MRS. TINA LYNN SUTHERLAND


Address: 1045 East Pennsylvania Ave, Escondido, CA 92029
Phone: 6192012010

MRS. TINA LYNN SUTHERLAND (NPI# 1669839254) 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) 1669839254
Entity Type Individual
Full Name MRS. TINA LYNN SUTHERLAND
Other Name TINA LYNN KLOACK
Practice Address 1045 East Pennsylvania Ave
Escondido
CA 92029
Practice Telephone 6192012010
Mailing Telephone 6192012010
Enumeration Date 2016-01-27
Last Update Date 2016-01-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Office Location

Street Address 1045 EAST PENNSYLVANIA AVE
City ESCONDIDO
State CA
Zip Code 92029

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NPI Name Taxonomy Address Enumeration
1477923373 Aurora D'elia-verrocchi Physician Assistant 2185 Citracado Parkway, Escandido, CA 92029 2015-10-05
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1609188937 Marvin Walter Levenson Case Manager/Care Coordinator 2227 Enterprise St, Escondido, CA 92029 2010-07-01
1003137258 James H Nelson Radiology 3337 Avenida Hacienda, Escondido, CA 92029 2010-06-22
1265568620 Junia P Wadia Dentist 1340 W Valley Pkwy, #205, Escondido, CA 92029 2007-02-27
1225186232 Paul Brian Volpp Radiology 2125 Citricado Pkwy, #110, Dept of Radiation Oncology, Escondido, CA 92029 2007-01-08
1679620231 Alan David Will Optometrist 1264-a Auto Pkwy, Escondido, CA 92029 2007-01-05
1891842530 Ngoc Mong Hoang Nguyen Optometrist 1264 Auto Pkwy, Ste A, Escondido, CA 92029 2007-01-04
1073608089 Margaret Mauleon Novicio Dentist 3440 Del Lago Blvd, Suite C, Escondido, CA 92029 2006-10-04
1285179283 Eye Specialists of California Medical Group Ophthalmology 1955 Citracado Pkwy Ste 301, Escondido, CA 92029 2016-12-29
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073974903 Andrew Stephen Gilmore Behavioral Analyst 1045 E Pennsylvania Ave, Escondido, CA 92025-4616 2016-03-20
1972960987 Nida Chouhan Behavioral Analyst 1045 East Pennsylvania Avenue, Escondido, CA 92025 2016-01-21
1659752780 Miranda Leann Gillette Behavioral Analyst 562 W Grand Ave, Escondido, CA 92025-2502 2015-06-15
1669809950 Rebecca Gutierrez Behavioral Analyst 1045 E. Pennsylvania Ave, Escondido, CA 92025 2013-10-01
1063846475 Matl-bcba Behavioral Analyst 361 Lambert Gln, Escondido, CA 92025-2565 2013-08-22
1063741940 Milestones Children's Therapy Behavioral Analyst 1785 S Escondido Blvd Ste A, Escondido, CA 92025-6573 2009-12-23
1720698418 Amber Nicole Mccracken Behavioral Analyst 215 S Hickory St Ste 126, Escondido, CA 92025-4360 2020-08-06
1740798883 Annie K Kiet Behavioral Analyst 562 W Grand Ave, Escondido, CA 92025-2502 2018-01-10
1811340094 Bailey Alvarado Behavioral Analyst 474 W Vermont Ave Ste 103, Escondido, CA 92025-6584 2016-07-22

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1225639305 Tanisha Grant Behavioral Analyst 4592 Warner Ave, Huntington Beach, CA 92649 2020-11-04
1306446109 Andrea Huizar Behavioral Analyst 10236 Fern Ave, Stanton, CA 90680-1711 2020-10-29
1932709730 Kathleen Brock Murphy Behavioral Analyst 4456 Manzanita Ave Ste 2, Clearlake, CA 95422-7200 2020-10-29
1932709003 Jazmin Ramirez Behavioral Analyst 10415 San Luis Ave, South Gate, CA 90280-6627 2020-10-28
1194325548 Valeria Del Rocio Temblador Behavioral Analyst 510 N Mcdonnell Ave, East Los Angeles, CA 90022-1111 2020-10-27
1114527561 Miriam Soledad Bautista Behavioral Analyst 1060 Chinquapin Ave Apt 3, Carlsbad, CA 92008-3539 2020-10-27
1922607449 Martin Johns Behavioral Analyst 11618 Wake Cir, Cypress, CA 90630-5547 2020-10-26
1962001552 Leandra Barisoff Behavioral Analyst 13920 City Center Dr # 219, Chino Hills, CA 91709-5432 2020-10-23
1740889617 Kolby James Losik Behavioral Analyst 19219 Coliseum Ln, Marina, CA 93933-5232 2020-10-21
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Competitor

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City ESCONDIDO
Zip Code 92029

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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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