KEVIN MAMON


Address: 1149 W 190th St Ste 2200, Gardena, CA 90248-4344
Phone: 3108560800

KEVIN MAMON (NPI# 1720695265) 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) 1720695265
Entity Type Individual
Full Name KEVIN MAMON
Practice Address 1149 W 190th St Ste 2200
Gardena
CA 90248-4344
Mailing Address 18726 S Western Ave Ste 408
Gardena
CA 90248-3858
Practice Telephone 3108560800
Enumeration Date 2020-09-29
Last Update Date 2020-09-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician 00011995 CA Behavioral Health & Social Service Providers

Office Location

Street Address 1149 W 190TH ST STE 2200
City GARDENA
State CA
Zip Code 90248-4344

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568817377 Paola Nathalie Jaime Behavioral Analyst 1149 W 190th St Ste 2200, Gardena, CA 90248-4344 2016-04-29
1750998282 Corinna Huerta Behavior Technician 1149 W 190th St Ste 2200, Gardena, CA 90248-4344 2020-09-29
1669089330 Carol Heng Behavior Technician 1149 W 190th St Ste 2200, Gardena, CA 90248-4344 2020-09-28
1548877228 Bessie Moncado Behavior Technician 1149 W 190th St Ste 2200, Gardena, CA 90248-4344 2020-09-28
1831706639 Athena Ebuen Behavior Technician 1149 W 190th St Ste 2200, Gardena, CA 90248-4344 2020-09-25
1184231987 Joaquin Munoz Behavior Technician 1149 W 190th St Ste 2200, Gardena, CA 90248-4344 2020-09-25
1588271399 Anton Motus Behavior Technician 1149 W 190th St Ste 2200, Gardena, CA 90248-4344 2020-09-25
1831706647 Jacqueline Tamayo Behavior Technician 1149 W 190th St Ste 2200, Gardena, CA 90248-4344 2020-09-25
1952918856 Dayanara Fuentes Behavior Technician 1149 W 190th St Ste 2200, Gardena, CA 90248-4344 2020-09-25
1639786692 Gino Claudio Behavior Technician 1149 W 190th St Ste 2200, Gardena, CA 90248-4344 2020-09-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215537543 Gereine Mae Condino Datan Nurse Practitioner 500 W 190 St, Gardena, CA 90248 2020-10-27
1154811297 Patrick Lee Technician/Technologist 18203 S. Western Ave Ste. 102, Torrance, CA 90248 2018-05-15
1386152445 Ariana Felicitas Nieves Behavioral Analyst 870 W 190th St Ste 400, Gardena, CA 90248 2018-01-11
1265949606 Jessica Keller Behavioral Analyst 879 W 190th St Suite 400, Gardena, CA 90248 2018-01-08
1265941199 Jaimee E Munson Behavioral Analyst 18726 S. Western Ave St, #408, Gardena, CA 90248 2017-09-22
1922467349 Fred Jefferson Memorial Homes Substance Abuse Rehabilitation Facility 152 W. Walnut, Suite 150, Gardena, CA 90248 2016-02-12
1922427442 Shana Reilly Behavioral Analyst 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 2014-04-11
1588002216 Aacres Ca, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 2013-06-04
1093057598 Aids Health Foundation Pharmacist 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 2013-03-22
1245576594 Hye Mi Kim Behavioral Analyst 18726 S. Western Ave.,#408, Gardena, CA 90248 2012-12-13
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750848040 Mayra Saucedo Behavior Technician 1248 W 186th St, Gardena, CA 90248-4117 2019-02-22
1700356136 Breauna Shanel Sharp Behavior Technician 1508 W Artesia Sq, Gardena, CA 90248-4766 2018-11-28
1295210474 Arelis Becerra Behavior Technician 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 2018-10-03
1376143073 Paulina Cervantes Behavior Technician 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 2020-10-30
1053911701 Kaylan De La Torre Behavior Technician 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 2020-10-30
1558961243 Vincent Barner Behavior Technician 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 2020-10-30
1316547094 Janette Madrid-franco Behavior Technician 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 2020-10-30
1649870320 Amber Bangma Behavior Technician 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 2020-10-30
1235739988 Katherine Bustamante Behavior Technician 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 2020-10-30
1366042038 Cattleya Cunvong Behavior Technician 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 2020-10-30
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Competitor

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City GARDENA
Zip Code 90248

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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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