KARLA SAMANTHA WADE (NPI# 1245831775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245831775 |
| Entity Type | Individual |
| Full Name | KARLA SAMANTHA WADE |
| Practice Address |
7090 Miratech Dr San Diego CA 92121-3109 |
| Mailing Address |
2428 Eastridge Loop Chula Vista CA 91915-1114 |
| Practice Telephone | 6195718451 |
| Mailing Telephone | 6195718451 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790961027 | Karla Marie Wade | Counselor | 411 Allumbaugh St, Boise, ID 83704-9210 | 2008-01-16 |
| 1972700466 | Karla Wade | Counselor | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2007-06-28 |
| Street Address |
7090 MIRATECH DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427176700 | Suzanne Goh-hattangadi | Pediatrics | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2007-03-26 |
| 1770184541 | Adrian King | Behavior Technician | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-11-06 |
| 1285235028 | Eric Villanueva | Physical Therapy Assistant | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-11-06 |
| 1669073755 | Daniella J Gonzalez | Behavior Technician | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-11-04 |
| 1861092561 | Jasmin Shahir Haddad | Behavioral Analyst | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-10-30 |
| 1437757903 | Natalie Perez | Behavior Technician | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-10-15 |
| 1750988044 | Sarah Stumpf | Behavioral Analyst | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-10-08 |
| 1154928752 | Marialisa Grassa | Behavioral Analyst | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-10-06 |
| 1740896216 | Desiree Nicole Martin | Behavior Technician | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-09-21 |
| 1902412844 | Troy R Randy Campbell | Behavior Technician | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-09-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
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| 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 |
|---|---|---|---|---|
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1548829310 | Nathaniel Wehner | Assistant Behavior Analyst | 5763 Riley St Apt 6, San Diego, CA 92110-1700 | 2019-06-06 |
| 1619439882 | Alison M Hranek | Assistant Behavior Analyst | 8996 Miramar Rd, San Diego, CA 92126-4451 | 2019-04-04 |
| 1194248773 | Charmin Campano | Assistant Behavior Analyst | 7860 Mission Center Ct Ste 100, San Diego, CA 92108-1330 | 2017-07-25 |
| 1679019087 | Karyn Rose Giaquinto Fistonich | Assistant Behavior Analyst | 10060 Old Grove Road, San Diego, CA 92131 | 2017-01-09 |
| 1811336910 | Mebe San Diego | Assistant Behavior Analyst | 3878 Ruffin Rd Ste B, San Diego, CA 92123-1842 | 2013-06-21 |
| 1861028334 | Rebecca Lynn Collins | Assistant Behavior Analyst | 8885 Rio San Diego Dr Ste 340, San Diego, CA 92108-1669 | 2020-03-17 |
| 1679109193 | Seo Hyun Park | Assistant Behavior Analyst | 501 W Broadway Ste 800, San Diego, CA 92101-3546 | 2020-03-16 |
| 1427609114 | Mary Mcnew | Assistant Behavior Analyst | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128-2426 | 2019-09-24 |
| 1952965998 | Larissa Jennifer Labs | Assistant Behavior Analyst | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2019-04-25 |
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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.