TRAVIS PHILIPSEN (NPI# 1467019984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467019984 |
| Entity Type | Individual |
| Full Name | TRAVIS PHILIPSEN |
| Practice Address |
101 H St Petaluma CA 94952-5152 |
| Mailing Address |
6354 Starr Rd Windsor CA 95492-9653 |
| Practice Telephone | 7079788031 |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
101 H ST |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-5152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578570016 | Orren Z Perlman | Psychiatry & Neurology | 101 H St, Suite N, Petaluma, CA 94952-5152 | 2006-08-01 |
| 1164057154 | Casey Cullinane | Behavior Technician | 101 H St, Petaluma, CA 94952-5152 | 2020-03-10 |
| 1205469749 | Hiroko Helmer | Behavior Technician | 101 H St, Petaluma, CA 94952-5152 | 2020-02-12 |
| 1629600853 | Ginny King | Behavior Technician | 101 H St, Petaluma, CA 94952-5152 | 2020-02-05 |
| 1639728728 | Kobi Keithley | Behavior Technician | 101 H St, Petaluma, CA 94952-5152 | 2019-09-10 |
| 1942855192 | Cecilia Roy | Behavioral Analyst | 101 H St, Petaluma, CA 94952-5152 | 2019-08-05 |
| 1245885490 | Alma Yudit Perez | Behavior Technician | 101 H St, Petaluma, CA 94952-5152 | 2019-08-05 |
| 1659924850 | Tyjanique Kiara Covin | Behavior Technician | 101 H St, Petaluma, CA 94952-5152 | 2019-07-17 |
| 1114570314 | Blanca E Pantaleon | Behavior Technician | 101 H St, Petaluma, CA 94952-5152 | 2019-07-17 |
| 1598317992 | Antonio Steven Smith | Behavior Technician | 101 H St, Petaluma, CA 94952-5152 | 2019-07-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| 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 |
|---|---|---|---|---|
| 1477019917 | Rubi Isela Cruz Mendoza I | Behavioral Analyst | 8 Round Walk Circle, Petaluma, CA 94954 | 2019-02-20 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1134678204 | Ashley Leveroni | Behavioral Analyst | 1670 Corporate Cir Ste 100, Petaluma, CA 94954-6947 | 2016-09-29 |
| 1518310556 | Monica R Frank | Behavioral Analyst | 1309 Saint Francis Dr, Petaluma, CA 94954-5333 | 2016-07-14 |
| 1740542604 | Laura Briggin | Behavioral Analyst | 3835 Cypress Dr Ste 103, Petaluma, CA 94954-6966 | 2012-06-15 |
| 1942855192 | Cecilia Roy | Behavioral Analyst | 101 H St, Petaluma, CA 94952-5152 | 2019-08-05 |
| 1780242891 | Yesenia Sierra I | Behavioral Analyst | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-06-04 |
| 1912564436 | Diane Dorticos | Behavioral Analyst | 101 H St, Petaluma, CA 94952-5152 | 2019-05-20 |
| 1790240216 | Thyra Nicole Magallanes | Behavioral Analyst | 1670 Corporate Cir Ste 100, Petaluma, CA 94954-6947 | 2019-02-08 |
| 1538623509 | Shawnnay Caprice Neves | Behavioral Analyst | 101 H St, Petaluma, CA 94952-5152 | 2019-01-24 |
| Find all providers in PETALUMA | ||||
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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.