SUMMER TARA MIRE (NPI# 1619440062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619440062 |
Entity Type | Individual |
Full Name | SUMMER TARA MIRE |
Practice Address |
9920 Pacific Heights Blvd Ste 150 San Diego CA 92121-4361 |
Mailing Address |
390 Union Blvd Ste 300 Lakewood CO 80228-6514 |
Practice Telephone | 3039898172 |
Mailing Telephone | 3039898172 |
Mailing Fax Number | 3039844366 |
Enumeration Date | 2019-01-08 |
Last Update Date | 2019-01-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103K00000X | Behavioral Analyst | CA | Behavioral Health & Social Service Providers | |
Y | 106E00000X | Assistant Behavior Analyst | CA | Behavioral Health & Social Service Providers | |
N | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
Street Address |
9920 PACIFIC HEIGHTS BLVD STE 150 |
City | SAN DIEGO |
State | CA |
Zip Code | 92121-4361 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124194915 | Jeffrey R Zook | Psychologist | 9920 Pacific Heights Blvd Ste 150, San Diego, CA 92121-4361 | 2006-11-26 |
1073172185 | Jacquline Wong | Behavior Technician | 9920 Pacific Heights Blvd Ste 150, San Diego, CA 92121-4361 | 2019-06-12 |
1528529633 | Josie Marie Boucher | Behavior Technician | 9920 Pacific Heights Blvd Ste 150, San Diego, CA 92121-4361 | 2019-03-29 |
1457819468 | Andres P Davila | Behavior Technician | 9920 Pacific Heights Blvd Ste 150, San Diego, CA 92121-4361 | 2019-03-08 |
1326506627 | Rebecca Miller | Behavior Technician | 9920 Pacific Heights Blvd Ste 150, San Diego, CA 92121-4361 | 2019-03-05 |
1316405616 | Zachary Adam Verlander | Behavior Technician | 9920 Pacific Heights Blvd Ste 150, San Diego, CA 92121-4361 | 2019-03-05 |
1558826594 | Sarah Fiona Stewart | Behavior Technician | 9920 Pacific Heights Blvd Ste 150, San Diego, CA 92121-4361 | 2019-02-04 |
1043784697 | Audrey Masuoka | Behavior Technician | 9920 Pacific Heights Blvd Ste 150, San Diego, CA 92121-4361 | 2019-01-16 |
1811460199 | Kaylee Olivia Drescher | Behavior Technician | 9920 Pacific Heights Blvd Ste 150, San Diego, CA 92121-4361 | 2019-01-09 |
1447721311 | Therapy Center and Family Counseling Corporation | Marriage & Family Therapist | 9920 Pacific Heights Blvd Ste 150, San Diego, CA 92121-4361 | 2018-12-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
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Taxonomy Code | 106E00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Assistant Behavior Analyst |
An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
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 |
---|---|---|---|---|
1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
1548829310 | Nathaniel Wehner | Assistant Behavior Analyst | 5763 Riley St Apt 6, San Diego, CA 92110-1700 | 2019-06-06 |
1619439882 | Alison M Hranek | Assistant Behavior Analyst | 8996 Miramar Rd, San Diego, CA 92126-4451 | 2019-04-04 |
1194248773 | Charmin Campano | Assistant Behavior Analyst | 7860 Mission Center Ct Ste 100, San Diego, CA 92108-1330 | 2017-07-25 |
1679019087 | Karyn Rose Giaquinto Fistonich | Assistant Behavior Analyst | 10060 Old Grove Road, San Diego, CA 92131 | 2017-01-09 |
1811336910 | Mebe San Diego | Assistant Behavior Analyst | 3878 Ruffin Rd Ste B, San Diego, CA 92123-1842 | 2013-06-21 |
1245831775 | Karla Samantha Wade | Assistant Behavior Analyst | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-11-02 |
1861028334 | Rebecca Lynn Collins | Assistant Behavior Analyst | 8885 Rio San Diego Dr Ste 340, San Diego, CA 92108-1669 | 2020-03-17 |
1679109193 | Seo Hyun Park | Assistant Behavior Analyst | 501 W Broadway Ste 800, San Diego, CA 92101-3546 | 2020-03-16 |
1427609114 | Mary Mcnew | Assistant Behavior Analyst | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128-2426 | 2019-09-24 |
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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.