MISS MIRA VK PATEL (NPI# 1215431630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215431630 |
| Entity Type | Individual |
| Full Name | MISS MIRA VK PATEL |
| Practice Address |
4730 Table Mesa Dr Ste H-200 Boulder CO 80305-5560 |
| Mailing Address |
21600 Oxnard St Woodland Hills CA 91367-4976 |
| Practice Telephone | 7204080822 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | CO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21600 Oxnard St, Woodland Hills, CA 913674976 | 8183452345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821635459 | Mira Patel | Registered Nurse | 2509 Manchester Blvd, Ottawa Hills, OH 43606-2404 | 2019-12-02 |
| 1013571702 | Mira Rohit Patel | Student in an Organized Health Care Education/Training Program | 300 Carson St Ste A, Jonesboro, AR 72401-3104 | 2019-04-28 |
| 1215409305 | Mira Patel | Marriage & Family Therapist | 3906 N Lamar Blvd Ste 204d, Austin, TX 78756-4009 | 2018-12-30 |
| 1588970552 | Mira M Patel | Pharmacist | 7270 Montgomery Road, Rite Aid Pharmacy, Elkridge, MD 21075 | 2010-08-27 |
| 1730716226 | Mira Patel | Student in an Organized Health Care Education/Training Program | 2001 Vail Ave, Charlotte, NC 28207-1248 | 2020-03-24 |
| 1578105664 | Mira S Patel | Physician Assistant | 17th & Chew, Suite 101, Allentown, PA 18105-7017 | 2019-10-10 |
| 1760970008 | Mira Patel | Occupational Therapist | 250 Nw 76th Dr, Gainesville, FL 32607-6668 | 2018-04-23 |
| 1083128995 | Mira Patel | Physician Assistant | 345 N Highway 67, Cedar Hill, TX 75104-2134 | 2017-11-30 |
| 1477097632 | Mira Patel | Marriage & Family Therapist | 2680 S White Rd, San Jose, CA 95148-2074 | 2016-12-07 |
| 1518368745 | Mira Patel | Nurse Practitioner | 520 N Wood Ave, Linden, NJ 07036-4147 | 2014-09-08 |
| Street Address |
4730 TABLE MESA DR STE H-200 |
| City | BOULDER |
| State | CO |
| Zip Code | 80305-5560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538698923 | Carian Mclean | Registered Nurse | 1013 Berea Dr, Boulder, CO 80305 | 2017-06-08 |
| 1548629439 | Kimberly Norquist | Dental Hygienist | 661 S. Broadway St, Boulder, CO 80305 | 2016-02-19 |
| 1871981266 | Kathleen Anne Stone | Registered Nurse | 3680 Silver Plume Lane, Boulder, CO 80305 | 2015-01-07 |
| 1104235779 | Joyce Larson | Marriage & Family Therapist | 1190 S Lashley Ln, Boulder, CO 80305 | 2014-08-07 |
| 1982035788 | Virginia Pleasants Vandenbergh | Counselor | 4760 Ludlow St, Boulder, CO 80305 | 2013-12-03 |
| 1790992550 | Jasjit Singh Gill | Pharmacist | The Apothecary Pharmacy - University of Colorado, 350 Broadway Ste. 50, Boulder, CO 80305 | 2007-05-17 |
| 1477768299 | Stephen W Laycock | Dentist | 4150 Darley Ave., Suite 7, Boulder, CO 80305 | 2007-05-14 |
| 1871614560 | Steven Leslie Buffer | Dentist | 385 Broadway St, Boulder, CO 80305 | 2007-04-02 |
| 1801927793 | Jeffrey Dann | Acupuncturist | 3400 Table Mesa Drive, Ste. 205, Boulder, CO 80305 | 2007-03-09 |
| 1235292145 | Pharmaca Integrative Pharmacy | Exclusive Provider Organization | 645 South Boulder, Boulder, CO 80305 | 2006-12-19 |
| Find all providers in zip 80305 | ||||
| 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 |
|---|---|---|---|---|
| 1063010700 | Alyssa Ponsolle | Behavior Technician | 2305 Broadway St Fl 300010, Boulder, CO 80304-4106 | 2020-10-14 |
| 1538625298 | Anuja Anna Varghese | Behavior Technician | 860 W Moorhead Cir Apt 2i, Boulder, CO 80305-6131 | 2019-02-18 |
| 1235626151 | Chelsea Stallan | Behavior Technician | 4730 Table Mesa Dr # H200, Boulder, CO 80305-5560 | 2018-04-16 |
| 1699283986 | Matthew Emrikson | Behavior Technician | 4730 Table Mesa Dr Ste H200, Boulder, CO 80305-5560 | 2018-01-20 |
| 1679089791 | Tiara Sutton | Behavior Technician | 2244 Goss Cir E Apt 1, Boulder, CO 80302-6635 | 2017-12-27 |
| 1225638927 | Alyssa Arden Reed | Behavior Technician | 2500 Arapahoe Ave Ste 230, Boulder, CO 80302-6752 | 2020-10-30 |
| 1417557315 | Danya Jade Demayo-lockhart | Behavior Technician | 2500 Arapahoe Ave Ste 230, Boulder, CO 80302-6752 | 2020-10-29 |
| 1710587985 | Caitlyn Fitzgerald | Behavior Technician | 2500 Arapahoe Ave Ste 230, Boulder, CO 80302-6752 | 2020-10-27 |
| 1346849874 | Olivia Soukup | Behavior Technician | 2500 Arapahoe Ave Ste 230, Boulder, CO 80302-6752 | 2020-10-26 |
| 1841899143 | Kaylee Wilson | Behavior Technician | 2500 Arapahoe Ave Ste 230, Boulder, CO 80302-6752 | 2020-10-19 |
| Find all providers in BOULDER | ||||
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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.