MARLA BALTAZAR (NPI# 1447790050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447790050 |
Entity Type | Individual |
Full Name | MARLA BALTAZAR |
Practice Address |
400 E Royal Ln Ste 290 Irving TX 75039-3602 |
Mailing Address |
4575 Se Dixie Hwy Stuart FL 34997-6826 |
Practice Telephone | 8558326727 |
Practice Fax Number | 7726759100 |
Enumeration Date | 2017-03-01 |
Last Update Date | 2017-03-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
Street Address |
400 E ROYAL LN STE 290 |
City | IRVING |
State | TX |
Zip Code | 75039-3602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427239904 | Julie Ann Browne | Behavioral Analyst | 400 E Royal Ln Ste 290, Irving, TX 75039-3602 | 2007-11-26 |
1437776358 | Kezia Faye Martin | Behavioral Analyst | 400 E Royal Ln Ste 290, Irving, TX 75039-3602 | 2020-06-26 |
1639790330 | Robin Michelle Williams | Behavior Technician | 400 E Royal Ln Ste 290, Irving, TX 75039-3602 | 2020-05-04 |
1982244588 | Jennifer A Fraser | Counselor | 400 E Royal Ln Ste 290, Irving, TX 75039-3602 | 2020-01-10 |
1417590670 | Latricia Deshun Carroll | Behavioral Analyst | 400 E Royal Ln Ste 290, Irving, TX 75039-3602 | 2019-10-21 |
1790327591 | Scott Allen Newman | Behavioral Analyst | 400 E Royal Ln Ste 290, Irving, TX 75039-3602 | 2019-10-13 |
1306403944 | Elizabeth Patino | Behavior Technician | 400 E Royal Ln Ste 290, Irving, TX 75039-3602 | 2019-05-20 |
1841751328 | Simone Pickett | Technician, Other | 400 E Royal Ln Ste 290, Irving, TX 75039-3602 | 2019-03-27 |
1053871137 | Healthy Minds Psychological Services Pllc | Psychologist | 400 E Royal Ln Ste 290, Irving, TX 75039-3602 | 2019-03-23 |
1710445168 | William H Eckert Jr. | Behavioral Analyst | 400 E Royal Ln Ste 290, Irving, TX 75039-3602 | 2019-03-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457976714 | Blue Light Therapies LLC | Clinic/Center | 421 E Royal Ln Suite 100, Irving, TN 75039 | 2020-06-12 |
1912537127 | Family Pharmacy @ Las Colinas LLC | Pharmacy | 6555 North State Hwy 161, Suite B, Irving, TX 75039 | 2020-01-16 |
1669011581 | Thrive House Therapy Pllc | Counselor | 5000 Riverside Drive, Bldg 6, Ste 100, Irving, TX 75039 | 2019-12-23 |
1265075048 | Juliana Dubey | Technician, Other | 400 E. Royal Ln, Building 3, Suite 290, Irving, TX 75039 | 2019-10-23 |
1932753894 | Jane Spagnoletti Niemtschk | Pharmacist | 750 West John Carpenter Freeway, Mc500, Irving, TX 75039 | 2019-07-30 |
1235796640 | Daniel Puig | Massage Therapist | 5000 Riverside Dr. Bldg 6 Ste. 100e, Irving, TX 75039 | 2019-05-21 |
1104301738 | Charity Maashe | Technician, Other | 400 E. Royal Lane, Bld 3, Ste 290, Irving, TX 75039 | 2018-09-28 |
1225545460 | Kuriachan Eye Institute, Pllc | Ophthalmology | 6750 N Macarthur Blvd Ste 331, Irving, TX 75039 | 2018-01-09 |
1619489978 | Eric Reaves | Assistant Behavior Analyst | 400 E. Royal Lane Bldg. 3, Suite 290, Irving, TX 75039 | 2017-10-26 |
1194247023 | Michael Do | Optometrist | 6445 Love Dr Apt 3035, Irving, TX 75039 | 2017-07-12 |
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Taxonomy Code | 106E00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Assistant Behavior Analyst |
An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
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 |
---|---|---|---|---|
1619489978 | Eric Reaves | Assistant Behavior Analyst | 400 E. Royal Lane Bldg. 3, Suite 290, Irving, TX 75039 | 2017-10-26 |
1467088575 | Carol Carter | Assistant Behavior Analyst | 400 E Royal Ln Bldg 3, Irving, TX 75039-3540 | 2020-03-20 |
1063076107 | Chrisana Rebecca Calandro | Assistant Behavior Analyst | 3100 Premier Dr Ste 234, Irving, TX 75063-2693 | 2019-04-24 |
1659854388 | Chantal Renee St. Clair | Assistant Behavior Analyst | 400 E Royal Ln Bldg 3, Irving, TX 75039-3540 | 2018-09-10 |
1649799388 | Crystal May | Assistant Behavior Analyst | 400 E Royal Ln, Irving, TX 75039-3540 | 2017-09-13 |
1811448889 | Kecia Bolton | Assistant Behavior Analyst | 400 E Royal Ln Bldg 3, Irving, TX 75039-3540 | 2016-10-14 |
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---|---|---|---|---|
1821601667 | Mary Carmen Brubaker | Assistant Behavior Analyst | 3403b Garden Villa Ln # B, Austin, TX 78704-6915 | 2020-08-30 |
1467073759 | Katie Worrell LLC | Assistant Behavior Analyst | 901 S Mo Pac Expy Ste 300, Austin, TX 78746-5883 | 2020-04-28 |
1982243192 | Behavior Care Specialists, Inc. | Assistant Behavior Analyst | 21230 Kingsland Blvd Ste 100a, Katy, TX 77450-5899 | 2020-01-06 |
1114570850 | Shahnaz Suleman Sayani | Assistant Behavior Analyst | 3304 Monarch, San Antonio, TX 78259-2352 | 2019-07-22 |
1265094080 | Jennifer N Casey | Assistant Behavior Analyst | 1010 Rio Frio Dr, Forney, TX 75126-1899 | 2019-07-01 |
1386106490 | Irrum Abbas I | Assistant Behavior Analyst | 11536 Ashley Ln, Frisco, TX 75035-0405 | 2019-04-05 |
1952873457 | Elizabeth Rivera | Assistant Behavior Analyst | 2734 Kingston St, Dallas, TX 75211-5530 | 2018-12-20 |
1881163582 | Amy Ceniza Babanto | Assistant Behavior Analyst | 1001 Pineloch Drive, Suite 600, Houston, TX 77062 | 2018-11-26 |
1376020214 | Katherine Bachman | Assistant Behavior Analyst | 325 N Saint Paul St Ste 3100, Dallas, TX 75201-3923 | 2018-07-24 |
1861987323 | Amanda Mccartney | Assistant Behavior Analyst | 3517 Gettysburg Dr, Pearland, TX 77584-3989 | 2018-06-27 |
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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.