BROOKE ECKHARDT (NPI# 1588062483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588062483 |
| Entity Type | Individual |
| Full Name | BROOKE ECKHARDT |
| Credential | M.A., BCBA |
| Practice Address |
25201 Paseo De Alicia #110 Laguna Hills CA 92653-4626 |
| Mailing Address |
505 N Brand Blvd #1000 Glendale CA 91203-1906 |
| Practice Telephone | 8552953276 |
| Practice Fax Number | 8182416853 |
| Mailing Telephone | 8182416780 |
| Mailing Fax Number | 8182416853 |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-14-16149 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BCBA | 1-14-16149 | 01 |
| Street Address |
25201 PASEO DE ALICIA #110 |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-4626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508260878 | Jaimee Moeller | Behavioral Analyst | 25201 Paseo De Alicia, #110, Laguna Hills, CA 92653-4626 | 2014-10-15 |
| 1184262594 | Kristine Lois Harris | Behavior Technician | 25201 Paseo De Alicia, Laguna Hills, CA 92653-4626 | 2019-12-16 |
| 1760026538 | Alina Malloy | Behavior Technician | 25201 Paseo De Alicia, Laguna Hills, CA 92653-4626 | 2019-11-04 |
| 1194370379 | Breanna Ferentz | Behavior Technician | 25201 Paseo De Alicia, Laguna Hills, CA 92653-4626 | 2019-08-05 |
| 1841777653 | Kristen Howlett | Behavioral Analyst | 25201 Paseo De Alicia, Laguna Hills, CA 92653-4626 | 2018-07-24 |
| 1801321922 | Attention Learning Center, Inc | Psychologist | 25201 Paseo De Alicia, Suite 118, Laguna Hills, CA 92653-4626 | 2017-04-26 |
| 1881127520 | Tessa Burton | Occupational Therapy Assistant | 25201 Paseo De Alicia, 110, Laguna Hills, CA 92653-4626 | 2017-04-10 |
| 1962935601 | Kristen Kempiak | Occupational Therapy Assistant | 25201 Paseo De Alicia, 110, Laguna Hills, CA 92653-4626 | 2017-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| 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 |
|---|---|---|---|---|
| 1144684606 | Andrew Reville | Behavioral Analyst | 23265 S Pointe Dr Ste 101, Laguna Hills, CA 92653-1472 | 2016-04-11 |
| 1356732044 | Julie Johnson | Behavioral Analyst | 23241 S Pointe Dr, Laguna Hills, CA 92653-1413 | 2015-02-17 |
| 1508260878 | Jaimee Moeller | Behavioral Analyst | 25201 Paseo De Alicia, #110, Laguna Hills, CA 92653-4626 | 2014-10-15 |
| 1992108393 | Kimberly Michelle Mattatall | Behavioral Analyst | 23046 Avenida De La Carlota Ste 600, Laguna Hills, CA 92653-1537 | 2014-09-30 |
| 1023436797 | Claudia Riquelme | Behavioral Analyst | 26265 Yolanda St, Laguna Hills, CA 92656-3112 | 2014-03-31 |
| 1851731855 | Amin Duff Lotfizadeh | Behavioral Analyst | 24332 Acaso, #5, Laguna Hills, CA 92656-3133 | 2013-07-05 |
| 1770876930 | Meena P Gupta | Behavioral Analyst | 24652 Linda Flora St, Laguna Hills, CA 92653-6205 | 2011-05-20 |
| 1205446465 | Josie Nguyen | Behavioral Analyst | 25411 Cabot Rd Ste 206, Laguna Hills, CA 92653-5525 | 2020-08-03 |
| 1386260339 | Lauren J Nava | Behavioral Analyst | 25201 Paseo De Alicia Ste 110, Laguna Hills, CA 92653-4627 | 2020-06-24 |
| 1598395170 | Maria Angelica Jones | Behavioral Analyst | 23046 Avenida De La Carlota Ste 600, Laguna Hills, CA 92653-1537 | 2020-01-22 |
| Find all providers in LAGUNA HILLS | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
Please comment or provide details below to improve the information on BROOKE ECKHARDT.
| 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.