JILL LARSEN (NPI# 1871987586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871987586 |
| Entity Type | Individual |
| Full Name | JILL LARSEN |
| Practice Address |
1433 Foothill Blvd La Canada CA 91011-2109 |
| Practice Telephone | 8189370882 |
| Practice Fax Number | 8189370883 |
| Mailing Telephone | 8189370882 |
| Mailing Fax Number | 8189370883 |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2016-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 11410454 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861672909 | Jill R Larsen | Physician Assistant | 11 Doctors Dr, Ocean Springs, MS 39564-5709 | 2007-11-06 |
| 1992036701 | Jill Leah Larsen | Anesthesiology | 305 S State St, Aberdeen, SD 57401-4527 | 2010-01-18 |
| 1760655690 | Jill J Larsen | Registered Nurse | 151 S University Ave # 1900, Provo, UT 84601-4427 | 2008-04-11 |
| 1972700433 | Jill Larsen | Psychologist | 100 Cummings Center, Suite 151-b, Beverly, MA 01915 | 2007-06-28 |
| 1659457299 | Jill Hemingway Larsen | Registered Nurse | 170 N 1100 E, American Fork, UT 84003-2096 | 2006-10-27 |
| 1316991086 | Jill Katherine Larsen | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2006-05-19 |
| Street Address |
1433 FOOTHILL BLVD |
| City | LA CANADA |
| State | CA |
| Zip Code | 91011-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659706901 | Kristina Grubbs | Behavioral Analyst | 1433 Foothill Blvd, La Canada, CA 91011-2109 | 2013-09-05 |
| 1528506763 | Nilsa Yvette Rodriguez | Behavioral Analyst | 1433 Foothill Blvd, La Canada, CA 91011-2109 | 2017-02-08 |
| 1629529789 | Linda Dang | Behavioral Analyst | 1433 Foothill Blvd, La Canada, CA 91011-2109 | 2016-10-24 |
| 1326466293 | Karolina Agatha Kasubowski | Behavioral Analyst | 1433 Foothill Blvd, La Canada, CA 91011-2109 | 2014-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720528466 | Gina Lynn Horton | Acupuncturist | 890-b Town Center Drive, La Canada, CA 91011 | 2017-02-28 |
| 1215381777 | Richard Alan Compton | Family Medicine | 1109 Foothill Blvd, La Canada, CA 91011 | 2016-04-20 |
| 1073865390 | Drs. Ho Dental Partnership | Dentist | 400 Foothill Blvd., La Canada, CA 91011 | 2012-10-10 |
| 1477803369 | Amanda Ghattas | Student in an Organized Health Care Education/Training Program | 1323 Verdugo Blvd, La Canada Flintridge, CA 91011 | 2012-09-18 |
| 1992053441 | Ronald Leonard Polito | Internal Medicine | 4381 Shepherds Lane, La Canada, CA 91011 | 2012-08-15 |
| 1699089508 | Talha Khawar | Internal Medicine | 1975 Verdugo Blvd, La Canada, CA 91011 | 2010-08-03 |
| 1396999728 | Lester Baker Jr. | Family Medicine | 4404 Chevy Chase Dr., La Canada, CA 91011 | 2008-11-12 |
| 1306098280 | Vicky W Ling | Pharmacist | 523 Foothill Blvd., La Canada, CA 91011 | 2008-10-22 |
| 1770799850 | Gary Lynn Coleman | Marriage & Family Therapist | 1313 Foothill Bl., Suite 9, La Canada, CA 91011 | 2007-05-15 |
| 1881815884 | Sharon Elaine Milan | Marriage & Family Therapist | 1313 Foothill Boulevard, Suite 3, La Canada Flintridge, CA 91011 | 2007-05-01 |
| Find all providers in zip 91011 | ||||
| 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 |
|---|---|---|---|---|
| 1659706901 | Kristina Grubbs | Behavioral Analyst | 1433 Foothill Blvd, La Canada, CA 91011-2109 | 2013-09-05 |
| 1619588670 | Annie Morgan | Behavioral Analyst | 4515 Ocean View Blvd Ste 320, La Canada, CA 91011-1438 | 2020-08-13 |
| 1437769270 | Genessy Mendez | Behavioral Analyst | 4515 Ocean View Blvd Ste 320, La Canada, CA 91011-1438 | 2020-08-06 |
| 1598300170 | Samantha Elam | Behavioral Analyst | 4515 Ocean View Blvd Ste 320, La Canada, CA 91011-1438 | 2019-11-07 |
| 1043852635 | Eliza Keshishyan | Behavioral Analyst | 4515 Ocean View Blvd Ste 320, La Canada, CA 91011-1438 | 2019-10-15 |
| 1811465842 | Jessica Rose Lopez | Behavioral Analyst | 4515 Ocean View Blvd Ste 320, La Canada, CA 91011-1438 | 2018-11-07 |
| 1962970988 | Uilani Christina Elmer | Behavioral Analyst | 4515 Ocean View Blvd Ste 320, La Canada, CA 91011-1438 | 2018-11-07 |
| 1346763364 | Jamie Sue Wong | Behavioral Analyst | 4515 Ocean View Blvd Ste 320, La Canada, CA 91011-1438 | 2017-07-21 |
| 1528506763 | Nilsa Yvette Rodriguez | Behavioral Analyst | 1433 Foothill Blvd, La Canada, CA 91011-2109 | 2017-02-08 |
| 1801334081 | Melissa Bracamonte | Behavioral Analyst | 4515 Ocean View Blvd Ste 320, La Canada, CA 91011-1438 | 2017-02-07 |
| Find all providers in LA CANADA | ||||
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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.