MICHAEL EDMONDSON (NPI# 1508105693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508105693 |
| Entity Type | Individual |
| Full Name | MICHAEL EDMONDSON |
| Practice Address |
311 Lennon Ln Suite A Walnut Creek CA 94598-2418 |
| Practice Telephone | 9252109370 |
| Practice Fax Number | 9252100436 |
| Mailing Telephone | 9252109370 |
| Mailing Fax Number | 9252100436 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 0-12-5106 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508160839 | Michael Scott Edmondson | Pharmacist | 1245 Nw 4th St, Redmond, OR 97756-1680 | 2010-12-29 |
| 1992983241 | Michael John Edmondson | Physical Therapist | 2165 Medical Park Dr, Hickory, NC 28602-8809 | 2008-02-07 |
| 1326056797 | Michael Lee Edmondson | Obstetrics & Gynecology | 1006 Greenfield Dr, Tifton, GA 31794-3794 | 2006-08-03 |
| Street Address |
311 LENNON LN SUITE A |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346283843 | Shannon Haynes | Dentist | 311 Lennon Ln, Walnut Creek, CA 94598-2418 | 2006-06-13 |
| 1457780504 | Behavior Analysts, Inc. | Behavioral Analyst | 311 Lennon Ln, Suite A, Walnut Creek, CA 94598-2418 | 2013-11-08 |
| 1588006647 | Jessica Lynn Curell | Behavioral Analyst | 311 Lennon Ln, Suite A, Walnut Creek, CA 94598-2418 | 2013-07-17 |
| 1619242344 | Carmen Martin | Behavioral Analyst | 311 Lennon Ln, Suite A, Walnut Creek, CA 94598-2418 | 2012-03-13 |
| 1588939300 | Melissa Brown | Behavioral Analyst | 311 Lennon Ln, Suite A, Walnut Creek, CA 94598-2418 | 2012-03-12 |
| 1093087181 | Nissa Intarachote Van Etten | Behavioral Analyst | 311 Lennon Ln, Suite A, Walnut Creek, CA 94598-2418 | 2012-02-03 |
| 1114299203 | Holli Henningsen Jerdes | Behavioral Analyst | 311 Lennon Ln, Suite A, Walnut Creek, CA 94598-2418 | 2012-02-03 |
| 1487926697 | Maryanne Budetti | Behavioral Analyst | 311 Lennon Ln, Suite A, Walnut Creek, CA 94598-2418 | 2012-02-02 |
| 1548595085 | Behavior Analysts, Inc. | Community/Behavioral Health | 311 Lennon Ln, Suite A, Walnut Creek, CA 94598-2418 | 2009-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| 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 |
|---|---|---|---|---|
| 1396384202 | Be Still Be Connected LLC | Behavioral Analyst | 1469 Creekside Dr Apt 2018, Walnut Creek, CA 94596-5697 | 2019-12-26 |
| 1518509124 | Alexandra L Mogilevets | Behavioral Analyst | 2423 Exbourne Ct, Walnut Creek, CA 94596-6406 | 2019-10-15 |
| 1811460512 | Eunice Shin | Behavioral Analyst | 1990 N California Blvd Fl 8, Walnut Creek, CA 94596-3742 | 2019-01-04 |
| 1871068221 | Rosario Jo A Villanueva | Behavioral Analyst | 1265 Montego Apt 39, Walnut Creek, CA 94598-2844 | 2018-10-11 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1043794316 | Christopher Labreche | Behavioral Analyst | 2730 Shadelands Dr Ste 100, Walnut Creek, CA 94598-2540 | 2018-09-21 |
| 1487134599 | Christi Stencil | Behavioral Analyst | 39 Quail Ct Ste 203, Walnut Creek, CA 94596-5569 | 2018-08-17 |
| 1356827943 | Amber Brown-woods | Behavioral Analyst | 1966 Tice Valley Blvd # 112, Walnut Creek, CA 94595-2203 | 2018-07-17 |
| 1285141465 | Brianna Elise Fitchett | Behavioral Analyst | 2820 Shadelands Dr Ste 200, Walnut Creek, CA 94598-2525 | 2018-01-09 |
| 1548704513 | Thea Nicole Harris | Behavioral Analyst | 1457 Via Loma, Walnut Creek, CA 94598-2926 | 2016-12-11 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
Please comment or provide details below to improve the information on MICHAEL EDMONDSON.
| 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.