FAMILY MODEL BEHAVIOR THERAPY, LLC (NPI# 1750898177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750898177 |
| Entity Type | Organization |
| Organization Name | FAMILY MODEL BEHAVIOR THERAPY, LLC |
| Practice Address |
18802 Mandan Street #901 Canyon Country CA 91351 |
| Practice Telephone | 8182615580 |
| Practice Fax Number | 6613677778 |
| Mailing Telephone | 8182615580 |
| Mailing Fax Number | 6613677778 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |
| Authorized Official Name | KEEGAN HART (CLINICAL DIRECTOR/OWNER) |
| Authorized Official Telephone | 8182615580 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-15-18352 | CA | Behavioral Health & Social Service Providers |
| Street Address |
18802 MANDAN STREET #901 |
| City | CANYON COUNTRY |
| State | CA |
| Zip Code | 91351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467969071 | Family Model Behavior Therapy | Behavioral Analyst | 18802 Mandan Street, #901, Canyon Country, CA 91351-3763 | 2018-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679222 | Saint Lazarus Home Health Inc. | Home Health | 17722 Sierra Highway, Santa Clarita, CA 91351 | 2020-08-14 |
| 1558608398 | Bernadette Medina | Specialist/Technologist | 19040 Soledad Canyon Rd., # 210, Santa Clarita, CA 91351 | 2013-01-14 |
| 1164776068 | Fabricio Mundo | Interpreter | 19887 Northcliff Dr, Canyon Country, CA 91351 | 2012-10-31 |
| 1124384730 | Noosha Daha | Marriage & Family Therapist | 2714 Hidaway Ave, Santa Clarita, CA 91351 | 2012-04-09 |
| 1083906937 | Carla's Counseling,life Coaching, and Classes | Community/Behavioral Health | 19040 Soledad Canyon Road, Suite B, Santa Clarita, CA 91351 | 2011-05-11 |
| 1629289012 | Ronald Eugene Semelsberger | Dentist | 27552 Sierra Highway, Canyon Country, CA 91351 | 2007-05-25 |
| 1780975755 | Westcoastdental | Clinic/Center | 15350 Nordhoff Street, Suite A, North Hills, CA 91351 | 2011-04-26 |
| 1346373784 | Anna Liberman Dds Inc | Health Maintenance Organization | 18507 Soledad Canyon Rd, Canyon Country, CA 91351 | 2007-03-14 |
| 1538214358 | Carolina Escaro Villate Mendoza | Dentist | 27225 Camp Plenty Rd, Suite 9, Canyon Country, CA 91351 | 2007-01-24 |
| 1528170917 | Behnaz Sepehripour | Dentist | 18520 Soledad Canyon Rd, Suite G, Canyon Country, CA 91351 | 2006-08-31 |
| Find all providers in zip 91351 | ||||
| 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 |
|---|---|---|---|---|
| 1467969071 | Family Model Behavior Therapy | Behavioral Analyst | 18802 Mandan Street, #901, Canyon Country, CA 91351-3763 | 2018-01-04 |
| 1619376803 | Keegan Hart | Behavioral Analyst | 18802 Mandan St, Unit #901, Canyon Country, CA 91351-3716 | 2014-08-14 |
| 1134746332 | Maria Hamilton | Behavioral Analyst | 19981 Soledad Canyon Rd, Canyon Country, CA 91351-2626 | 2020-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073334 | Asha Aba, LLC | Behavioral Analyst | 4201 Vincente St, Fremont, CA 94536-4512 | 2020-11-07 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CANYON COUNTRY |
| Zip Code | 91351 |
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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.