MALYKA PETTIGRUE (NPI# 1285124107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285124107 |
| Entity Type | Individual |
| Full Name | MALYKA PETTIGRUE |
| Practice Address |
7310 Blue Water Dr Castle Rock CO 80108-8531 |
| Mailing Address |
11177 W 8th Ave Ste 121 Lakewood CO 80215-5520 |
| Practice Telephone | 7204644143 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
7310 BLUE WATER DR |
| City | CASTLE ROCK |
| State | CO |
| Zip Code | 80108-8531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164050902 | Elisabeth Susanne Littleton | Clinical Nurse Specialist | 6415 Montano Pl, Castle Pines, CO 80108 | 2020-03-28 |
| 1508366576 | Converge Health, LLC | Pharmacist | 4410 Orofino Pl, Castle Rock, CO 80108 | 2018-02-16 |
| 1447677042 | New Paradigm Counseling | Community/Behavioral Health | 757 Maleta Lane Suite 101, Castle Rock, CO 80108 | 2014-03-21 |
| 1205258043 | Valerie Sorensen Miller | Lactation Consultant, Non-RN | 9201 N Palomino, Castle Rock, CO 80108 | 2014-01-14 |
| 1134555238 | Michael Hunter | Pharmacist | 8664 Fawnwood Dr, Castle Pines, CO 80108 | 2013-09-20 |
| 1821341587 | Herman Aristov | Specialist/Technologist, Other | 1170 Berganot Trail, Castle Pines, CO 80108 | 2012-10-18 |
| 1457625691 | Castle Rock Modern Dentistry, LLP | Dentist | 36 East Allen Street, Ste. 100, Castle Rock, CO 80108 | 2012-03-06 |
| 1407166770 | Scott Ryan | Dentist | 850 Happy Canyon Road, Castle Rock, CO 80108 | 2010-10-20 |
| 1184817330 | Ralph Richard Trinque | Dentist | 7080 Campden Pl, Castle Pines, CO 80108 | 2007-08-21 |
| 1982826517 | Pediatric Denticare, P.C. | Dentist | 361 Village Square Lane, Suite 100, Castle Rock, CO 80108 | 2007-05-03 |
| Find all providers in zip 80108 | ||||
| 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 |
|---|---|---|---|---|
| 1407471113 | Sydney Waite | Behavior Technician | 115 Wilcox St, Suite 220, Castle Rock, CO 80104-1992 | 2020-06-09 |
| 1588200430 | Mackenzie Morones | Behavior Technician | 525 Scott Blvd Apt 304, Castle Rock, CO 80104-7596 | 2019-11-25 |
| 1720629793 | Trinity Lynn Klecker | Behavior Technician | 416 Brierwood Ct Se, Castle Rock, WA 98611-9615 | 2019-10-01 |
| 1932761376 | Sara Jean Jenkins | Behavior Technician | 147 Dixon Rd, Castle Rock, WA 98611-9320 | 2019-07-06 |
| 1174013486 | Cheryl Ann Morris | Behavior Technician | 5048 Rocky Mountain Dr, Castle Rock, CO 80109-8636 | 2018-05-11 |
| 1215534789 | Sara Flores | Behavior Technician | 115 Wilcox St, Suite 220, Castle Rock, CO 80104-1992 | 2020-10-07 |
| 1306443866 | Elise Wilkins | Behavior Technician | 115 Wilcox St, Suite 220, Castle Rock, CO 80104-1992 | 2020-10-07 |
| 1972117612 | Michelle Miller | Behavior Technician | 115 Wilcox St, Suite 220, Castle Rock, CO 80104-1992 | 2020-09-01 |
| 1679183750 | Sydney Boyd | Behavior Technician | 115 Wilcox St, Suite 220, Castle Rock, CO 80104-1992 | 2020-08-04 |
| 1023628104 | Audrey Glenn | Behavior Technician | 115 Wilcox St, Suite 220, Castle Rock, CO 80104-1992 | 2020-08-04 |
| Find all providers in CASTLE ROCK | ||||
| City | CASTLE ROCK |
| Zip Code | 80108 |
Please comment or provide details below to improve the information on MALYKA PETTIGRUE.
| 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.