MONA GHANNOUM (NPI# 1437710878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437710878 |
| Entity Type | Individual |
| Full Name | MONA GHANNOUM |
| Practice Address |
1020 S Arroyo Pkwy Pasadena CA 91105-3911 |
| Mailing Address |
1301 E Orangewood Ave Anaheim CA 92805-6807 |
| Practice Telephone | 6264032794 |
| Mailing Telephone | 8002491266 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1301 E Orangewood Ave, Anaheim, CA 928056807 | 8002491266 |
| Street Address |
1020 S ARROYO PKWY |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912001934 | Pacific Clinics | Community/Behavioral Health | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2006-09-11 |
| 1467086322 | Victoria A Roelens | Counselor | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2020-02-28 |
| 1750912994 | Nathan Samuel Perdomo | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2020-01-27 |
| 1568093706 | Amanda Kathleen Pearson | Licensed Psychiatric Technician | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2020-01-27 |
| 1023652898 | Taylor Nicole Hannon | Licensed Psychiatric Technician | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2019-11-04 |
| 1952960049 | Marisol Pizano | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2019-06-11 |
| 1366900417 | Nina Frances Muller | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2019-03-07 |
| 1376021667 | Rosa Isela Lazaro | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy, Pasadena, CA 91105 | 2018-07-30 |
| 1982199881 | Shaileen Candie Martinez | Student in an Organized Health Care Education/Training Program | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2018-06-25 |
| 1225539372 | Celebrity Blockton-gonzalez | Counselor | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2018-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| 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 |
|---|---|---|---|---|
| 1790390318 | Kendall Audrey Hamlin | Behavior Technician | 8686 Scorton Harbour, Pasadena, MD 21122-6512 | 2020-09-10 |
| 1295346047 | Kelly Lynn Gielner | Behavior Technician | 305 Stone Hollow Ct, Pasadena, MD 21122-7519 | 2020-08-14 |
| 1881212447 | Amira Aiomanu Lawrence | Behavior Technician | 1055 E Colorado Blvd., 560, Pasadena, CA 91106-2380 | 2020-07-10 |
| 1760009443 | Benjimen C Weidman | Behavior Technician | 55 E Colorado Blvd Ste 560, Pasadena, CA 91105-1901 | 2020-06-29 |
| 1922625987 | Alexa Ann Mettrick | Behavior Technician | 1055 E. Colorado Blcd., Suite 560, Pasadena, CA 91106 | 2020-06-25 |
| 1841816113 | Janet Akhtar | Behavior Technician | 1055 E Colorado Blvd Ste 56, Pasadena, CA 91106-2327 | 2020-06-22 |
| 1780205344 | Giovani Telusma | Behavior Technician | 1055 E Colorado Blvd Ste 560 Pasadena, Pasadena, CT 91106 | 2020-05-05 |
| 1083249361 | Sarah Manetti | Behavior Technician | 2835 Nina St Apt 8, Pasadena, CA 91107-6700 | 2020-03-07 |
| 1740826742 | Taylor Hollier | Behavior Technician | 177 E Colorado Blvd Ste 2082, Pasadena, CA 91105-1986 | 2019-11-25 |
| 1386288223 | Aneeka Ahmed I | Behavior Technician | 1055 E Colorado Blvd # 91106, Pasadena, CA 91106-2327 | 2019-11-04 |
| Find all providers in PASADENA | ||||
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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.