MISS PAM THAO (NPI# 1871092320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871092320 |
| Entity Type | Individual |
| Full Name | MISS PAM THAO |
| Credential | ASW |
| Practice Address |
701 E Channel St Stockton CA 95202-2628 |
| Mailing Address |
7210 Murray Dr Stockton CA 95210-3339 |
| Practice Telephone | 2099444700 |
| Mailing Telephone | 2093732800 |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 75808 | CA | Behavioral Health & Social Service Providers |
| Street Address |
701 E CHANNEL ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95202-2628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578552543 | Community Medical Centers, Inc | Clinic/Center | 701 E Channel St, Stockton, CA 95202-2628 | 2005-10-20 |
| 1376175265 | Lisa Gildea | Dental Hygienist | 701 E Channel St, Stockton, CA 95202-2628 | 2020-02-07 |
| 1427524156 | Katherine Francis Ketz | Nurse Practitioner | 701 E Channel St, Stockton, CA 95202-2628 | 2018-10-20 |
| 1639676422 | Olivia Millan | Lactation Consultant, Non-RN | 701 E Channel St, Stockton, CA 95202-2628 | 2018-04-09 |
| 1982101911 | Erin Kathleen Garcia | Dietitian, Registered | 701 E Channel St, Stockton, CA 95202-2628 | 2018-04-06 |
| 1336665587 | Elaine Sze Ho | Family Medicine | 701 E Channel St, Stockton, CA 95202-2628 | 2017-08-18 |
| 1770036642 | Pak-hei Hui | Pharmacist | 701 E Channel St, Stockton, CA 95202-2628 | 2016-07-27 |
| 1417361395 | Issa Sidibe | Nurse Practitioner | 701 E Channel St, Stockton, CA 95202-2628 | 2014-06-18 |
| 1821381179 | David Graham | Nurse Practitioner | 701 E Channel St, Stockton, CA 95202-2628 | 2011-05-19 |
| 1649588393 | Elizabeth Ann Simmons | Registered Nurse | 701 E Channel St, Stockton, CA 95202-2628 | 2010-09-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774678 | Lecletus Griffin Jr. | Counselor | 1212 N. Califronia Street, Stockton, CA 95202 | 2020-03-06 |
| 1861035586 | Andrea Mn Perkins | Social Worker | Sjc Bhs Bacop, 1149 El Dorado Street, Stockton, CA 95202 | 2019-10-25 |
| 1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
| 1730655895 | Jenaiah La'neise Sauceda | Social Worker | 343 E Main St Ste 918, Stockton, CA 95202 | 2018-10-16 |
| 1235631722 | Parker Yang | Counselor | 1111 N. El Dorado St, Stockton, CA 95202 | 2018-03-01 |
| 1912406976 | Janet Mendoza | Social Worker | 6 South Eldorado Street, Stockton, CA 95202 | 2018-02-06 |
| 1487162087 | Linda Soun | Counselor | 1111 N. El Dorado Street, Stockton, CA 95202 | 2018-01-17 |
| 1124545355 | Suleyma Velesquez | Counselor | 445 N. San Joaquin St., Stockton, CA 95202 | 2017-08-28 |
| 1821513946 | Savoeun Phal | Counselor | 1212 N California St Ste A214, Stockton, CA 95202 | 2017-08-09 |
| 1861921272 | Mandeep K Minhas | Registered Nurse | 1212 California St, Stockton, CA 95202 | 2017-06-08 |
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| 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 |
|---|---|---|---|---|
| 1548756430 | Alyssa Giovanna Franklin | Assistant Behavior Analyst | 87 W March Ln Ste 6, Stockton, CA 95207-5731 | 2018-07-03 |
| 1386130904 | Allison Toch | Assistant Behavior Analyst | 87 W March Ln Ste 6, Stockton, CA 95207-5731 | 2018-07-06 |
| 1740776368 | Nancy Jimenez | Assistant Behavior Analyst | 87 W March Ln, Stockton, CA 95207-5731 | 2018-07-06 |
| 1487140455 | Julia Halloran | Assistant Behavior Analyst | 87 W March Ln, Stockton, CA 95207-5731 | 2018-07-02 |
| 1033642467 | Chelsea Gadzia | Assistant Behavior Analyst | 7109 Danny Dr, Stockton, CA 95210-5320 | 2017-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457716 | Amanda B Ford | Assistant Behavior Analyst | 12412 Crystal Ranch Rd, Moorpark, CA 93021-2916 | 2020-11-03 |
| 1700493327 | Natalie N Taylor | Assistant Behavior Analyst | 620 E Angela St, Pleasanton, CA 94566-7414 | 2020-09-28 |
| 1174139729 | Janea Jones | Assistant Behavior Analyst | 9377 Haven Ave, Rancho Cucamonga, CA 91730-5340 | 2020-09-18 |
| 1285249300 | Janette Lopez | Assistant Behavior Analyst | 15490 Civic Dr, Victorville, CA 92392-2924 | 2020-09-15 |
| 1073126983 | Raena A Juarez | Assistant Behavior Analyst | 2488 Shield Dr, Union City, CA 94587-1925 | 2020-08-28 |
| 1306459573 | Loremari Samantha Mohr | Assistant Behavior Analyst | 4688 Ontario Mills Parkwar, Ontario, CA 91764 | 2020-08-28 |
| 1730799354 | Krystle Lam | Assistant Behavior Analyst | 7871 Mission Grove Pkwy S Apt 106, Riverside, CA 92508-5032 | 2020-08-07 |
| 1346850344 | James Kahler | Assistant Behavior Analyst | 40509 Calla Lilly St, Murrieta, CA 92563-6443 | 2020-08-04 |
| 1154931244 | Cathern Hedge | Assistant Behavior Analyst | 255 E Rincon St Ste 109, Corona, CA 92879-1367 | 2020-08-04 |
| 1801406814 | Garrett Chase | Assistant Behavior Analyst | 29782 Smugglers Point Dr, Canyon Lake, CA 92587-7474 | 2020-08-04 |
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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.