STEPHANIE GARLICK (NPI# 1174968655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174968655 |
| Entity Type | Individual |
| Full Name | STEPHANIE GARLICK |
| Credential | M.A., BCBA |
| Practice Address |
19300 S Hamilton Ave Suite 130 Gardena CA 90248-4400 |
| Mailing Address |
5709 W Sunset Hwy Suite 100 Spokane WA 99224-6005 |
| Practice Telephone | 3103277824 |
| Practice Fax Number | 5097893323 |
| Mailing Telephone | 5092092690 |
| Mailing Fax Number | 5097893323 |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2017-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-13-13306 | CA | Behavioral Health & Social Service Providers |
| Street Address |
19300 S HAMILTON AVE SUITE 130 |
| City | GARDENA |
| State | CA |
| Zip Code | 90248-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578521845 | Medicine Made Easy | Pharmacy | 19300 S Hamilton Ave, Suite 170 & 180, Gardena, CA 90248-4400 | 2006-05-03 |
| 1215380001 | Sl Start Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S Hamilton Ave, Ste 130, Gardena, CA 90248-4400 | 2016-07-18 |
| 1821480013 | Imagine Behavioral Services Ca, LLC | Behavioral Analyst | 19300 S Hamilton Ave, #130, Gardena, CA 90248-4400 | 2015-02-24 |
| 1346580230 | Jennifer S. Martinez | Pharmacist | 19300 S Hamilton Ave, Ste 170, Gardena, CA 90248-4400 | 2013-02-28 |
| 1831447200 | Gilberto Gonzalez Melo | Pharmacist | 19300 S Hamilton Ave, Suite 170, Gardena, CA 90248-4400 | 2012-08-16 |
| 1417216300 | Aids Healthcare Foundation | Pharmacy | 19300 S Hamilton Ave, #170/180, Gardena, CA 90248-4400 | 2012-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| Find all providers in zip 90248 | ||||
| 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 |
|---|---|---|---|---|
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1710499959 | Nathan Lau | Behavioral Analyst | 14851 Marigold Ave, Gardena, CA 90249-3611 | 2017-10-27 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1376072173 | Victory Care | Behavioral Analyst | 16325 S Avalon Blvd, Gardena, CA 90248-2909 | 2017-06-06 |
| 1568817377 | Paola Nathalie Jaime | Behavioral Analyst | 1149 W 190th St Ste 2200, Gardena, CA 90248-4344 | 2016-04-29 |
| 1902223415 | Erika Sinn | Behavioral Analyst | 500 W 190th St Ste 220, Gardena, CA 90248-4270 | 2014-03-21 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| 1386926442 | Diana V Betsis | Behavioral Analyst | 18726 S Western Ave Ste 408, Gardena, CA 90248-3858 | 2011-09-15 |
| 1275133258 | Jacqueline Mendoza | Behavioral Analyst | 18726 S Western Ave, Gardena, CA 90248-3813 | 2020-10-28 |
| Find all providers in GARDENA | ||||
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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.