MADELINE PETERSON (NPI# 1558816736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558816736 |
| Entity Type | Individual |
| Full Name | MADELINE PETERSON |
| Credential | BCBA |
| Practice Address |
3545 Division St Los Angeles CA 90065-3301 |
| Practice Telephone | 3234789130 |
| Mailing Telephone | 3234789130 |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-12-11505 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3545 DIVISION ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90065-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134613177 | Carmela Hermann Dietrich | Massage Therapist | 546 Frontenac Avenue, Los Angeles, CA 90065 | 2018-06-21 |
| 1245421981 | Kerry Glen Thorne | Marriage & Family Therapist | 3374 Scarboro St, Los Angeles, CA 90065 | 2007-08-07 |
| 1275654311 | Cal Care Ambulance Service | Ambulance | 2829 N. San Fernando Rd #203, Los Angeles, CA 90065 | 2007-04-03 |
| 1053430116 | Feliza Perez | Rehabilitation Practitioner | 2677 1/2 202 Ave, Huntington Park, CA 90065 | 2007-03-28 |
| 1154475382 | Grace O Serrano | Dentist | 4146 Verdugo Rd, Los Angeles, CA 90065 | 2007-01-23 |
| 1265532519 | Dae H Song | Dentist | 3129 San Fernando Rd, Los Angeles, CA 90065 | 2006-09-25 |
| 1730289737 | Calox Inc | Durable Medical Equipment & Medical Supplies | 3034 Fierro Street, Los Angeles, CA 90065 | 2006-09-22 |
| 1093224131 | Andre Marderosian | Dentist | 3129 N San Fernando Rd, Los Angeles, CA 90065 | 2017-09-20 |
| 1710345491 | Golden Van Rides Inc. | Non-emergency Medical Transport (VAN) | 3920 Eagle Rock Blvd, Suite C, Los Angeles, CA 90065 | 2016-02-09 |
| 1841467396 | Highland Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2648 N Figueroa St, Los Angeles, CA 90065-1026 | 2008-05-14 |
| Find all providers in zip 90065 | ||||
| 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 |
|---|---|---|---|---|
| 1356957088 | Jacqueline Cottom | Behavioral Analyst | 1362 S Longwood Ave Apt 4, Los Angeles, CA 90019-2958 | 2020-09-18 |
| 1093326225 | Behavioral Analytics LLC | Behavioral Analyst | 770 S Grand Ave Apt 6049, Los Angeles, CA 90017-3955 | 2020-08-12 |
| 1447860317 | Elizabeth Sciutto | Behavioral Analyst | 2915 S Bronson Ave, Los Angeles, CA 90018-2837 | 2020-08-05 |
| 1639789860 | Katharine Ann Martini | Behavioral Analyst | 417 S Hill St Apt 921, Los Angeles, CA 90013-1776 | 2020-08-03 |
| 1417575689 | Vanessa Martinez | Behavioral Analyst | 11900 W Olympic Blvd Ste 520, Los Angeles, CA 90064-1183 | 2020-07-13 |
| 1437770583 | Samantha Porpora | Behavioral Analyst | 3450 Sawtelle Blvd Apt 352, Los Angeles, CA 90066-2171 | 2020-04-29 |
| 1770118564 | Reyna Maleny Amparo | Behavioral Analyst | 5553 Long Beach Ave, Los Angeles, CA 90058-3817 | 2020-03-11 |
| 1023658572 | Dorrey Sproatt | Behavioral Analyst | 3637 Motor Ave Ste 280, Los Angeles, CA 90034-4884 | 2020-01-13 |
| 1164062139 | Luis Abreu | Behavioral Analyst | 972 Marietta St, Los Angeles, CA 90023-1404 | 2020-01-08 |
| 1346889235 | Hannah Chung | Behavioral Analyst | 1234 Wilshire Blvd Apt 236, Los Angeles, CA 90017-1975 | 2019-12-25 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90065 |
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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.