KAYLIE LYNETTE MERRILL (NPI# 1508400045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508400045 |
| Entity Type | Individual |
| Full Name | KAYLIE LYNETTE MERRILL |
| Practice Address |
3111 N Tustin St Ste 100 Orange CA 92865-1751 |
| Mailing Address |
1055 E Colorado Blvd Ste 560 Pasadena CA 91106-2380 |
| Practice Telephone | 7148355587 |
| Practice Fax Number | 7148355930 |
| Mailing Telephone | 8182416780 |
| Mailing Fax Number | 8182416853 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
3111 N TUSTIN ST STE 100 |
| City | ORANGE |
| State | CA |
| Zip Code | 92865-1751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861826695 | Victoria Kane | Physical Therapist | 3111 N Tustin St Ste 100, Orange, CA 92865-1751 | 2013-08-28 |
| 1538768767 | Kara Ruth Larsen | Behavior Technician | 3111 N Tustin St Ste 100, Orange, CA 92865-1751 | 2020-10-19 |
| 1518566744 | Yajahira Venegas | Behavior Technician | 3111 N Tustin St Ste 100, Orange, CA 92865-1751 | 2020-10-19 |
| 1083213219 | Diana Perez | Behavior Technician | 3111 N Tustin St Ste 100, Orange, CA 92865-1751 | 2020-10-19 |
| 1588271159 | Danny Carrillo | Behavior Technician | 3111 N Tustin St Ste 100, Orange, CA 92865-1751 | 2020-09-28 |
| 1487260758 | Julian Martin | Behavior Technician | 3111 N Tustin St Ste 100, Orange, CA 92865-1751 | 2020-09-21 |
| 1679189237 | Jonathan Espinoza | Behavior Technician | 3111 N Tustin St Ste 100, Orange, CA 92865-1751 | 2020-09-18 |
| 1356957385 | Roya Akram | Behavior Technician | 3111 N Tustin St Ste 100, Orange, CA 92865-1751 | 2020-09-16 |
| 1457967382 | Michael Haroun | Behavior Technician | 3111 N Tustin St Ste 100, Orange, CA 92865-1751 | 2020-09-16 |
| 1720694755 | Jasmine Urata | Behavior Technician | 3111 N Tustin St Ste 100, Orange, CA 92865-1751 | 2020-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801366489 | Kathryn Enslow | Behavior Technician | 3111 N. Tustin St. #100, Orange, CA 92865 | 2018-11-27 |
| 1992285167 | Victoria Barrientes | Behavior Technician | 3111 N. Tustiv Ave #100, Tustin, CA 92865 | 2018-08-17 |
| 1003263310 | Zhihong Acupuncture Clinic Co | Clinic/Center | 2950 N Glassell St, Suite B, Orange, CA 92865 | 2016-05-17 |
| 1962879387 | Charles C. Park D.d.s. A Professional Corporation | Dentist | 1518 E. Lincoln Ave., Orange, CA 92865 | 2015-09-02 |
| 1275913535 | David M. Datu | Dentist | 1107 E. Lincoln Ave, #201, Orange, CA 92865 | 2015-06-02 |
| 1114107505 | Life Hearing Inc. | Hearing Instrument Specialist | 1635 E. Lincoln Ave., Orange, CA 92865 | 2007-11-14 |
| 1013118488 | David M Datu Dds | Dentist | 1107 E Lincoln Ave, Suite #201, Orange, CA 92865 | 2007-05-31 |
| 1831222611 | Amini Dental Corporation | Dentist | 1916 N Tustin St, Orange, CA 92865 | 2007-03-13 |
| 1598811341 | Linda Rose Cook | Counselor | 202 W Lincoln Ave, Suite F, Orange, CA 92865 | 2007-01-26 |
| 1467525543 | Hee S Kwon | Acupuncturist | 1516 E Lincoln Ave, Orange, CA 92865 | 2006-11-16 |
| Find all providers in zip 92865 | ||||
| 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 |
|---|---|---|---|---|
| 1902427230 | Jennifer Francis | Behavior Technician | 789 N Rancho Santiago Blvd, Orange, CA 92869-1951 | 2020-04-28 |
| 1457999864 | Justin Tyler Clum | Behavior Technician | 3111 N Tustin St # 100o, Orange, CA 92865-1750 | 2019-12-16 |
| 1073175246 | Cecilia N/a Espinoza | Behavior Technician | 1926 E La Veta Ave Apt 132, Orange, CA 92866-2905 | 2019-07-08 |
| 1114486685 | Jody Quynh Nguyen | Behavior Technician | 1407 N Batavia St, Orange, CA 92867-3525 | 2019-03-14 |
| 1801353545 | Karla Zuniga | Behavior Technician | 177 S Wayfield St Apt 4, Orange, CA 92866-2326 | 2019-03-01 |
| 1801366489 | Kathryn Enslow | Behavior Technician | 3111 N. Tustin St. #100, Orange, CA 92865 | 2018-11-27 |
| 1316428501 | Megan E Foley | Behavior Technician | 352 Saybrook Rd, Orange, CT 06477-3003 | 2018-08-24 |
| 1386244291 | Victoria Pelayo | Behavior Technician | 625 The City Dr S Ste 120, Orange, CA 92868-3352 | 2020-10-29 |
| 1457950057 | Alexandra Foley | Behavior Technician | 625 The City Dr S Ste 120, Orange, CA 92868-3352 | 2020-10-23 |
| 1083213680 | Cassandra Lopez | Behavior Technician | 625 The City Dr S Ste 120, Orange, CA 92868-3352 | 2020-10-23 |
| Find all providers in ORANGE | ||||
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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.