Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194248773 Individual Practitioner Female Practitioner

Charmin Rose Gentry , BCBA

Behavior Analyst • San Diego, CA

Professional Overview & Biography Verified Profile Summary

Charmin Rose Gentry, BCBA is a registered healthcare professional specializing in Behavior Analyst in San Diego, CA. Practice services are available at 2820 CAMINO DEL RIO S STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2820 Camino Del Rio S Ste 100

San Diego, CA 921083822

Telephone 8004348923
Fax 6159059200

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in San Diego, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
1161 Specialists

Practicing in San Diego, CA (20508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-21
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License None 1-22-62808

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.

Assistant Behavior Analyst

NUCC Taxonomy Code: 106E00000X

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Behavior Analyst Certification Board, Inc. (Bacb)
0-17-7794
Commercial Insurance / Payer ID Behavior Analyst Certification Board, Inc. (Bacb)
1-22-62808 (CA)

Secondary Practice Locations

501 W Broadway Ste 800

San Diego, CA 921013546

Phone: 8774182978

7860 Mission Center Ct Ste 100

San Diego, CA 921081330

Phone: 6192720090

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Hannah Smith , BCBA

Behavior Analyst

NPI 1003368291

Board Certified Behavior Analyst

Stephanie Grettenberger

Behavior Technician

NPI 1003459488
Colin Barrier

Behavior Technician

NPI 1003468604
Nathan Heaps

Behavior Technician

NPI 1003472887
Zoie Arnold

Behavior Technician

NPI 1003477696
Mark Carillo

Behavior Technician

NPI 1013470046

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events
📍
Updated Practice Location July 21, 2023

Registered at 2820 CAMINO DEL RIO S STE 100, SAN DIEGO, CA 921083822 (Tel: 8004348923)

📍
Updated Business Mailing Address July 21, 2023

Registered at 2820 CAMINO DEL RIO S STE 100, SAN DIEGO, CA 921083822 (Tel: 8004348923)

👤
Provider Name / Credentials Updated July 21, 2023

Recorded as CHARMIN ROSE GENTRY, BCBA

📍
Updated Business Mailing Address December 15, 2022

Registered at 350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 334411834 (Tel: 8774182978)

👤
Provider Name / Credentials Updated December 15, 2022

Recorded as CHARMIN ROSE CAMPANO, BCBA

📍
Updated Practice Location June 03, 2021

Registered at 501 W BROADWAY STE 800, SAN DIEGO, CA 921013546 (Tel: 8774182978)

📍
Updated Business Mailing Address June 03, 2021

Registered at 500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 334411817 (Tel: 8774182978)

👤
Provider Name / Credentials Updated June 03, 2021

Recorded as CHARMIN ROSE CAMPANO, BCABA

NPI Profile Active January 25, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2018

Registered at 7860 MISSION CENTER CT STE 100, SAN DIEGO, CA 921081330 (Tel: 6192720090)

📍
Updated Business Mailing Address January 25, 2018

Registered at 5694 MISSION CENTER RD STE 602, SAN DIEGO, CA 921084324

👤
Provider Name / Credentials Updated January 25, 2018

Recorded as CHARMIN CAMPANO, BCABA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2018

Assistant Behavior Analyst

NPI Profile Active July 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 25, 2017

Registered at 7860 MISSION CENTER CT STE 100, SAN DIEGO, CA 921081330 (Tel: 6192720090)

📍
Updated Business Mailing Address July 25, 2017

Registered at 5694 MISSION CENTER RD STE 602, SAN DIEGO, CA 921084324

👤
Provider Name / Credentials Updated July 25, 2017

Recorded as CHARMIN CAMPANO, BCABA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2017

Behavior Analyst (License #0-17-7794 in None)

🟢
Initial NPI Registration & Enumeration July 25, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1194248773
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2017
Last Update: July 21, 2023
Sole Proprietor: No

Mailing Address

2820 Camino Del Rio S Ste 100

San Diego, CA 921083822

Phone: 8004348923

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.