MELISSA ANN PATTON (NPI# 1104360205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104360205 |
| Entity Type | Individual |
| Full Name | MELISSA ANN PATTON |
| Other Name | MELISSA ANN TOM |
| Credential | BCABA |
| Practice Address |
424 Peninsula Ave San Mateo CA 94401-1653 |
| Mailing Address |
1575 Villa St Apt 4 Mountain View CA 94041-1141 |
| Practice Telephone | 6502864396 |
| Mailing Telephone | 9162844800 |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 0-14-6277 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17911 Sky Park Cir, Suite E, Irvine, CA 926146322 | 9492902276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801325485 | Melissa J Patton | Occupational Therapist | 120 Kentucky Ave Ste 110, Lexington, KY 40502-1978 | 2017-06-07 |
| 1619414703 | Melissa Gwen Patton | Occupational Therapist | 5417 Florita Dr, Toledo, OH 43615-3615 | 2017-01-26 |
| 1245419654 | Melissa Ann Patton | Occupational Therapist | 2375 Patton Rd, Many, LA 71449 | 2007-11-01 |
| 1558314187 | Melissa J Patton | Physical Therapist | 2586 Highway 17 Business South, Unit C & D, Garden City Beach, SC 29576-6605 | 2006-05-17 |
| 1700252103 | Melissa Patton | Counselor | 3002 Armstrong St, San Diego, CA 92111-5702 | 2015-08-19 |
| 1194983148 | Melissa A Patton | Registered Nurse | 501 N Orange St, Butler, MO 64730-1325 | 2008-05-27 |
| 1144411331 | Melissa Anne Patton | Pathology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2007-08-05 |
| 1114966330 | Melissa A. Patton | Physician Assistant | 13951 Terrace Rd, East Cleveland, OH 44112-4308 | 2006-06-05 |
| Street Address |
424 PENINSULA AVE |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-1653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417139288 | Center for Learning and Autism Support Services, Inc. | Early Intervention Provider Agency | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2007-12-03 |
| 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 |
| 1891396149 | Siyun Deng | Behavior Technician | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2020-11-03 |
| 1013517697 | Marisa Dawn Shaff | Behavior Technician | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2020-10-31 |
| 1760082804 | Ritchelle Jesse Andal | Behavior Technician | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2020-10-28 |
| 1285232413 | Seran Kwon | Behavior Technician | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2020-10-09 |
| 1235736034 | Albert Richard Yee | Behavior Technician | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2020-10-05 |
| 1275140493 | Viridiana G. Sanchez Bueno | Behavior Technician | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2020-09-30 |
| 1295342483 | Stephen Costakis | Behavior Technician | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2020-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1821651126 | Anjanette Aquino | Assistant Behavior Analyst | 1720 S Amphlett Blvd Ste 110, San Mateo, CA 94402-2710 | 2019-04-22 |
| 1659876365 | Jessica Hudson | Assistant Behavior Analyst | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2018-03-26 |
| 1124529797 | Ida Ghlichloo | Assistant Behavior Analyst | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2018-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457716 | Amanda B Ford | Assistant Behavior Analyst | 12412 Crystal Ranch Rd, Moorpark, CA 93021-2916 | 2020-11-03 |
| 1700493327 | Natalie N Taylor | Assistant Behavior Analyst | 620 E Angela St, Pleasanton, CA 94566-7414 | 2020-09-28 |
| 1174139729 | Janea Jones | Assistant Behavior Analyst | 9377 Haven Ave, Rancho Cucamonga, CA 91730-5340 | 2020-09-18 |
| 1285249300 | Janette Lopez | Assistant Behavior Analyst | 15490 Civic Dr, Victorville, CA 92392-2924 | 2020-09-15 |
| 1073126983 | Raena A Juarez | Assistant Behavior Analyst | 2488 Shield Dr, Union City, CA 94587-1925 | 2020-08-28 |
| 1306459573 | Loremari Samantha Mohr | Assistant Behavior Analyst | 4688 Ontario Mills Parkwar, Ontario, CA 91764 | 2020-08-28 |
| 1730799354 | Krystle Lam | Assistant Behavior Analyst | 7871 Mission Grove Pkwy S Apt 106, Riverside, CA 92508-5032 | 2020-08-07 |
| 1346850344 | James Kahler | Assistant Behavior Analyst | 40509 Calla Lilly St, Murrieta, CA 92563-6443 | 2020-08-04 |
| 1154931244 | Cathern Hedge | Assistant Behavior Analyst | 255 E Rincon St Ste 109, Corona, CA 92879-1367 | 2020-08-04 |
| 1801406814 | Garrett Chase | Assistant Behavior Analyst | 29782 Smugglers Point Dr, Canyon Lake, CA 92587-7474 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
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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.