TANYA CARRILLO (NPI# 1386147601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386147601 |
| Entity Type | Individual |
| Full Name | TANYA CARRILLO |
| Credential | RBT |
| Practice Address |
5198 Iroquois Ave Ewa Beach HI 96706-3252 |
| Practice Telephone | 6199479881 |
| Mailing Telephone | 6199479881 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | HI | Behavioral Health & Social Service Providers |
| Street Address |
5198 IROQUOIS AVE |
| City | EWA BEACH |
| State | HI |
| Zip Code | 96706-3252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625516 | Alison Tolentino | Technician | 91-3633 Kauluakoko Street, Ewa Beach, HI 96706 | 2020-06-29 |
| 1851915722 | Sheree Cole Wilson | Social Worker | 6851 B 112th Street, Ewa Beach, HI 96706 | 2020-06-05 |
| 1811547144 | Madelyn Valenzuela | Technician | 91-1007 Napoona St., Ewa Beach, HI 96706 | 2019-09-18 |
| 1932761673 | Kina'ole Case Management Agency LLC | Case Management | 91-1163 Olowa Street Ewa Beach Hi 96706, Ewa Beach, HI 96706 | 2019-07-02 |
| 1952875049 | Vegafit Elite Fitness and Training | Family Medicine | 91-2131 Kaioli St, #3403, Ewa Beach, HI 96706 | 2019-01-11 |
| 1912470345 | Kristen Eiko Kane | Speech-Language Pathologist | 91-1561 Keaunui Dr, Ewa Beach, HI 96706 | 2019-01-08 |
| 1871069849 | Desiree Tricarico | Nurse Practitioner | 91-6390 Kapolei Pkwy, Suite 200, Ewa Beach, HI 96706 | 2018-10-17 |
| 1598251894 | Ewa Beach Dentists LLC | Clinic/Center | 105 Fort Weaver Road, Ste 105, Ewa Beach, HI 96706 | 2018-07-10 |
| 1427586833 | Alison Mcdonald Cameron | Marriage & Family Therapist | 6186a Ibis Ave, Ewa Beach, HI 96706 | 2017-05-30 |
| 1629528567 | Cindy Ann Holden | Contractor | 91755 B Fort Weaver Road, Ewa Beach, HI 96706 | 2016-10-04 |
| Find all providers in zip 96706 | ||||
| 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 |
|---|---|---|---|---|
| 1083239560 | Sarah Maile K Vasconcellos | Behavior Technician | 91-3439 Lupalupa St, Ewa Beach, HI 96706-5847 | 2020-06-10 |
| 1386266385 | Teena Marie Crain Szymanski | Behavior Technician | 91-1037 Waikapoo St, Ewa Beach, HI 96706-6464 | 2020-05-12 |
| 1922659077 | Cassidy Carin Ohia | Behavior Technician | 91-1121 Keaunui Dr Ste 108, Ewa Beach, HI 96706-6365 | 2019-09-20 |
| 1063979367 | Jalen Marie Lee | Behavior Technician | 91-1056 Huaulaula Loop, Ewa Beach, HI 96706-5818 | 2019-02-23 |
| 1821573700 | Veronica Aronica | Behavior Technician | 91-1160 Kamakana St Unit 256, Ewa Beach, HI 96706-4882 | 2018-09-26 |
| 1124502521 | Jessica Sinchak | Behavior Technician | 5399 Edgewater Dr, Ewa Beach, HI 96706-3228 | 2018-09-20 |
| 1497232904 | Natalie Jean Reighard | Behavior Technician | 91-1411 Keoneula Blvd Unit 2102, Ewa Beach, HI 96706-6453 | 2018-07-26 |
| 1316440597 | Ao Lin | Behavior Technician | 91-418 Makalea St, Ewa Beach, HI 96706-5940 | 2018-03-14 |
| 1497208052 | Lafa'aua Taupaleiva'alelea Iafeta | Behavior Technician | 91-1025 Ahona St, Ewa Beach, HI 96706-2202 | 2016-08-01 |
| 1295346278 | Ketsy Karen Anderson | Behavior Technician | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2020-08-12 |
| Find all providers in EWA BEACH | ||||
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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.