SAVANNAH PHELAN (NPI# 1164956710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164956710 |
| Entity Type | Individual |
| Full Name | SAVANNAH PHELAN |
| Practice Address |
6167 Bristol Pkwy Ste 130 Culver City CA 90230-6610 |
| Practice Telephone | 3104104450 |
| Mailing Telephone | 3104104450 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
6167 BRISTOL PKWY STE 130 |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90230-6610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265578207 | Prosperity Home Health Services Inc. | Home Health | 6167 Bristol Pkwy, Suite 330, Culver City, CA 90230-6610 | 2007-01-29 |
| 1669947842 | Carol Santacruz | Behavioral Analyst | 6167 Bristol Pkwy, Culver City, CA 90230-6610 | 2018-10-03 |
| 1699286252 | Carine Njweng Tende | Nurse Practitioner | 6167 Bristol Pkwy, Culver City, CA 90230-6610 | 2017-10-22 |
| 1205368768 | Ahuja Dental Group Inc | Dentist | 6167 Bristol Pkwy, Sutie 300, Culver City, CA 90230-6610 | 2017-04-03 |
| 1053768499 | Noreen Ann Laberinto | Behavioral Analyst | 6167 Bristol Pkwy, Suite 130, Culver City, CA 90230-6610 | 2016-05-16 |
| 1194182741 | Sharla Elaine Robinson | Behavioral Analyst | 6167 Bristol Pkwy, Suite 130, Culver City, CA 90230-6610 | 2016-01-26 |
| 1134586894 | Simone Stevens | Behavioral Analyst | 6167 Bristol Pkwy, Suite 130, Culver City, CA 90230-6610 | 2016-01-26 |
| 1245697804 | Courtney Hawker | Behavioral Analyst | 6167 Bristol Pkwy, Suite 130, Culver City, CA 90230-6610 | 2016-01-26 |
| 1467885798 | Korye Finn | Behavioral Analyst | 6167 Bristol Pkwy, 130, Culver City, CA 90230-6610 | 2013-08-09 |
| 1679905046 | Kristine Safaryan | Behavioral Analyst | 6167 Bristol Pkwy, Suite 130, Culver City, CA 90230-6610 | 2013-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558822064 | Smilemax Dental Center | Dentist | 10814 Jefferson Blvd. #g, Culver City, CA 90230 | 2019-03-27 |
| 1023532595 | Mary Alice Haye | Marriage & Family Therapist | 550 S. Vermont Ave., 7th Floor, 700, Los Angeles, CA 90230 | 2017-07-27 |
| 1902342074 | Dorene Lehavi | Social Worker | 5106 S Slauson Ave, Suite 192, Los Angeles, CA 90230 | 2017-01-13 |
| 1548634553 | Kimberly Henck | Speech-Language Pathologist | 607 Bristol Pkwy, Ste 105, Culver City, CA 90230 | 2015-11-15 |
| 1346628898 | Stephan Sepernia | Marriage & Family Therapist | 5601 W. Slavson Ave. #192, Culver City, CA 90230 | 2015-05-15 |
| 1558749291 | Sean Steven Mcknee | Chiropractor | 5839 Green Valley Cir Ste 102, Culver City, CA 90230 | 2015-05-14 |
| 1821484841 | Jasmine Lee | Family Medicine | 6000 Sepulveda Blvd Ste E10, Culver City, CA 90230 | 2015-04-07 |
| 1043609191 | Carrie Mays | Counselor | 4760 Sepulvda Blvd., Culver City, CA 90230 | 2015-01-13 |
| 1457759375 | Monquenta Felicia Young | Case Manager/Care Coordinator | 666 Green Valley Circle, Culver City, CA 90230 | 2014-12-09 |
| 1972902724 | Shana Chan Pope | Marriage & Family Therapist | 11949 Jefferson Blvd #106, Culver City, CA 90230 | 2014-08-18 |
| Find all providers in zip 90230 | ||||
| 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 |
|---|---|---|---|---|
| 1619535770 | Jocasta Ryley | Assistant Behavior Analyst | 6101 W Centinela Ave Ste 380, Culver City, CA 90230-6367 | 2019-06-04 |
| 1104365873 | Viannae Carmona Nelkin | Assistant Behavior Analyst | 5350 Machado Ln, Culver City, CA 90230-8800 | 2017-02-15 |
| 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 | ||||
| City | CULVER CITY |
| Zip Code | 90230 |
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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.