MS. TARA PETERSON (NPI# 1174927867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174927867 |
| Entity Type | Individual |
| Full Name | MS. TARA PETERSON |
| Credential | BCBA |
| Practice Address |
424 Peninsula Ave San Mateo CA 94401-1653 |
| Mailing Address |
1511 Gough St #102 San Francisco CA 94109-5366 |
| Practice Telephone | 6502864396 |
| Mailing Telephone | 3103519326 |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-14-10439 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104474634 | Tara Mae Peterson | Student in an Organized Health Care Education/Training Program | 9182 E Mogollon Trl, Gold Canyon, AZ 85118-7090 | 2019-08-28 |
| 1144619107 | Tara Danielle Peterson | Specialist/Technologist | 896 Ashe Loop Rd, Sylva, NC 28779-8810 | 2015-01-14 |
| 1700376969 | Tara Skelly Peterson | Dentist | 9042 Cahill Ave, Inver Grove Heights, MN 55076-3543 | 2018-05-14 |
| 1669971602 | Tara Peterson | Nurse Anesthetist, Certified Registered | 601 E Rollins St, Orlando, FL 32803-1248 | 2018-02-05 |
| 1053770867 | Tara Peterson | Marriage & Family Therapist | 1441 Constitution Blvd, Bldg 400 Ste 200, Salinas, CA 93906-3100 | 2016-02-22 |
| 1710353560 | Tara Anne Peterson | Nurse Practitioner | 13950 W Capitol Dr Ste 200, Brookfield, WI 53005-2441 | 2015-08-17 |
| 1659652956 | Tara Jo Peterson | Registered Nurse | 760 Hospital Circle, Browning, MT 59417-0730 | 2011-08-31 |
| 1336438811 | Tara Peterson | Marriage & Family Therapist | 1470 W Herndon Ave, Suite 300, Fresno, CA 93711-0552 | 2011-04-05 |
| 1588965933 | Tara Magen Peterson | Developmental Therapist | 2708 Ne 14th Street, Suite 5, Pompano Beach, FL 33062 | 2010-11-16 |
| 1235108457 | Tara L. Peterson | Nurse Practitioner | 8901 Indian Hills Dr, Suite 200, Omaha, NE 68114-4057 | 2006-03-17 |
| 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 | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188734 | Jannelle Nicole Zamora | Behavioral Analyst | 3050 Los Prados St Apt 25, San Mateo, CA 94403-2028 | 2020-09-14 |
| 1083191951 | Alexander Clark Schalla | Behavioral Analyst | 1710 S Amphlett Blvd Ste 216, San Mateo, CA 94402-2705 | 2018-07-24 |
| 1982137865 | Jhene Lilia Amasa | Behavioral Analyst | 3555 Edison St Apt G, San Mateo, CA 94403-3419 | 2017-04-06 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1205297926 | Megan Al Jamea | Behavioral Analyst | 269 36th Ave, San Mateo, CA 94403-4201 | 2016-03-08 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1306201678 | Jessica Solari | Behavioral Analyst | 924 Peninsula Ave, San Mateo, CA 94401-1506 | 2015-12-30 |
| 1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
| 1922470228 | Lisa Dawn Register | Behavioral Analyst | 3720 Alameda De Las Pulgas, San Mateo, CA 94403-4115 | 2015-10-26 |
| 1649669060 | Kristin Nicholl | Behavioral Analyst | 1710 S Amphlett Blvd Ste 314, San Mateo, CA 94402-2736 | 2015-01-22 |
| Find all providers in SAN MATEO | ||||
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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.