INNOVATE ABA (NPI# 1346863529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346863529 |
| Entity Type | Organization |
| Organization Name | INNOVATE ABA |
| Practice Address |
5405 Alton Pkwy Ste 5a #430 Irvine CA 92604-3717 |
| Practice Telephone | 7145805969 |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |
| Authorized Official Name | MS. BROOKE TAWANNA (OWNER) |
| Authorized Official Telephone | 7145805969 |
| Authorized Official Credential | MS, BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
5405 ALTON PKWY STE 5A #430 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154508414 | Kamel L. Kamel, M.d, Inc | Psychiatry & Neurology | 5405 Alton Pkwy Ste 5a, Irvine, CA 92604-3717 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| 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 |
|---|---|---|---|---|
| 1003427204 | Janki Merai | Behavioral Analyst | 51 Dorado, Irvine, CA 92618-1318 | 2020-08-11 |
| 1326609918 | Jessica Ann Marines | Behavioral Analyst | 5200 Bonita Canyon Dr, Irvine, CA 92603-0165 | 2019-06-24 |
| 1881254035 | Kassandra De Jesus Aguilar | Behavioral Analyst | 562 Saint Vincent, Irvine, CA 92618-3933 | 2019-06-19 |
| 1851957476 | Brandon Reeder | Behavioral Analyst | 18008 Sky Park Cir Ste 100, Irvine, CA 92614-6434 | 2019-05-20 |
| 1083277172 | Reece Arthur | Behavioral Analyst | 16782 Von Karman Ave Ste 21, Irvine, CA 92606-2418 | 2019-04-15 |
| 1962976118 | Cameron Tyler Fateri | Behavioral Analyst | 47 Golden Eagle, Irvine, CA 92603-0308 | 2019-01-21 |
| 1326512575 | Paula Andrea Echeverry Sandoval | Behavioral Analyst | 93 Stepping Stone, Irvine, CA 92603-4207 | 2019-01-21 |
| 1053884049 | Darlene Varciag | Behavioral Analyst | 44 Kazan St, Irvine, CA 92604-2456 | 2019-01-02 |
| 1669956074 | Behavioral Education Skill Treatment Center | Behavioral Analyst | 17802 Sky Park Cir Ste 105, Irvine, CA 92614-6405 | 2018-09-20 |
| 1568948479 | Andrea M Jackson | Behavioral Analyst | 2091 Business Center Dr Ste 150, Irvine, CA 92612-1167 | 2018-07-13 |
| Find all providers in IRVINE | ||||
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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.