KIMBERLY GRAY (NPI# 1619523727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619523727 |
| Entity Type | Individual |
| Full Name | KIMBERLY GRAY |
| Practice Address |
3702 Ruffin Rd Ste 100 San Diego CA 92123-1893 |
| Practice Telephone | 6192974300 |
| Practice Fax Number | 6192974400 |
| Mailing Telephone | 6192974300 |
| Mailing Fax Number | 6192974400 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972067999 | Kimberly Thurman Gray | Social Worker | 6331 Germantown Ave # 2, Philadelphia, PA 19144-1907 | 2019-01-23 |
| 1871042820 | Kimberly Lee Gray | Behavior Technician | 2077 Kapok Tree Ln, Las Vegas, NV 89142-0789 | 2016-09-30 |
| 1407230667 | Kimberly M Gray | Student in an Organized Health Care Education/Training Program | 225 37th Ave Fl 3rf, San Mateo, CA 94403-4324 | 2015-07-16 |
| 1578828968 | Kimberly Kay Gray | Doula | 358 E Waterbury Rd, Indianapolis, IN 46227-2476 | 2012-07-11 |
| 1306113048 | Kimberly M Gray | Licensed Practical Nurse | 2577 35th St, Springfield, OR 97477-1889 | 2011-11-23 |
| 1780186213 | Kimberly Ann Gray | Nurse Practitioner | 2412 W Plaza Dr, Tallahassee, FL 32308-5325 | 2018-02-28 |
| 1255832150 | Kimberly Gray | Counselor | 1855 E Dublin Granville Rd, Columbus, OH 43229-3516 | 2018-02-26 |
| 1306353875 | Kimberly Michelle Gray | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2018-01-05 |
| 1093255713 | Kimberly Gray | Massage Therapist | 2200 Broadway St, Suite C, Vancouver, WA 98663-3255 | 2017-02-28 |
| 1598123143 | Kimberly Gray | Counselor | 117 N B St, Lompoc, CA 93436-6901 | 2016-02-10 |
| Street Address |
3702 RUFFIN RD STE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538406624 | Rachel A. M. Weichert | Specialist/Technologist | 3702 Ruffin Rd Ste 100, San Diego, CA 92123-1893 | 2013-01-09 |
| 1356948640 | Sara Rose Childers | Behavior Technician | 3702 Ruffin Rd Ste 100, San Diego, CA 92123-1893 | 2020-10-08 |
| 1750998951 | Rachel Thimsen | Behavior Technician | 3702 Ruffin Rd Ste 100, San Diego, CA 92123-1893 | 2020-09-30 |
| 1053937540 | Naomi Cheuk | Behavior Technician | 3702 Ruffin Rd Ste 100, San Diego, CA 92123-1893 | 2020-06-19 |
| 1306461397 | Cassandra Kekoa | Behavior Technician | 3702 Ruffin Rd Ste 100, San Diego, CA 92123-1893 | 2020-06-15 |
| 1700409760 | Pearl Basaldua | Behavior Technician | 3702 Ruffin Rd Ste 100, San Diego, CA 92123-1893 | 2020-05-26 |
| 1932721990 | Diana Guadalupe Cuevas | Behavior Technician | 3702 Ruffin Rd Ste 100, San Diego, CA 92123-1893 | 2020-05-13 |
| 1093336224 | Regina Crawford | Behavior Technician | 3702 Ruffin Rd Ste 100, San Diego, CA 92123-1893 | 2020-04-28 |
| 1467082735 | Caitlin Claytor | Behavior Technician | 3702 Ruffin Rd Ste 100, San Diego, CA 92123-1893 | 2020-01-24 |
| 1851931224 | Lennea Fish | Behavior Technician | 3702 Ruffin Rd Ste 100, San Diego, CA 92123-1893 | 2020-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| 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 |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1639776636 | Gabrielle Moriah Pero | Behavior Technician | 2644 Figueroa Blvd, San Diego, CA 92109-4822 | 2020-10-03 |
| 1437766532 | Alexandria Alexis Meier | Behavior Technician | 3838 Camino Del Rio N Ste 240, San Diego, CA 92108-1763 | 2020-09-23 |
| 1619582111 | Christopher Andre Simpson | Behavior Technician | 4810 Coronado Ave, San Diego, CA 92107-3316 | 2020-09-11 |
| 1669082087 | Briana Kathleen Murray | Behavior Technician | 1281 9th Ave Unit 216, San Diego, CA 92101-4636 | 2020-08-01 |
| 1790393478 | Virginia Herzog | Behavior Technician | 5875 Friars Rd Apt 4402, San Diego, CA 92110-6023 | 2020-07-17 |
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1225656325 | Jazmin Lopez | Behavior Technician | 4025 Camino Del Rio S Ste 100, San Diego, CA 92108-4108 | 2020-07-06 |
| 1790309052 | Laila S Hasenin | Behavior Technician | 7389 Via Carrillo, San Diego, CA 92129-2271 | 2020-06-02 |
| 1801425533 | Stephanie Lee Harmon | Behavior Technician | 12094 Daymark Ct, San Diego, CA 92131-3801 | 2020-04-04 |
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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.