LIFE LEARNING INSTITUTE FOR FUNCTIONAL EDUCATION INC (NPI# 1922634633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922634633 |
| Entity Type | Organization |
| Organization Name | LIFE LEARNING INSTITUTE FOR FUNCTIONAL EDUCATION INC |
| Practice Address |
6518 Equestrian Dr Riverbank CA 95367-2571 |
| Practice Telephone | 2092220282 |
| Practice Fax Number | 2098460917 |
| Mailing Telephone | 2092220282 |
| Mailing Fax Number | 2098460917 |
| Enumeration Date | 2020-03-14 |
| Last Update Date | 2020-03-14 |
| Authorized Official Name | TERRA DAWN OEHLER (OWNER) |
| Authorized Official Telephone | 2092220282 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
6518 EQUESTRIAN DR |
| City | RIVERBANK |
| State | CA |
| Zip Code | 95367-2571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598235111 | Adam Lagos | Behavior Technician | 5501 Antique Roseway, Riverbank, CA 95367 | 2018-11-27 |
| 1831407410 | Workplace Wellness Center | Community/Behavioral Health | 2861 Turpin Ave, Riverbank, CA 95367 | 2010-09-17 |
| 1083843940 | Lorraine Marie Romero | Nurse Practitioner | 4150 Patterson Rd, Riverbank, CA 95367 | 2009-07-13 |
| 1043372618 | Riverbank Primary Care Medical Clinic Inc. | Clinic/Center | 3227 Stanislaus St., Ste 'a', Riverbank, CA 95367 | 2006-12-13 |
| 1366518169 | Reni Varghese | Pharmacist | 1777 W. Yosemite Avenue, Manteca, CA 95367 | 2006-11-27 |
| 1760566434 | Brian Edward Elliott | Optometrist | 6331 Jackson Ave, Riverbank, CA 95367 | 2006-10-25 |
| 1861587727 | Steve Byron Benak Jr. | Radiology | 7024 N. Park Ridge Court, Riverbank, CA 95367 | 2006-10-04 |
| 1508879396 | George E Schauf | Family Medicine | 3443 Atchison St, Riverbank, CA 95367 | 2006-08-14 |
| 1356360184 | Lawrence D. Podolsky | Obstetrics & Gynecology | 2603 Patterson Road, Suite 2, Riverbank, CA 95367 | 2006-07-19 |
| 1295704484 | Karen A. Schaaf | Registered Nurse | 1425 West H. Street #380, Oakdale, CA 95367 | 2006-03-17 |
| Find all providers in zip 95367 | ||||
| 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 |
|---|---|---|---|---|
| 1699321356 | Allison Rose Dasilva | Behavioral Analyst | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2019-08-17 |
| 1578124384 | Kymberley Kay Barlow | Behavioral Analyst | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2019-06-23 |
| 1942702451 | Christian Garcia | Behavioral Analyst | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2018-03-01 |
| 1104335363 | Berenice Ascencio | Behavioral Analyst | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2017-09-20 |
| 1942719117 | Ilana Eyzaguirre | Behavioral Analyst | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2017-09-20 |
| 1124547427 | Jacob Edwards | Behavioral Analyst | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2017-09-18 |
| 1275054496 | Natalie Heffner | Behavioral Analyst | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2017-06-28 |
| 1053831792 | Bernard Karamgolpashin | Behavioral Analyst | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2017-06-23 |
| 1487037115 | Natalie Libby | Behavioral Analyst | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2015-06-30 |
| 1447655253 | Kelly Gloria | Behavioral Analyst | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2014-10-23 |
| Find all providers in RIVERBANK | ||||
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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.