TARA GALLISON (NPI# 1720326424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720326424 |
| Entity Type | Individual |
| Full Name | TARA GALLISON |
| Credential | BCABA |
| Practice Address |
3731 6th Ave Ste 100 San Diego CA 92103-4383 |
| Practice Telephone | 6192780884 |
| Mailing Telephone | 6192780884 |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2017-06-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 0-10-3861 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3731 6TH AVE STE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-4383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033376322 | Lisa Christine Walker | Speech-Language Pathologist | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2008-05-22 |
| 1215567979 | Lunesha Hale | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2020-01-22 |
| 1891325742 | Brittanie Autumn Nguyen | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2020-01-20 |
| 1053941906 | Forest Mitchell | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2020-01-20 |
| 1831729888 | Jennifer Marie Busalacchi | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2020-01-17 |
| 1679113831 | Madeleine Gagne | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2020-01-15 |
| 1871133140 | Nadia Maria Espinoza | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2020-01-14 |
| 1588204937 | Casey Beriah Cummins | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2020-01-14 |
| 1831739242 | Liora Berkstein | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2020-01-14 |
| 1285274555 | Mehak Kaur Dureja | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2020-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| 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 |
| Find all providers in SAN DIEGO | ||||
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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.