KELLY MORALES (NPI# 1609346220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609346220 |
| Entity Type | Individual |
| Full Name | KELLY MORALES |
| Practice Address |
3620 W Hammer Lane Stockton CA 95219 |
| Mailing Address |
3425 Coffee Rd Suite C2 Modesto CA 95355-1582 |
| Practice Telephone | 2095214791 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407816135 | Kelly Joanne Morales | Obstetrics & Gynecology | 4499 Medical Dr Ste 191, San Antonio, TX 78229-3774 | 2006-03-25 |
| 1720620958 | Kelly D Morales | Counselor | 1509 Maple St, Scranton, PA 18505-2707 | 2019-10-09 |
| 1811465313 | Kelly C Morales | Nurse Practitioner | 605 Maco Dr, Harlingen, TX 78550-8799 | 2018-11-02 |
| 1306132881 | Kelly Nicole Morales | Family Medicine | 2352 Meadows Blvd Ste 300, Ridgeline Family Medicine, Castle Rock, CO 80109-8419 | 2011-06-23 |
| Street Address |
3620 W HAMMER LANE |
| City | STOCKTON |
| State | CA |
| Zip Code | 95219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669032108 | Isela Garcia | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2019-06-17 |
| 1043780679 | Monet Fairley | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
| 1780154344 | Vanessa Marquez | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
| 1639649262 | Jennifer Davis | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568494 | Vanessa Paola Uribe Morales | Behavior Technician | 3620 Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
| 1306316930 | Zulema Cecilia Santana | Behavior Technician | 3620 W. Hammer Ln, Stockton, CA 95219 | 2018-11-27 |
| 1699245241 | Tiana Gonzalez | Behavior Technician | 3620 W. Hammer Ln., Stockton, CA 95219 | 2018-11-27 |
| 1336619956 | Mouagoleah Her | Behavior Technician | 3620 W. Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1790180859 | Mary Karen Papagolos | Marriage & Family Therapist | 2800 W March Ln Ste 473, Stockton, CA 95219 | 2014-10-30 |
| 1932535648 | Morton Rothbard | Urology | 4673 Pine Valley Cir., Stockton, CA 95219 | 2013-09-26 |
| 1033482591 | Michelle M Rutherford | Physical Therapist | 10200 Trinity Pkwy Ste 205, Stockton, CA 95219 | 2012-02-14 |
| 1306151436 | Tanner Zane | Dentist | 10928 Trinity Parkway, Stockton, CA 95219 | 2010-08-12 |
| Find all providers in zip 95219 | ||||
| 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 |
|---|---|---|---|---|
| 1417558727 | Adriana B Juarez | Behavior Technician | 935 W Swain Rd Apt 10, Stockton, CA 95207-9209 | 2020-11-03 |
| 1609477918 | Samantha Mendoza Sanchez | Behavior Technician | 1633 E Bianchi Rd Apt 203, Stockton, CA 95210-7611 | 2020-11-03 |
| 1154929867 | Devina Renee Colon | Behavior Technician | 2124 Canby Oak Dr, Stockton, CA 95205-2687 | 2020-10-14 |
| 1609474311 | Daniela Iridian Aguirre | Behavior Technician | 1550 S B St Spc 19, Stockton, CA 95206-2461 | 2020-10-14 |
| 1336747039 | Aaliyah A Nino | Behavior Technician | 7638 Peppertree Dr, Stockton, CA 95207-1448 | 2020-10-14 |
| 1972101681 | Mersadez Oller | Behavior Technician | 4815 Joseph Leon Ln, Stockton, CA 95215-1153 | 2020-10-14 |
| 1053919761 | Corriana Brown | Behavior Technician | 5523 Patti Lynn Way, Stockton, CA 95212-3842 | 2020-10-14 |
| 1366049959 | Maria Estavillo | Behavior Technician | 4305 Julius Ct, Stockton, CA 95207-6531 | 2020-10-06 |
| 1417564634 | Ceidy Burgos | Behavior Technician | 8651 Acapulco Way Apt 2, Stockton, CA 95210-1811 | 2020-09-30 |
| 1982211488 | Willisha Tietiana Bottley | Behavior Technician | 3893 Jacarandas Ct, Stockton, CA 95206-5159 | 2020-09-29 |
| Find all providers in STOCKTON | ||||
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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.