SMRITY SINGH BURRITT (NPI# 1396364311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396364311 |
| Entity Type | Individual |
| Full Name | SMRITY SINGH BURRITT |
| Practice Address |
2133 Fairfax Pl Santa Rosa CA 95404-8033 |
| Practice Telephone | 7074940153 |
| Mailing Telephone | 7074940153 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |
| 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 |
2133 FAIRFAX PL |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-8033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| 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 |
|---|---|---|---|---|
| 1194350611 | Hannah Teal | Behavior Technician | 5040 Charmian Dr, Santa Rosa, CA 95409-3538 | 2020-03-04 |
| 1932732971 | Mercedes Chanel Johnson | Behavior Technician | 3 San Luis Pl, Santa Rosa, CA 95409-2806 | 2020-02-18 |
| 1639702160 | Leah Gulley | Behavior Technician | 1929 Contra Costa Ave, Santa Rosa, CA 95405-8104 | 2020-02-12 |
| 1326670704 | Jackeline Howard | Behavior Technician | 560 Dexter St Apt F, Santa Rosa, CA 95404-2403 | 2020-02-04 |
| 1255979670 | Anahy Tinoco Lopez | Behavior Technician | 170 Eddy Dr, Santa Rosa, CA 95407-7852 | 2019-12-16 |
| 1588206528 | Erika K Chavez | Behavior Technician | 526 Kirkwood Ct, Santa Rosa, CA 95407-7074 | 2019-10-10 |
| 1780247999 | Amanda Kay Bourke | Behavior Technician | 703 2nd St Ste 106, Santa Rosa, CA 95404-6505 | 2019-04-15 |
| 1205309473 | Jay Vien Marquez | Behavior Technician | 1335 N Dutton Ave Ste 11, Santa Rosa, CA 95401-4609 | 2019-01-09 |
| 1215400932 | Philip Drasny | Behavior Technician | 4818 School St, Santa Rosa, CA 95409-3535 | 2019-01-04 |
| 1215405998 | Julia Lynn Mcdonnell | Behavior Technician | 1210 Albert Dr, Santa Rosa, CA 95405-7002 | 2018-11-11 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
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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.