ANDREW KENNEDY


Address: 148 W Sampson St, Imperial, CA 92251-8828
Phone: 9493387475

ANDREW KENNEDY (NPI# 1982256491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982256491
Entity Type Individual
Full Name ANDREW KENNEDY
Practice Address 148 W Sampson St
Imperial
CA 92251-8828
Mailing Address 11650 Iberia Pl Ste 130
San Diego
CA 92128-2431
Practice Telephone 9493387475
Mailing Telephone 8582645858
Enumeration Date 2019-07-15
Last Update Date 2019-07-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Other Providers ANDREW KENNEDY

NPI Name Taxonomy Address Enumeration
1871730077 Andrew James Kennedy IIi Pharmacist 82 Liborio Ln, Smyrna, DE 19977-7711 2009-01-10
1306907118 Andrew A Kennedy Physical Therapist 530 N Hough St Ste 130, Barrington, IL 60010 2006-12-13
1649748161 Andrew Ryan Kennedy Pharmacist 1910 Santa Fe Dr, Pueblo, CO 81006-1452 2018-11-02
1699228692 Andrew Dale Kennedy Dentist 128 South 300 West, Bicknell, UT 84715 2016-07-27
1538542519 Andrew C Kennedy Physician Assistant 721 American Ave, Suite 510, Waukesha, WI 53188-5071 2015-07-08
1801236070 Andrew Ricard Kennedy Physician Assistant 600 Caisson Hill Rd, Fort Riley, KS 66442-7037 2013-07-02
1366534125 Andrew David Kennedy Physician Assistant 620 Howard Ave, Altoona, PA 16601-4804 2006-09-29
1467472167 Andrew K Kennedy Anesthesiology 1701 Senate Blvd, Indianapolis, IN 46202-1239 2006-07-19
1467491019 Andrew Scott Kennedy Radiology 2410 Patterson St, Basement Level, Nashville, TN 37203-1551 2006-06-06

Office Location

Street Address 148 W SAMPSON ST
City IMPERIAL
State CA
Zip Code 92251-8828

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134656317 Fronteras Interpreting Interpreter 284 W La Paz Drive, Imperial, CA 92251 2017-05-18
1639613128 Surgery Centers of Imperial Valley Inc Clinic/Center 2402 Business Parkway, Suite 101, Imperial, CA 92251 2016-12-19
1508010315 Bethzyra Guevara Rehabilitation Counselor 624 Ruby Street, Imperial, CA 92251 2008-11-06
1396929345 Byron Justus Dentist 2387 Us Highwy 86, Imperial, CA 92251 2007-12-27
1154503894 Gary G Cummings Dentist 2302 Brown Rd., Centinela State Prison, Imperial, CA 92251 2007-12-05
1396925160 Dave Sat Khatri Internal Medicine 2302 Brown Road, Centinela State Prison, Imperial, CA 92251 2007-11-09
1144420928 Freddy Carreno Nurse Practitioner 2302 Brown Rd, Imperial, CA 92251 2007-07-20
1336289818 Herbert Ray Bumgart Jr. Rehabilitation Counselor 1295 State St Suite 106, El Centro, CA 92251 2007-02-07
1578668976 Volunteers of America Southwest California Skilled Nursing Facility 100 E. Second Street, Imperial, CA 92251 2006-09-13
1598780736 Bernardo Ng Psychiatry & Neurology 2417 Marshall Ave, Ste 1, Imperial, CA 92251 2006-07-12
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467061200 Tasha Olin Behavior Technician 2778 Mallard Ct, Imperial, MO 63052-1436 2020-07-28
1083255293 Jo Karla Jimenez Behavior Technician 502 W Aten Rd Ste 105, Imperial, CA 92251-9423 2019-09-30
1194285528 Alexis Vega Behavior Technician 605 Sunrise Ct, Imperial, CA 92251-9409 2019-03-21
1568996957 Katherine Jeppesen Behavior Technician 316 Timber Trl, Imperial, PA 15126-9690 2017-04-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225639057 Rebecca Quinones Behavior Technician 4434 Kennett Ter, Fremont, CA 94536-5735 2020-11-06
1245831015 Ayanna D Davis Behavior Technician 425 E Monterey Rd, Corona, CA 92879-2839 2020-11-06
1659972446 Kellyn Hartsfield Behavior Technician 3252 W Barstow Ave, Fresno, CA 93711-2606 2020-11-06
1104427004 Veronica Adelaid Valera-averilla Behavior Technician 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 2020-11-06
1649871419 Jay Galarza Behavior Technician 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 2020-11-06
1952902801 Keri Castaneda Behavior Technician 025 Camino Del Rio South Suite 101, San Diego, CA 92108 2020-11-06
1598366551 Jennifer Rene Chavez Behavior Technician 2015 Donner Ave, Clovis, CA 93611-5274 2020-11-05
1063013969 Jamie Ann Cunningham Behavior Technician 9551 S Coast Ln, Elk Grove, CA 95758-1168 2020-11-05
1568063592 Katie Nester Behavior Technician 1926 Via Centre Dr, Suite B, Vista, CA 92081-6056 2020-11-05
1801497821 Daisia Newman Behavior Technician 3038 Great Egret Way, Sacramento, CA 95834-1096 2020-11-05
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Competitor

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City IMPERIAL
Zip Code 92251

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Dataset Information

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.

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