CASEY CULLINANE (NPI# 1164057154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164057154 |
| Entity Type | Individual |
| Full Name | CASEY CULLINANE |
| Practice Address |
101 H St Petaluma CA 94952-5152 |
| Mailing Address |
1444 Tallac St Napa CA 94558-2859 |
| Practice Telephone | 8662062008 |
| Practice Fax Number | 8663171665 |
| Mailing Telephone | 7072278213 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |
| 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 |
| Street Address |
101 H ST |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-5152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578570016 | Orren Z Perlman | Psychiatry & Neurology | 101 H St, Suite N, Petaluma, CA 94952-5152 | 2006-08-01 |
| 1205469749 | Hiroko Helmer | Behavior Technician | 101 H St, Petaluma, CA 94952-5152 | 2020-02-12 |
| 1629600853 | Ginny King | Behavior Technician | 101 H St, Petaluma, CA 94952-5152 | 2020-02-05 |
| 1639728728 | Kobi Keithley | Behavior Technician | 101 H St, Petaluma, CA 94952-5152 | 2019-09-10 |
| 1942855192 | Cecilia Roy | Behavioral Analyst | 101 H St, Petaluma, CA 94952-5152 | 2019-08-05 |
| 1245885490 | Alma Yudit Perez | Behavior Technician | 101 H St, Petaluma, CA 94952-5152 | 2019-08-05 |
| 1659924850 | Tyjanique Kiara Covin | Behavior Technician | 101 H St, Petaluma, CA 94952-5152 | 2019-07-17 |
| 1114570314 | Blanca E Pantaleon | Behavior Technician | 101 H St, Petaluma, CA 94952-5152 | 2019-07-17 |
| 1598317992 | Antonio Steven Smith | Behavior Technician | 101 H St, Petaluma, CA 94952-5152 | 2019-07-15 |
| 1194387803 | Brittani Mckemy | Behavior Technician | 101 H St, Petaluma, CA 94952-5152 | 2019-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| 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 |
|---|---|---|---|---|
| 1669080446 | Meredith Elise Fore | Behavior Technician | 1301 Redwood Way Ste 120, Petaluma, CA 94954-1136 | 2020-07-17 |
| 1386285443 | Serina Michelle Granville | Behavior Technician | 101 H St Ste A, Petaluma, CA 94952-5100 | 2019-09-30 |
| 1730735705 | Crystle Nancovski | Behavior Technician | 320 Upham St, Petaluma, CA 94952-2645 | 2019-08-14 |
| 1073169223 | Monica Renee Najera | Behavior Technician | 1670 Corporate Circle, Ste. 100, Petaluma, CA 94954 | 2019-08-14 |
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1932679511 | Karen Christianson | Behavior Technician | 1670 Corporate Circle Suite 100, Petaluma, CA 94954 | 2018-11-27 |
| 1497240055 | Jhaunee Sahara Kelley | Behavior Technician | 101 H St St L, Petaluma, CA 94952-5100 | 2018-06-26 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1821609736 | Emma Li Elliott | Behavior Technician | 1301 Redwood Way Ste 120, Petaluma, CA 94954-1136 | 2020-08-13 |
| 1457960361 | Sychack Forbes | Behavior Technician | 1301 Redwood Way Ste 120, Petaluma, CA 94954-1136 | 2020-07-27 |
| Find all providers in PETALUMA | ||||
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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.