorlite Dr Apt 120, San Marcos, CA 92069-1397 | 2018-08-10 |
| Find all providers in SAN MARCOS | ||||
| City | SAN MARCOS |
| Zip Code | 92078 |
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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.