MRS. STEPHANIE CARLA BROADENAX


Address: 1055 W 7th St Ste 1800, Los Angeles, CA 90017-2544
Phone: 8182351414

MRS. STEPHANIE CARLA BROADENAX (NPI# 1033770391) 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) 1033770391
Entity Type Individual
Full Name MRS. STEPHANIE CARLA BROADENAX
Other Name STEPHANIE CARLA RAMIREZ
Credential B.A.
Practice Address 1055 W 7th St Ste 1800
Los Angeles
CA 90017-2544
Mailing Address 7226 Sepulveda Blvd
Van Nuys
CA 91405-2003
Practice Telephone 8182351414
Mailing Telephone 8182351414
Enumeration Date 2019-06-26
Last Update Date 2019-06-26
Gender Code F
Is Sole Proprietor N

Taxonomy

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

Office Location

Street Address 1055 W 7TH ST STE 1800
City LOS ANGELES
State CA
Zip Code 90017-2544

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780142463 Maria Esther Bacuyani Behavior Technician 1055 W 7th St Ste 1800, Los Angeles, CA 90017-2544 2019-03-12
1356976633 Samantha Nicole De Hart Pena-lora Behavior Technician 1055 W 7th St Ste 1800, Los Angeles, CA 90017-2544 2020-03-07
1760012363 Brenda Martinez Behavior Technician 1055 W 7th St Ste 1800, Los Angeles, CA 90017-2544 2020-01-22
1295365898 Jodie Grace Lim Pujalte Behavior Technician 1055 W 7th St Ste 1800, Los Angeles, CA 90017-2544 2020-01-22
1730728858 Karla Delgado Behavior Technician 1055 W 7th St Ste 1800, Los Angeles, CA 90017-2544 2020-01-06
1023656444 Angela Teresa Gonzalez Behavior Technician 1055 W 7th St Ste 1800, Los Angeles, CA 90017-2544 2019-12-16
1821632001 Chiamaka Kimberly Njoku Behavior Technician 1055 W 7th St Ste 1800, Los Angeles, CA 90017-2544 2019-10-31
1669025151 Verenise Rios Behavior Technician 1055 W 7th St Ste 1800, Los Angeles, CA 90017-2544 2019-07-23
1033770623 Nathalie Martinez Behavior Technician 1055 W 7th St Ste 1800, Los Angeles, CA 90017-2544 2019-06-25
1396305728 Isaias Santamaria Behavior Technician 1055 W 7th St Ste 1800, Los Angeles, CA 90017-2544 2019-06-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144833617 Guadalupe Vallejo Licensed Vocational Nurse 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 2020-08-25
1376181768 Nirlok Corporation Optometrist 750 West 7th Street, Los Angeles, CA 90017 2019-12-16
1689228223 Marycarmen Beltran Student in an Organized Health Care Education/Training Program 333 S. Beaudry Ave., Los Angeles, CA 90017 2019-08-01
1639661465 Robin B Horowitz Counselor 333 South Beaudry Avenue, Los Angeles, CA 90017 2018-06-06
1710483797 Rose Jadidian Pharmacist 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 2018-03-30
1417469875 Marykarla Gallegos Case Manager/Care Coordinator 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 2017-10-25
1134646516 Maria Salas Rehabilitation Practitioner 333 S Beaudry Ave., Los Angeles, CA 90017 2017-08-25
1932638202 Butterfli Technologies Inc Transportation Broker 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 2017-06-08
1316493125 Phamily Love Foundation Community/Behavioral Health 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 2016-08-31
1215392188 Jessica R. Garcia-hillard Specialist/Technologist 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 2015-12-21
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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
1124628904 Toya Hill Behavior Technician 2229 S Gramercy Pl, Los Angeles, CA 90018-1322 2020-10-29
1346847464 Cristhina A Perez Behavior Technician 158 W 50th St, Los Angeles, CA 90037-3265 2020-10-01
1558975300 Osariemen Raymond Eguavoen Behavior Technician 1826 S Bundy Dr Apt 1, Los Angeles, CA 90025-5222 2020-08-31
1437773199 Sonia Preciado Behavior Technician 13101 W Washington Blvd Ste 13101w, Los Angeles, CA 90066-5131 2020-05-29
1770106866 Wendy Carrillo Behavior Technician 1200 S Figueroa St Apt 2306, Los Angeles, CA 90015-4457 2020-05-22
1831712934 Guillermo Theodoro Vasquez Behavior Technician 340 S St Andrews Pl Apt 107, Los Angeles, CA 90020-4332 2020-05-22
1851910038 Mirna Alguera Behavior Technician 2121 James M Wood Blvd Apt 416, Los Angeles, CA 90006-2218 2020-04-08
1568098085 Adrian Zaldana Behavior Technician 1117 W 18th St, Los Angeles, CA 90015-3325 2020-03-16
1629602628 Monica Sherlyne Barrios Behavior Technician 850 N Mariposa Ave Apt 310, Los Angeles, CA 90029-4602 2020-02-27
1881228294 Ann Bailey Behavior Technician 210 E 60th St, Los Angeles, CA 90003-1209 2020-02-24
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Competitor

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City LOS ANGELES
Zip Code 90017

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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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