ALEXANDRA F KOPACK (NPI# 1497260392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497260392 |
| Entity Type | Individual |
| Full Name | ALEXANDRA F KOPACK |
| Credential | BCABA |
| Practice Address |
11770 Bernardo Plaza Ct Ste 350 San Diego CA 92128-2426 |
| Practice Telephone | 7603494200 |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 0-17-8075 | CA | Behavioral Health & Social Service Providers |
| Street Address |
11770 BERNARDO PLAZA CT STE 350 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730595570 | Charity Fluegge | Developmental Therapist | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128 | 2014-07-01 |
| 1912507179 | Taylor C Ansara | Behavior Technician | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128-2426 | 2020-10-27 |
| 1588263636 | Kaila Fale | Behavior Technician | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128-2426 | 2020-10-20 |
| 1295333151 | Taylor Marie Waner | Behavior Technician | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128-2426 | 2020-10-13 |
| 1770180317 | Andrick Gibran Molinero | Behavior Technician | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128-2426 | 2020-10-07 |
| 1285231035 | Brianna Alderman | Behavior Technician | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128-2426 | 2020-10-05 |
| 1417563552 | Darlene Hernandez | Behavior Technician | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128-2426 | 2020-09-22 |
| 1326653478 | Angelica Renee White | Behavior Technician | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128-2426 | 2020-09-14 |
| 1265047070 | Amanda Georgianna Coates | Behavior Technician | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128-2426 | 2020-09-09 |
| 1184237745 | Maryna Correa | Behavior Technician | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128-2426 | 2020-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
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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 |
|---|---|---|---|---|
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1548829310 | Nathaniel Wehner | Assistant Behavior Analyst | 5763 Riley St Apt 6, San Diego, CA 92110-1700 | 2019-06-06 |
| 1619439882 | Alison M Hranek | Assistant Behavior Analyst | 8996 Miramar Rd, San Diego, CA 92126-4451 | 2019-04-04 |
| 1194248773 | Charmin Campano | Assistant Behavior Analyst | 7860 Mission Center Ct Ste 100, San Diego, CA 92108-1330 | 2017-07-25 |
| 1679019087 | Karyn Rose Giaquinto Fistonich | Assistant Behavior Analyst | 10060 Old Grove Road, San Diego, CA 92131 | 2017-01-09 |
| 1811336910 | Mebe San Diego | Assistant Behavior Analyst | 3878 Ruffin Rd Ste B, San Diego, CA 92123-1842 | 2013-06-21 |
| 1245831775 | Karla Samantha Wade | Assistant Behavior Analyst | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-11-02 |
| 1861028334 | Rebecca Lynn Collins | Assistant Behavior Analyst | 8885 Rio San Diego Dr Ste 340, San Diego, CA 92108-1669 | 2020-03-17 |
| 1679109193 | Seo Hyun Park | Assistant Behavior Analyst | 501 W Broadway Ste 800, San Diego, CA 92101-3546 | 2020-03-16 |
| 1427609114 | Mary Mcnew | Assistant Behavior Analyst | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128-2426 | 2019-09-24 |
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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.