MIRIAM LUTTBEG (NPI# 1740520964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740520964 |
| Entity Type | Individual |
| Full Name | MIRIAM LUTTBEG |
| Credential | BCABA |
| Practice Address |
6540 Lusk Blvd Suite C-157 San Diego CA 92121-2767 |
| Mailing Address |
6167 Bristol Pkwy Suite 130 Culver City CA 90230-6610 |
| Practice Telephone | 8586780963 |
| Practice Fax Number | 8586780964 |
| Mailing Telephone | 3104104450 |
| Mailing Fax Number | 3104104455 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 0-05-1857 | CA | Behavioral Health & Social Service Providers |
| Street Address |
6540 LUSK BLVD SUITE C-157 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-2767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912095670 | Jennifer R Shapiro | Psychologist | 6540 Lusk Blvd, Suite C277, San Diego, CA 92121-2767 | 2006-10-10 |
| 1871025312 | Tiffany Haug | Dietitian, Registered | 6540 Lusk Blvd, Suite C277, San Diego, CA 92121-2767 | 2017-04-03 |
| 1154866150 | Amber Vavro | Technician, Other | 6540 Lusk Blvd, Suite C256, San Diego, CA 92121 | 2016-12-29 |
| 1023407913 | Wellness Way | Acupuncturist | 6540 Lusk Blvd, Suite C175, San Diego, CA 92121-2767 | 2015-01-14 |
| 1508204652 | Sharon K Thompson | Psychologist | 6540 Lusk Blvd, Suite C-277, San Diego, CA 92121-2767 | 2013-06-11 |
| 1710235429 | Yu Woung Go | Acupuncturist | 6540 Lusk Blvd, Ste C265, San Diego, CA 92121-2767 | 2012-08-28 |
| 1447511316 | Pattie L Harris | Behavioral Analyst | 6540 Lusk Blvd, San Diego, CA 92121 | 2012-06-06 |
| 1720349921 | Five Element Care | Acupuncturist | 6540 Lusk Blvd, #c-144, San Diego, CA 92121-2767 | 2012-06-04 |
| 1467719898 | Sandra Jane Barnum | Acupuncturist | 6540 Lusk Blvd, Suite C139, San Diego, CA 92121-2767 | 2012-04-23 |
| 1477823854 | Holly Elizabeth Wilkey | Marriage & Family Therapist | 6540 Lusk Blvd, Suite C159, San Diego, CA 92121-2767 | 2012-01-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
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| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766698 | Daniela Tablas | Behavioral Analyst | 303 47th St Spc D-22, San Diego, CA 92102 | 2020-09-30 |
| 1124637384 | Best Life Aba | Behavioral Analyst | 5227 Lenore Dr, San Diego, CA 92115-1639 | 2020-07-23 |
| 1992313423 | Vailala Felicia Gregory | Behavioral Analyst | 2721 Ridge View Dr, San Diego, CA 92105-4857 | 2020-07-21 |
| 1295359768 | Jake Wylie | Behavioral Analyst | 2848 Ash St, San Diego, CA 92102-1753 | 2020-06-01 |
| 1881215739 | Arasila | Behavioral Analyst | 4653 Carmel Mountain Rd Ste 308-252, San Diego, CA 92130-6650 | 2020-05-01 |
| 1255978623 | Playba | Behavioral Analyst | 4504 60th St Unit 6, San Diego, CA 92115-5470 | 2019-12-04 |
| 1689217374 | Elizabeth Gallagher | Behavioral Analyst | 1721 Grand Ave, San Diego, CA 92109-4415 | 2019-10-24 |
| 1679122568 | Carolyn Newtson | Behavioral Analyst | 9620 Chesapeake Dr Ste 205, San Diego, CA 92123-1324 | 2019-09-04 |
| 1518519933 | Communication Lab LLC | Behavioral Analyst | 4566 Pescadero Ave, San Diego, CA 92107-3537 | 2019-07-15 |
| 1538722889 | Seeds Therapy Center | Behavioral Analyst | 2707 Congress St Ste 1r, San Diego, CA 92110-2764 | 2019-04-22 |
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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.