BRAIN TRAINING INSTITUTE LLC (NPI# 1619590528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619590528 |
| Entity Type | Organization |
| Organization Name | BRAIN TRAINING INSTITUTE LLC |
| Practice Address |
100 Pierre Rd Ste A Walnut CA 91789-2565 |
| Mailing Address |
1093 Calle Carrillo San Dimas CA 91773-4300 |
| Practice Telephone | 9093747935 |
| Practice Fax Number | 0905756717 |
| Mailing Telephone | 9093747935 |
| Mailing Fax Number | 9095756717 |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-05-26 |
| Authorized Official Name | DR. DEBRA WALKER MCCLENDON (CEO) |
| Authorized Official Telephone | 9093747935 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
100 PIERRE RD STE A |
| City | WALNUT |
| State | CA |
| Zip Code | 91789-2565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240616 | Debra Walker Mcclendon | Specialist/Technologist, Other | 100 Pierre Rd Ste A, Walnut, CA 91789-2565 | 2020-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154964203 | Dolores A. Lopez | Technician | 335 San Roque Drive, Walnut, CA 91789 | 2019-10-22 |
| 1831754233 | Huei-chen Hsu | Pharmacist | 21590 East Valley Blvd., Walnut, CA 91789 | 2019-05-01 |
| 1114486511 | A Plus Acupuncture | Acupuncturist | 1239 N Grand Ave, Walnut, CA 91789 | 2019-03-14 |
| 1003399106 | Larry Besong | Respiratory Therapist, Registered | 22285 Roundup Dr, Walnut, CA 91789 | 2018-09-13 |
| 1114418837 | Yu Yao Lai | Acupuncturist | 20627 Golden Springs Dr # J, Diamond Bar, CA 91789 | 2018-05-29 |
| 1720575608 | Sonam Patel | Pharmacist | 1533 Parker Canyon Road, Walnut, CA 91789 | 2018-04-17 |
| 1649799206 | Jacquelyn Lising | Dietitian, Registered | 911 Summitview Ct, Walnut, CA 91789 | 2017-09-14 |
| 1497272389 | Jennifer Diaz | Behavior Technician | 539 Castlehill Dr, Walnut, CA 91789 | 2017-08-23 |
| 1952759888 | Laurentino Lozada De Guia Jr. | Dentist | 778 Nogales St., Suite G, Walnut, CA 91789 | 2016-06-01 |
| 1679970859 | Grace Park | Chiropractor | 20627 Golden Springs Dr., 2-b, Diamond Bar, CA 91789 | 2014-12-03 |
| Find all providers in zip 91789 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240616 | Debra Walker Mcclendon | Specialist/Technologist, Other | 100 Pierre Rd Ste A, Walnut, CA 91789-2565 | 2020-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063050441 | Medical Legal Experts Mle | Specialist/Technologist, Other | 4623 Hawthorne Blvd., Suite 401, Lawndale, CA 90260 | 2019-12-16 |
| 1720632045 | Amanda M Vanderford | Specialist/Technologist, Other | 6150 Tule Lane, Foresthill, CA 95631 | 2019-07-25 |
| 1730655408 | Linda Adkins | Specialist/Technologist, Other | 515 W 6th St Fl 9, Los Angeles, CA 90014-1201 | 2018-10-19 |
| 1346741576 | Yasmin Ali | Specialist/Technologist, Other | 41019 Woodshire Dr, Palmdale, CA 93551-5746 | 2018-02-22 |
| 1669971164 | Timothy Michael Dwyer Jr. | Specialist/Technologist, Other | 3225 S Townsend St, Santa Ana, CA 92704-6647 | 2018-02-09 |
| 1801305503 | Judee H Carrico | Specialist/Technologist, Other | 2032 Thompson Ct Ste 12, Montrose, CA 91020-1652 | 2017-09-25 |
| 1033659388 | Morgan Irene Gilfillan | Specialist/Technologist, Other | 1420 Hornblend St, Apt. 1, San Diego, CA 92109-4329 | 2017-03-06 |
| 1992245427 | Jennifer Mcevoy | Specialist/Technologist, Other | 355 1st St Unit S805, San Francisco, CA 94105-3067 | 2017-03-02 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| Find all providers with the same taxonomy | ||||
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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.