MS. TIYA MARIE CAMPBELL (NPI# 1902938962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902938962 |
| Entity Type | Individual |
| Full Name | MS. TIYA MARIE CAMPBELL |
| Practice Address |
4690 S Eastern Ave Commerce CA 90040-2911 |
| Mailing Address |
206 N Jackson St Ste 202 Glendale CA 91206-4330 |
| Practice Telephone | 8182416780 |
| Mailing Telephone | 8182416780 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2019-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12714 Avalon Blvd, Los Angeles, CA 900612730 | 3232425000 | 3232423521 |
| Street Address |
4690 S EASTERN AVE |
| City | COMMERCE |
| State | CA |
| Zip Code | 90040-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169983 | Phillip Britton | Behavior Technician | 4690 S Eastern Ave, Commerce, CA 90040-2911 | 2019-02-04 |
| 1073082103 | Caroline Avila | Behavior Technician | 4690 S Eastern Ave, Commerce, CA 90040-2911 | 2018-11-19 |
| 1356810469 | Ana Arnautalic | Behavioral Analyst | 4690 S Eastern Ave, Commerce, CA 90040-2911 | 2018-11-19 |
| 1760951800 | Kimberly Barajas | Behavior Technician | 4690 S Eastern Ave, Commerce, CA 90040-2911 | 2018-11-19 |
| 1508335647 | Crystal Baldizon | Behavior Technician | 4690 S Eastern Ave, Commerce, CA 90040-2911 | 2018-11-19 |
| 1104395235 | Stephanie Azcunaga | Behavior Technician | 4690 S Eastern Ave, Commerce, CA 90040-2911 | 2018-11-19 |
| 1245709393 | Isela Barales | Behavior Technician | 4690 S Eastern Ave, Commerce, CA 90040-2911 | 2018-11-19 |
| 1013486281 | Mayra Areyan | Behavior Technician | 4690 S Eastern Ave, Commerce, CA 90040-2911 | 2018-11-17 |
| 1205305471 | Jacqueline Arciniega | Behavior Technician | 4690 S Eastern Ave, Commerce, CA 90040-2911 | 2018-11-17 |
| 1932678109 | Stacy Arellano | Behavior Technician | 4690 S Eastern Ave, Commerce, CA 90040-2911 | 2018-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178358 | On Site Physician Services, PC | Family Medicine | 6131 Telegraph Road, Commerce, CA 90040 | 2018-09-20 |
| 1912423831 | Rafael Marron IIi | Health Educator | 5675 E. Telegraph Rd., Commerce, CA 90040 | 2017-08-22 |
| 1699196378 | Altamed Health Services | Health Maintenance Organization | 2040 Camfield Ave., Los Angeles, CA 90040 | 2013-12-23 |
| 1578815072 | Martha Rose Lopez | Rehabilitation Practitioner | 2450 South Atlantic Blvd., Suite #101, Commerce, CA 90040 | 2012-10-08 |
| 1386906949 | Nadia Felix | Case Manager/Care Coordinator | 2450 Atantic Blvd, Suite #101, Commerce, CA 90040 | 2012-06-11 |
| 1215206503 | Jwch Institute, Inc. | Clinic/Center | 5650 Jillson St, Commerce, CA 90040 | 2011-12-15 |
| 1821398488 | Karla Sandin | Marriage & Family Therapist | 5628 E Slauson Ave., City of Commerce, CA 90040 | 2010-10-29 |
| 1437461662 | Stephanie Ann Villasenor | Counselor | 5800 S Eastern Ave Ste 500, Commerce, CA 90040 | 2010-07-02 |
| 1699940296 | Carolyn Coolidge | Rehabilitation Practitioner | 6055 E. Washingtonblvd., Suite 900, Commerce, CA 90040 | 2008-04-24 |
| 1508040379 | Miyoshi Umeki Dorsey | Case Management | 1500 S. Mc Dowell Ave., Los Angeles, CA 90040 | 2007-12-28 |
| Find all providers in zip 90040 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| 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 |
|---|---|---|---|---|
| 1982169983 | Phillip Britton | Behavior Technician | 4690 S Eastern Ave, Commerce, CA 90040-2911 | 2019-02-04 |
| 1073082103 | Caroline Avila | Behavior Technician | 4690 S Eastern Ave, Commerce, CA 90040-2911 | 2018-11-19 |
| 1760951800 | Kimberly Barajas | Behavior Technician | 4690 S Eastern Ave, Commerce, CA 90040-2911 | 2018-11-19 |
| 1508335647 | Crystal Baldizon | Behavior Technician | 4690 S Eastern Ave, Commerce, CA 90040-2911 | 2018-11-19 |
| 1104395235 | Stephanie Azcunaga | Behavior Technician | 4690 S Eastern Ave, Commerce, CA 90040-2911 | 2018-11-19 |
| 1245709393 | Isela Barales | Behavior Technician | 4690 S Eastern Ave, Commerce, CA 90040-2911 | 2018-11-19 |
| 1013486281 | Mayra Areyan | Behavior Technician | 4690 S Eastern Ave, Commerce, CA 90040-2911 | 2018-11-17 |
| 1205305471 | Jacqueline Arciniega | Behavior Technician | 4690 S Eastern Ave, Commerce, CA 90040-2911 | 2018-11-17 |
| 1932678109 | Stacy Arellano | Behavior Technician | 4690 S Eastern Ave, Commerce, CA 90040-2911 | 2018-11-17 |
| 1225507494 | Karina Araiza | Behavior Technician | 4690 S Eastern Ave, Commerce, CA 90040-2911 | 2018-11-17 |
| Find all providers in COMMERCE | ||||
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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.