MALISSA KANCZULA
NPI 1710769062
Behavior Technician in Tustin, CA

NPI Status: Active since October 19, 2023

Contact Information

3002 DOW AVE
TUSTIN, CA
ZIP 92780
Phone: (657) 294-5113

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  • Individual
  • Female
  • Behavior Technician

About MALISSA KANCZULA

This page provides the complete NPI Profile along with additional information for Malissa Kanczula, a provider established in Tustin, California with a medical specialization in Behavior Technician. The healthcare provider is registered in the NPI registry with number 1710769062 assigned on October 2023. The practitioner's primary taxonomy code is 106S00000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1710769062
Provider Name
MALISSA KANCZULA
Gender
Female
Entity Type
Individual
Location Address
3002 DOW AVE TUSTIN, CA 92780
Location Phone
(657) 294-5113
Mailing Address
3002 DOW AVE TUSTIN, CA 92780
Is Sole Proprietor?
No
Enumeration Date
10-19-2023
Last Update Date
10-19-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Technician

Taxonomy Code
106S00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710769062
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272014618012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 4 + 6 + 1 + 8 + 0 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1710769062 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063720373DR. MYRON REIFF M.D.
Individual
Family Medicine3002 DOW AVE SUITE 204
TUSTIN, CA 92780
(714) 368-0800
1194015891DR. PATRICK ELVIN CLARKE M.D.
Individual
Internal Medicine3002 DOW AVE SUITE 204
TUSTIN, CA 92780
(888) 277-0080
1750650933CREATIVE BEHAVIOR INTERVENTIONS
Organization
Behavior Analyst3002 DOW AVE SUITE 520
TUSTIN, CA 92780
(949) 861-1580
1609227610 JANELL REES BCABA
Individual
Behavior Analyst3002 DOW AVE 122
TUSTIN, CA 92780
(949) 328-7688
1104358175MRS. EVELYN DIVINAGRACIA M.S. CCC-SLP
Individual
Speech-Language Pathologist3002 DOW AVE 114
TUSTIN, CA 92780
(714) 731-4668
1841582020 WAYNE BRIAN CENTRA MOTR/L
Individual
Occupational Therapist3002 DOW AVE 114
TUSTIN, CA 92780
(714) 731-4668
1215404017 ANDY PHUNG OTR/L
Individual
Occupational Therapist3002 DOW AVE
TUSTIN, CA 92780
(714) 731-4668
1528525706 JONATHAN Q DANG RBT
Individual
Behavior Technician3002 DOW AVE
TUSTIN, CA 92780
(949) 328-7688
1588213862 CECILIA THUY TRINH OTR/L
Individual
Occupational Therapist3002 DOW AVE
TUSTIN, CA 92780
(714) 731-4668
1386718377DR. HANS PARK MD
Individual
General Practice3002 DOW AVE #204
TUSTIN, CA 92780
(714) 368-0800
1598117590DR. DENISE MARIE ECKMAN PSY.D., BCBA-D
Individual
Behavior Analyst3002 DOW AVE #122
TUSTIN, CA 92780
(949) 328-7688
1205552908 TIFFANY HO
Individual
Behavior Technician3002 DOW AVE
TUSTIN, CA 92780
(657) 294-5113
1174305437 LAURA ACEVEDO
Individual
Behavior Technician3002 DOW AVE
TUSTIN, CA 92780
(657) 294-5113
1649042722 DAYANA GIRON RAMIREZ
Individual
Behavior Technician3002 DOW AVE
TUSTIN, CA 92780
(657) 294-5113
1730961087 ZHIYU WU
Individual
Behavior Technician3002 DOW AVE
TUSTIN, CA 92780
(657) 294-5113
1962274050 MARY BERNSTEIN
Individual
Behavior Technician3002 DOW AVE
TUSTIN, CA 92780
(657) 294-5113
1003638834 LIZBETH CIRANDA
Individual
Behavior Technician3002 DOW AVE
TUSTIN, CA 92780
(949) 328-7688

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710769062, enumerated in the NPI registry as an "individual" on October 19, 2023

The provider is located at 3002 Dow Ave Tustin, Ca 92780 and the phone number is (657) 294-5113

The provider's speciality is Behavior Technician with taxonomy code 106S00000X

This NPI record was last updated on October 19, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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