ALEC KOLLERBOHM (NPI# 1588296958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
5834 ADENMOOR AVE |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90713-1002 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 90713 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in LAKEWOOD | ||||
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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.