RANDY CAMPBELL (NPI# 1609130871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609130871 |
| Entity Type | Individual |
| Full Name | RANDY CAMPBELL |
| Credential | BCBA |
| Practice Address |
9060 Huntington Dr San Gabriel CA 91775-1332 |
| Mailing Address |
835 Garfield Ave South Pasadena CA 91030-2819 |
| Practice Telephone | 6269437772 |
| Practice Fax Number | 6269437730 |
| Mailing Telephone | 6269437772 |
| Mailing Fax Number | 6269437730 |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-00-0228 | CA | Behavioral Health & Social Service Providers |
| Street Address |
9060 HUNTINGTON DR |
| City | SAN GABRIEL |
| State | CA |
| Zip Code | 91775-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568737260 | Lusineh Gharapetian | Behavioral Analyst | 9060 Huntington Dr, San Gabriel, CA 91775-1332 | 2012-03-13 |
| 1760083091 | Irene B Bambico | Behavior Technician | 9060 Huntington Dr, San Gabriel, CA 91775-1332 | 2020-11-03 |
| 1417558750 | Leslie B Bambico | Behavior Technician | 9060 Huntington Dr, San Gabriel, CA 91775-1332 | 2020-11-03 |
| 1801495783 | Caitlin R Azus | Behavior Technician | 9060 Huntington Dr, San Gabriel, CA 91775-1332 | 2020-10-21 |
| 1679172555 | Maria Balbuena Nava | Behavior Technician | 9060 Huntington Dr, San Gabriel, CA 91775-1332 | 2020-10-21 |
| 1710586797 | Perla Alcala | Behavior Technician | 9060 Huntington Dr, San Gabriel, CA 91775-1332 | 2020-10-21 |
| 1225636715 | Bailey S Felipe | Behavior Technician | 9060 Huntington Dr, San Gabriel, CA 91775-1332 | 2020-10-15 |
| 1326689787 | Fion Ly | Behavioral Analyst | 9060 Huntington Dr, San Gabriel, CA 91775-1332 | 2019-10-07 |
| 1861033227 | Nancy Iniguez | Behavioral Analyst | 9060 Huntington Dr, San Gabriel, CA 91775-1332 | 2019-10-07 |
| 1285107383 | Mayra Sofia Trejo | Behavioral Analyst | 9060 Huntington Dr, San Gabriel, CA 91775-1332 | 2019-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043451735 | Shannon H. Lazarian | Dentist | 6269 Charonoak Pl, San Gabriel, CA 91775 | 2009-03-10 |
| 1609077635 | Premier Physician Alliance | Health Maintenance Organization | 30125 West Agoura Road #200, Agoura Hills, CA 91775 | 2007-05-29 |
| 1851463178 | Robert S.y. Cheng | Obstetrics & Gynecology | 209 N Delmar Ave, San Gabriel, CA 91775 | 2006-11-14 |
| 1467085688 | Jessica Kuo | Student in an Organized Health Care Education/Training Program | 6909 Ferncroft Ave, San Gabriel, CA 91775-1001 | 2020-02-17 |
| 1821407370 | Jennifer Chuang | Acupuncturist | 6948 Ferncroft Ave, San Gabriel, CA 91775-1002 | 2014-08-08 |
| 1801999255 | Joseph Y Wu | Internal Medicine | 6714 Provence Road, San Gabriel, CA 91775-1030 | 2006-09-07 |
| 1881849362 | A.l. U.S./san Gabriel Senior Housing, L.p. | Assisted Living Facility | 8332 Huntington Dr, San Gabriel, CA 91775-1038 | 2008-11-25 |
| 1285710806 | Luanne E Cabrera | Psychologist | 8346 Duarte Rd, San Gabriel, CA 91775-1048 | 2006-10-27 |
| 1912119470 | Toni Chen | Dentist | 8204 Huntington Dr, Suite B, San Gabriel, CA 91775-1053 | 2007-05-04 |
| 1841301975 | Social Vocational Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6858 La Presa Dr, San Gabriel, CA 91775-1110 | 2006-08-31 |
| Find all providers in zip 91775 | ||||
| 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 |
|---|---|---|---|---|
| 1205395563 | Victor Alejandro Campos | Behavioral Analyst | 222 E. Las Tunas Drive, San Gabriel, CA 91776 | 2019-03-17 |
| 1780033381 | Mary Hum | Behavioral Analyst | 1300 Manley Dr, San Gabriel, CA 91776-3210 | 2016-06-06 |
| 1700212958 | Arielle Lauren Lopez | Behavioral Analyst | 6248 N San Gabriel Blvd, Apt 22, San Gabriel, CA 91775-2458 | 2013-09-19 |
| 1003251711 | Kevin Ho | Behavioral Analyst | 1969 Strathmore Ave, San Gabriel, CA 91776-4240 | 2013-05-08 |
| 1649533753 | Ruth Tello-di Leva | Behavioral Analyst | 222 E Las Tunas Dr, San Gabriel, CA 91776-1484 | 2012-06-22 |
| 1568737260 | Lusineh Gharapetian | Behavioral Analyst | 9060 Huntington Dr, San Gabriel, CA 91775-1332 | 2012-03-13 |
| 1326689787 | Fion Ly | Behavioral Analyst | 9060 Huntington Dr, San Gabriel, CA 91775-1332 | 2019-10-07 |
| 1861033227 | Nancy Iniguez | Behavioral Analyst | 9060 Huntington Dr, San Gabriel, CA 91775-1332 | 2019-10-07 |
| 1730737768 | Olga Sergeyevna Sharfman | Behavioral Analyst | 222 E Las Tunas Dr, San Gabriel, CA 91776-1404 | 2019-09-03 |
| 1700434339 | Alex Alberto Mota | Behavioral Analyst | 222 E Las Tunas Dr, San Gabriel, CA 91776-1404 | 2019-08-27 |
| Find all providers in SAN GABRIEL | ||||
| City | SAN GABRIEL |
| Zip Code | 91775 |
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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.