ALEC KOLLERBOHM


Address: 5834 Adenmoor Ave, Lakewood, CA 90713-1002
Phone: 3039898169

ALEC KOLLERBOHM (NPI# 1588296958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588296958
Entity Type Individual
Full Name ALEC KOLLERBOHM
Practice Address 5834 Adenmoor Ave
Lakewood
CA 90713-1002
Practice Telephone 3039898169
Enumeration Date 2020-02-04
Last Update Date 2020-02-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Office Location

Street Address 5834 ADENMOOR AVE
City LAKEWOOD
State CA
Zip Code 90713-1002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477629939 Molthen Chiropractic Chiropractor 5834 Adenmoor Ave, Lakewood, CA 90713 2006-11-28
1649806829 Vale Siess Behavior Technician 5834 Adenmoor Ave, Lakewood, CA 90713-1002 2020-03-19
1831725589 Monica Attardo Behavior Technician 5834 Adenmoor Ave, Lakewood, CA 90713-1002 2020-03-13
1740816495 David Fobbs Behavior Technician 5834 Adenmoor Ave, Lakewood, CA 90713-1002 2020-03-13
1659907301 Jazmin Alatorre Behavior Technician 5834 Adenmoor Ave, Lakewood, CA 90713-1002 2020-03-13
1386270031 Jacasta Barber-holmes Behavior Technician 5834 Adenmoor Ave, Lakewood, CA 90713-1002 2020-03-13
1194351841 Verlin Sandoval Behavior Technician 5834 Adenmoor Ave, Lakewood, CA 90713-1002 2020-03-13
1003442757 Astrith Avila Behavior Technician 5834 Adenmoor Ave, Lakewood, CA 90713-1002 2020-03-13
1912533662 Terryne Love Behavior Technician 5834 Adenmoor Ave, Lakewood, CA 90713-1002 2020-03-13
1821624578 Princess Jones Behavior Technician 5834 Adenmoor Ave, Lakewood, CA 90713-1002 2020-03-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215470026 Blue Horizon Homes, LLC Residential Treatment Facility, Physical Disabilities 4340 Conquista Ave., Lakewood, CA 90713 2016-11-28
1083033104 Support for Mothers Lactation Consultant, Non-RN 5313 Briercrest Ave, Lakewood, CA 90713 2014-04-16
1477972990 Denise Marie Estrada Acupuncturist 4136 Woodruff Avenue, Lakewood, CA 90713 2014-04-11
1013176130 Larry J Gottlieb Inc A Professional Corporation Optometrist 6418 E Del Amo Blvd, Lakewood, CA 90713 2008-06-04
1750405718 Dean Luong & Donald Luong Dds, Inc Dentist 4180 Woodruff Ave, Lakewood, CA 90713 2007-03-16
1093809709 Kelli Lynn Molthen Chiropractor 5834 Adenmoor Ave., Lakewood, CA 90713 2006-10-03
1407124290 Lakewood Cerritos Dental Ctrs Dentist 5819 Adenmoor Ave, Lakewood, CA 90713 2011-12-07
1801191424 Hang Thuy Nguyen Pharmacist 4226 Woodruff Ave, Vons #1638, Lakewood, CA 90713 2011-01-12
1013195056 Chiropractic Massage & Nutrition Chiropractor 5836 Bellflower Blvd, Lakewood, CA 90713 2008-02-01
1376800268 Center for Behavior Analysis & Language Development Behavioral Analyst 5840 Adenmoor Ave, Suite 105, Lakewood, CA 90713-1002 2012-04-16
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710502489 Emily Russell Behavior Technician 265 S Harlan St # 80226, Lakewood, CO 80226-2261 2020-06-09
1194359943 Carlee Lacer Behavior Technician 573 Van Gordon St Apt 3-320, Lakewood, CO 80228-1226 2020-03-01
1073153771 Kaeley Marie Moffatt Behavior Technician 265 Harlan St, Lakewood, CO 80226 2020-01-10
1871130849 Karla C Lara Behavior Technician 265 South Horland, Lakewood, CO 80226 2019-12-09
1992352926 Madison Comstock Behavior Technician 14237 W Iliff Ave, Lakewood, CO 80228-5421 2019-08-23
1598311474 Amber Jasmine Mcwha Behavior Technician Trumpet Behaviroal Health, 390 Union Blvd Ste 300, Lakewood, CA 80228-6514 2019-08-15
1194385708 Edward Robert Johnson Behavior Technician West 6th Avenue Suite 1000, Lakewood, CO 80215-8021 2019-06-17
1548829575 Taryn Noelle Syler Behavior Technician 7220 W Jefferson Ave Ste 220, Lakewood, CO 80235-2031 2019-06-12
1477111227 Prana Briggs Behavior Technician 7902 Jade Drive Sw, Lakewood, WA 98498 2019-06-05
1689135246 Paige Poudrier Behavior Technician 6446 Eberle St, Lakewood, CA 90713-2208 2019-03-27
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Competitor

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City LAKEWOOD
Zip Code 90713

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Dataset Information

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.

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