KELLIE JOANN BENSON


Address: 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612
Phone: 7148794274

KELLIE JOANN BENSON (NPI# 1639635923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639635923
Entity Type Individual
Full Name KELLIE JOANN BENSON
Credential RBT
Practice Address 713 W Commonwealth Ave Ste C
Fullerton
CA 92832-1612
Mailing Address 431 E Rockaway Dr
Placentia
CA 92870-3241
Practice Telephone 7148794274
Mailing Telephone 9495108649
Enumeration Date 2019-02-12
Last Update Date 2019-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106E00000X Assistant Behavior Analyst RBT-17-40642 CA Behavioral Health & Social Service Providers

Other Providers KELLIE BENSON

NPI Name Taxonomy Address Enumeration
1033767884 Kellie Misako Benson Student in an Organized Health Care Education/Training Program 2316 Melhorn Dr, Alhambra, CA 91803-4618 2019-08-26

Office Location

Street Address 713 W COMMONWEALTH AVE STE C
City FULLERTON
State CA
Zip Code 92832-1612

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457589905 Trisha Michael Vasquez Behavior Technician 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 2009-06-23
1396342580 Melissa Maldonado Behavior Technician 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 2020-10-01
1497362891 Sarai Orozco Behavior Technician 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 2020-09-29
1568079689 Nicole A Dunlap Behavior Technician 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 2020-09-24
1265049100 Samantha Danielle Castaneda Behavior Technician 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 2020-09-24
1023627676 Victor Andres Vazquez Behavior Technician 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 2020-07-29
1174132864 Ideana Angulo Behavior Technician 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 2020-07-28
1699384313 Martha Evelyn Gomez Behavior Technician 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 2020-07-28
1316567514 Jazmane Warbington Behavior Technician 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 2020-04-17
1134755739 Veronica Diaz Behavior Technician 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 2020-03-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932735669 Diana Hernandez Behavior Technician 413 W Commonwealth Ave, Suite C, Fullerton, CA 92832 2020-03-13
1942830013 Karen Marie Winkle Speech-Language Pathologist 812 Lois Lane, Fullerton, CA 92832 2020-01-17
1578122487 Andrea Arevalo Behavior Technician 713 Commonwealth Ave, Suite C, Fullerton, CA 92832 2019-06-13
1275090193 Madison Elizabeth Miller Behavior Technician 714 W Commonwealth Ave, Suite C, Fullerton, CA 92832 2019-02-27
1528525862 Samantha Rivas Behavior Technician 713 W Commonwealth Ave., Suite C, Fullerton, CA 92832 2019-02-22
1760948483 Marcus Gerard Chavez Behavioral Analyst 713 West Commonwealth Suite A, Fullerton, U.S.A 92832 2019-02-19
1710443437 Rolando Jimenez Behavior Technician 713 W. Commonwealth, Suite A, La Habra, CA 92832 2019-02-18
1659872919 Anthony James Arneson Marriage & Family Therapist 120 N Lawrence, Fullerton, CA 92832 2018-02-22
1407302243 Be Well Pharmacy Inc Pharmacy 105 N Lawrence Ave, Fullerton, CA 92832 2016-08-31
1871907972 Edward Walls Counselor 771 W.orangethorpe Ave., Fullerton, CA 92832 2014-06-17
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Taxonomy Information

Taxonomy Code 106E00000X
Grouping Behavioral Health & Social Service Providers
Classification Assistant Behavior Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649803602 Davis Taylor Assistant Behavior Analyst 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 2020-02-18
1669939716 Alfonso Eduardo Ramos Assistant Behavior Analyst 713 W Commonwealth Ave Ste A, Fullerton, CA 92832-1612 2019-02-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407457716 Amanda B Ford Assistant Behavior Analyst 12412 Crystal Ranch Rd, Moorpark, CA 93021-2916 2020-11-03
1700493327 Natalie N Taylor Assistant Behavior Analyst 620 E Angela St, Pleasanton, CA 94566-7414 2020-09-28
1174139729 Janea Jones Assistant Behavior Analyst 9377 Haven Ave, Rancho Cucamonga, CA 91730-5340 2020-09-18
1285249300 Janette Lopez Assistant Behavior Analyst 15490 Civic Dr, Victorville, CA 92392-2924 2020-09-15
1073126983 Raena A Juarez Assistant Behavior Analyst 2488 Shield Dr, Union City, CA 94587-1925 2020-08-28
1306459573 Loremari Samantha Mohr Assistant Behavior Analyst 4688 Ontario Mills Parkwar, Ontario, CA 91764 2020-08-28
1730799354 Krystle Lam Assistant Behavior Analyst 7871 Mission Grove Pkwy S Apt 106, Riverside, CA 92508-5032 2020-08-07
1346850344 James Kahler Assistant Behavior Analyst 40509 Calla Lilly St, Murrieta, CA 92563-6443 2020-08-04
1154931244 Cathern Hedge Assistant Behavior Analyst 255 E Rincon St Ste 109, Corona, CA 92879-1367 2020-08-04
1801406814 Garrett Chase Assistant Behavior Analyst 29782 Smugglers Point Dr, Canyon Lake, CA 92587-7474 2020-08-04
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Competitor

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City FULLERTON
Zip Code 92832

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Dataset Information

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.

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