KEITH COSGROVE (NPI# 1366961476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366961476 |
| Entity Type | Individual |
| Full Name | KEITH COSGROVE |
| Credential | RBT |
| Practice Address |
94-849 Lumiaina St Unit 201 Waipahu HI 96797 |
| Mailing Address |
16782 Von Karman Ave Ste 11 Irvine CA 92606-2417 |
| Practice Telephone | 8082947050 |
| Mailing Telephone | 9498332237 |
| Mailing Fax Number | 9492534627 |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2019-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 247000000X | Technician, Health Information | CA | Technologists, Technicians & Other Technical Service Providers | |
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11037 Warner Ave # 339, Fountain Valley, CA 927084007 | (800) 273-4292 | 9492534627 |
| Street Address |
94-849 LUMIAINA ST UNIT 201 |
| City | WAIPAHU |
| State | HI |
| Zip Code | 96797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598037624 | Anastasia Leigh Keller-collins | Behavioral Analyst | 94-849 Lumiaina St Unit 201, Waipahu, HI 96797 | 2012-02-06 |
| 1396346243 | Ileana Hernandez | Behavior Technician | 94-849 Lumiaina St Unit 201, Waipahu, HI 96797-5677 | 2020-11-06 |
| 1841898558 | Christine Tumilowicz | Behavioral Analyst | 94-849 Lumiaina St Unit 201, Waipahu, HI 96797-5677 | 2020-10-14 |
| 1922614460 | Luisa Angela Rambac | Behavior Technician | 94-849 Lumiaina St Unit 201, Waipahu, HI 96797-5677 | 2020-09-21 |
| 1699380253 | Shaye Weaver | Behavior Technician | 94-849 Lumiaina St Unit 201, Waipahu, HI 96797-5677 | 2020-09-10 |
| 1528673159 | Fereti Frank Uti | Behavior Technician | 94-849 Lumiaina St Unit 201, Waipahu, HI 96797-5677 | 2020-09-10 |
| 1114532751 | Madison Lee Kaohinani Sharp | Behavior Technician | 94-849 Lumiaina St Unit 201, Waipahu, HI 96797-5677 | 2020-09-10 |
| 1811500465 | Laura O Cisneros | Specialist/Technologist | 94-849 Lumiaina St Unit 201, Waipahu, HI 96797-5677 | 2020-08-24 |
| 1114539152 | Joyce Ann Sacalamitao | Behavior Technician | 94-849 Lumiaina St Unit 201, Waipahu, HI 96797-5677 | 2020-08-20 |
| 1386256311 | Alessandra Hernandez | Behavior Technician | 94-849 Lumiaina St Unit 201, Waipahu, HI 96797-5677 | 2020-08-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324471 | Compcare, LLC | Clinic/Center | 94-997 Hanauna St 5f, Waipahu, HI 96797 | 2020-04-05 |
| 1205478625 | Jason Lee Riessland | Licensed Practical Nurse | 94-450 Mokuola Street, Suite 100, Waipahu, HI 96797 | 2019-10-17 |
| 1942858246 | James Jiro Horie | Technician | 94-732 Kuhaulua Pl., Waipahu, HI 96797 | 2019-08-29 |
| 1154987014 | Joy Anne Ramos Mendoza | Registered Nurse | 94-216 Farrington Hwy B2-302, Waipahu, HI 96797 | 2019-05-16 |
| 1902382336 | Enm Transportation LLC | Non-emergency Medical Transport (VAN) | 94-144 Kaaholo Place, Walpahu, HI 96797 | 2018-07-18 |
| 1104328418 | Leia Reynolds | Behavior Technician | 94 849 Lumiaina St Unit 201, Waipahu, HI 96797 | 2018-03-02 |
| 1760980056 | Janice Martineau | Pharmacist | 94 060 Farrington Hwy, Longs Pharmacy Dept, Waipahu, HI 96797 | 2018-02-01 |
| 1184131229 | Kathleen Balallo | Behavior Technician | 94-513 Hiahia Loop, Waipahu, HI 96797 | 2018-01-10 |
| 1922515824 | Bryan Spare | Behavior Technician | 94-1221 Ka Uka Blvd., Unit 108, #167, Waipahu, HI 96797 | 2018-01-02 |
| 1174039390 | Yiana Burton | Behavior Technician | 94-1221 Ka Uka Blvd., Unit 108 #167, Waipahu, HI 96797 | 2017-12-26 |
| Find all providers in zip 96797 | ||||
| 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 |
|---|---|---|---|---|
| 1578161774 | Alyssa Luana Peralto | Behavioral Analyst | 94-778 Nolupe St, Waipahu, HI 96797-1278 | 2020-10-12 |
| 1134677347 | Erika Km Kim Seu | Behavioral Analyst | 94-1143 Noheaiki Way, Waipahu, HI 96797-4140 | 2016-09-15 |
| 1881009173 | Tiarra Hodges | Behavioral Analyst | 94-543 Lumiaina St, Apt 204 U, Waipahu, HI 96797 | 2014-06-25 |
| 1609136415 | Andrew Perez Angeles | Behavioral Analyst | 94-714 Kupuohi St, Waipahu, HI 96797-1125 | 2012-05-25 |
| 1164788931 | Cheryl Tamae Tse | Behavioral Analyst | 94-1060 Paha Pl Apt K5, Waipahu, HI 96797-4227 | 2012-04-05 |
| 1598037624 | Anastasia Leigh Keller-collins | Behavioral Analyst | 94-849 Lumiaina St Unit 201, Waipahu, HI 96797 | 2012-02-06 |
| 1437301868 | Kimberly Inglis | Behavioral Analyst | 98-489 Lumiaina St, Suite 201, Waipahu, HI 96797 | 2008-10-16 |
| 1841898558 | Christine Tumilowicz | Behavioral Analyst | 94-849 Lumiaina St Unit 201, Waipahu, HI 96797-5677 | 2020-10-14 |
| 1215586987 | Joshua Osa Hoppe | Behavioral Analyst | 94-1221 Ka Uka Blvd, Waipahu, HI 96797-6202 | 2019-09-05 |
| 1164984621 | Denise Humphreys | Behavioral Analyst | 94-1221 Ka Uka Blvd, Waipahu, HI 96797-6202 | 2019-04-03 |
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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.