CREATIVE BEHAVIOR INTERVENTIONS (NPI# 1750650933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750650933 |
| Entity Type | Organization |
| Organization Name | CREATIVE BEHAVIOR INTERVENTIONS |
| Practice Address |
3002 Dow Ave Suite 520 Tustin CA 92780-7233 |
| Practice Telephone | 9498611580 |
| Practice Fax Number | 9493287689 |
| Mailing Telephone | 9498611580 |
| Mailing Fax Number | 9493287689 |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |
| Authorized Official Name | DR. DENISE MARIE ECKMAN (PRESIDENT) |
| Authorized Official Telephone | 9498611580 |
| Authorized Official Credential | PSY.D., BCBA-D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY22024 | CA | Behavioral Health & Social Service Providers |
| N | 251C00000X | Day Training, Developmentally Disabled Services | 1-07-3777 | CA | Agencies |
| Y | 103K00000X | Behavioral Analyst | 1-07-3777 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3002 DOW AVE SUITE 520 |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-7233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730295650 | Coram Healthcare Corporation of Southern California | Home Health | 3002 Dow Ave, Ste 104, Tustin, CA 92780-7233 | 2006-08-22 |
| 1588213862 | Cecilia Thuy Trinh | Occupational Therapist | 3002 Dow Ave, Tustin, CA 92780-7233 | 2019-09-09 |
| 1528525706 | Jonathan Q Dang | Behavior Technician | 3002 Dow Ave, Tustin, CA 92780-7233 | 2019-02-25 |
| 1215404017 | Andy Phung | Occupational Therapist | 3002 Dow Ave, Tustin, CA 92780-7233 | 2018-10-30 |
| 1104358175 | Evelyn Divinagracia | Speech-Language Pathologist | 3002 Dow Ave, 114, Tustin, CA 92780-7233 | 2017-03-29 |
| 1598117590 | Denise Marie Eckman | Psychologist | 3002 Dow Ave, #122, Tustin, CA 92780-7233 | 2016-07-01 |
| 1609227610 | Janell Rees | Behavioral Analyst | 3002 Dow Ave, 122, Tustin, CA 92780-7233 | 2016-06-30 |
| 1265807259 | Olivia Edmondson | Occupational Therapist | 3002 Dow Ave, Unit 114, Tustin, CA 92780-7233 | 2015-12-02 |
| 1841582020 | Wayne Brian Centra | Occupational Therapist | 3002 Dow Ave, 114, Tustin, CA 92780-7233 | 2011-05-06 |
| 1194015891 | Patrick Elvin Clarke | Internal Medicine | 3002 Dow Ave, Suite 204, Tustin, CA 92780-7233 | 2011-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| 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 |
|---|---|---|---|---|
| 1790397180 | Guiding Strides LLC | Behavioral Analyst | 14175 Paseo Corto, Tustin, CA 92780-2013 | 2020-08-18 |
| 1902462740 | Misty M Wei | Behavioral Analyst | 1213 Aviator Ln S, Tustin, CA 92782-1701 | 2019-05-16 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1659761195 | Diane Burbank | Behavioral Analyst | 13392 Savanna, Tustin, CA 92782-9145 | 2015-02-04 |
| 1891114534 | Manuela O Powers | Behavioral Analyst | 18002 Irvine Blvd Ste 202c, Tustin, CA 92780-3322 | 2014-04-09 |
| 1023369261 | Hsing-an Daisy Wang | Behavioral Analyst | 333 El Camino Real Ste 200, Tustin, CA 92780-3605 | 2012-09-27 |
| 1881969145 | Behavior Support Services LLC | Behavioral Analyst | 1405 Manchester Way, Tustin, CA 92782-1785 | 2012-03-19 |
| 1104434299 | Evelyn Hernandez-mejia | Behavioral Analyst | 18002 Irvine Blvd Ste 202c, Tustin, CA 92780-3322 | 2020-07-15 |
| 1760090971 | Alexandra Rasey-smith | Behavioral Analyst | 315 Centennial Way, Tustin, CA 92780-3714 | 2020-07-14 |
| 1639797947 | Cindy Cervantes | Behavioral Analyst | 18002 Irvine Blvd Ste 202c, Tustin, CA 92780-3322 | 2020-07-13 |
| Find all providers in TUSTIN | ||||
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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.