FADUMO ALI (NPI# 1528537792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528537792 |
| Entity Type | Individual |
| Full Name | FADUMO ALI |
| Practice Address |
1111 Baker St Costa Mesa CA 92626-4138 |
| Mailing Address |
206 N Jackson St Glendale CA 91206-4330 |
| Practice Telephone | 8182416780 |
| Practice Fax Number | 8182416853 |
| Mailing Telephone | 8182416780 |
| Mailing Fax Number | 8182416853 |
| Enumeration Date | 2018-11-17 |
| Last Update Date | 2018-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538319272 | Fadumo Omar Ali | Community Health Worker | 2400 Park Avenue South, Minneapolis, MN 55404 | 2008-09-30 |
| 1598389199 | Fadumo Ahmed Ali | Registered Nurse | 16824 Enchanted Ct, Lakeville, MN 55044-3423 | 2020-05-31 |
| Street Address |
1111 BAKER ST |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-4138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538520283 | Brian Le | Behavioral Analyst | 1111 Baker St, Costa Mesa, CA 92626-4138 | 2016-03-09 |
| 1407456858 | Alejandra Rivera | Behavior Technician | 1111 Baker St, Costa Mesa, CA 92626-4138 | 2020-10-26 |
| 1336753151 | Candice Wong | Behavior Technician | 1111 Baker St, Costa Mesa, CA 92626-4138 | 2020-08-31 |
| 1063032738 | Jessica Bunkis | Behavior Technician | 1111 Baker St, Costa Mesa, CA 92626-4138 | 2020-04-22 |
| 1447886965 | Leslye Alaniz Zavaleta | Behavior Technician | 1111 Baker St, Costa Mesa, CA 92626-4138 | 2020-03-16 |
| 1356977870 | Shivani A Khosla | Behavior Technician | 1111 Baker St, Costa Mesa, CA 92626-4138 | 2020-03-16 |
| 1700412228 | Peter Cunningham | Behavior Technician | 1111 Baker St, Costa Mesa, CA 92626-4138 | 2020-03-16 |
| 1538795059 | Hee Jin Song | Behavior Technician | 1111 Baker St, Costa Mesa, CA 92626-4138 | 2020-03-16 |
| 1083240501 | Melissa Suzanne Dockrey | Behavior Technician | 1111 Baker St, Costa Mesa, CA 92626-4138 | 2020-03-16 |
| 1053946186 | Lauren Alexis Powell | Behavior Technician | 1111 Baker St, Costa Mesa, CA 92626-4138 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| 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 |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1467059337 | Rabecca Moreno | Behavior Technician | 575 W 19th St Apt A105, Costa Mesa, CA 92627-5046 | 2020-10-05 |
| 1083227052 | Christopher William Slaughter | Behavior Technician | 1520 Nutmeg Pl Ste 101, Costa Mesa, CA 92626-2557 | 2020-08-28 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1215552666 | Jaylin Christa Moreno | Behavior Technician | 555 Anton Blvd # 150, Costa Mesa, CA 92626-7811 | 2020-06-11 |
| 1487275996 | Mary Grace Lamons | Behavior Technician | 1091 Salvador St, Costa Mesa, CA 92626-5540 | 2020-05-06 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1982247987 | Cara Joy Candlish | Behavior Technician | 1616 Elm Ave, Costa Mesa, CA 92626-4953 | 2019-10-22 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
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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.