BRANDALEN BARTHOLOMEW (NPI# 1396230769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396230769 |
| Entity Type | Individual |
| Full Name | BRANDALEN BARTHOLOMEW |
| Credential | RBT |
| Practice Address |
4 Crow Canyon Ct Ste 150 San Ramon CA 94583-1679 |
| Practice Telephone | 8442628466 |
| Practice Fax Number | 8442628466 |
| Mailing Telephone | 8442628466 |
| Mailing Fax Number | 8442628466 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 185016107115 | CA | Behavioral Health & Social Service Providers |
| Street Address |
4 CROW CANYON CT STE 150 |
| City | SAN RAMON |
| State | CA |
| Zip Code | 94583-1679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477958924 | Ahilya Lakhanpal | Behavioral Analyst | 4 Crow Canyon Ct Ste 150, San Ramon, CA 94583-1679 | 2014-10-27 |
| 1962037317 | Toni Joy Smith | Behavior Technician | 4 Crow Canyon Ct Ste 150, San Ramon, CA 94583-1679 | 2020-03-05 |
| 1851925564 | Jaecia Freeman | Behavior Technician | 4 Crow Canyon Ct Ste 150, San Ramon, CA 94583-1679 | 2020-03-03 |
| 1548894710 | Stephanie Gonzalez-zepeda | Behavior Technician | 4 Crow Canyon Ct Ste 150, San Ramon, CA 94583-1679 | 2020-02-26 |
| 1457985624 | Zaida Ybarra | Behavior Technician | 4 Crow Canyon Ct Ste 150, San Ramon, CA 94583-1679 | 2020-02-26 |
| 1568094381 | Marissa Villarreal | Behavior Technician | 4 Crow Canyon Ct Ste 150, San Ramon, CA 94583-1679 | 2020-02-10 |
| 1710517685 | Michelynn Morris | Behavior Technician | 4 Crow Canyon Ct Ste 150, San Ramon, CA 94583-1679 | 2020-01-20 |
| 1265062137 | Allison Mitchell | Behavior Technician | 4 Crow Canyon Ct Ste 150, San Ramon, CA 94583-1679 | 2020-01-20 |
| 1174153043 | Asia Buckner | Behavior Technician | 4 Crow Canyon Ct Ste 150, San Ramon, CA 94583-1679 | 2020-01-20 |
| 1902436876 | Andrea Godinez | Behavior Technician | 4 Crow Canyon Ct Ste 150, San Ramon, CA 94583-1679 | 2020-01-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
| 1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
| 1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
| 1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
| 1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
| 1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
| 1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
| 1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
| 1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
| 1437684784 | Nakhla Dental Group | Dentist | Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 | 2017-04-25 |
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| 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 |
|---|---|---|---|---|
| 1861031700 | Emmaline Joy Schwartz I | Behavioral Analyst | 227 Kittery Pl, San Ramon, CA 94583-3246 | 2019-12-23 |
| 1174169023 | Samah Sabry Youssef Awadalla | Behavioral Analyst | 872 Spring Brook Dr, San Ramon, CA 94582-5632 | 2019-11-25 |
| 1306301544 | Asterbelle LLC | Behavioral Analyst | 231 Market Pl Ste 242, San Ramon, CA 94583-4743 | 2019-02-01 |
| 1821579079 | Suddha Mukhopadhyay I | Behavioral Analyst | 2001 Echo Pl, San Ramon, CA 94582-4832 | 2018-08-26 |
| 1942737218 | Patricia Ashley Kamlley | Behavioral Analyst | 2092 Omega Rd Ste G, San Ramon, CA 94583-1230 | 2017-05-17 |
| 1093260069 | Orooj Ansa Wajahat | Behavioral Analyst | 2827 Enfield St, San Ramon, CA 94582-5908 | 2016-08-19 |
| 1750734935 | Michelle Marie Mceuen | Behavioral Analyst | 1 - Crow Canyon Ct Ste # 100, San Ramon, CA 94583 | 2016-07-22 |
| 1083066948 | Rebeca Navarrete | Behavioral Analyst | 2010 Crown Canyon Pl, 100, San Ramon, CA 93583 | 2016-07-05 |
| 1851745814 | Christopher Emmanuel Garcia | Behavioral Analyst | 1 Crow Canyon Ct., Ste #100, San Ramon, CA 94583 | 2016-04-15 |
| 1215390398 | Jessica Castellanos | Behavioral Analyst | 1 Crow Canyon Ct Ste #100, San Ramon, CA 94583 | 2016-04-05 |
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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.