ELYSE ANGEL (NPI# 1073095360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073095360 |
| Entity Type | Individual |
| Full Name | ELYSE ANGEL |
| Credential | RBT |
| Practice Address |
12235 Beach Blvd Stanton CA 90680 |
| Mailing Address |
12235 Beach Blvd Stanton CA 90680-3939 |
| Practice Telephone | 7142020118 |
| Mailing Telephone | 7142020118 |
| Enumeration Date | 2018-09-03 |
| Last Update Date | 2019-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12235 Beach Blvd, Stanton, CA 90680 | 7142020118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972995207 | Elyse Angel | Pharmacist | 109 East Dr Hicks Blvd, Florence, AL 35630 | 2015-02-24 |
| Street Address |
12235 BEACH BLVD |
| City | STANTON |
| State | CA |
| Zip Code | 90680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336152008 | Howard R Knohl | Radiology | 12235 Beach Blvd, Ste 110, Stanton, CA 90680-3939 | 2006-08-14 |
| 1942800701 | Ami Tapan Parikh | Assistant Behavior Analyst | 12235 Beach Blvd, Ste 110, Stanton, CA 90680 | 2020-10-29 |
| 1588263297 | Nancy Rubi Araujo | Behavior Technician | 12235 Beach Blvd, Stanton, CA 90680-3939 | 2020-10-22 |
| 1952900060 | Mikael Joseph Auro Godisan | Behavior Technician | 12235 Beach Blvd, Stanton, CA 90680-3939 | 2020-10-20 |
| 1437756194 | Sean Marcus A Zafra | Behavior Technician | 12235 Beach Blvd, Stanton, CA 90680-3939 | 2020-10-06 |
| 1992318737 | Ryan Douglas Tokeshi | Behavior Technician | 12235 Beach Blvd, Stanton, CA 90680-3939 | 2020-08-30 |
| 1194338525 | Rosalinda M Orozco | Behavior Technician | 12235 Beach Blvd, Stanton, CA 90680-3939 | 2020-08-25 |
| 1639795354 | Malia Gear | Behavior Technician | 12235 Beach Blvd, Stanton, CA 90680-3939 | 2020-06-18 |
| 1700409398 | Emma Lervold | Behavior Technician | 12235 Beach Blvd, Stanton, CA 90680-3939 | 2020-05-18 |
| 1578185906 | Albert Sosa Orozco | Behavior Technician | 12235 Beach Blvd, Stanton, CA 90680-3939 | 2020-05-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962978429 | Mountain View Hospice | Hospice Care, Community Based | 12235 Beach Blvd., Suite 205c, Stanton, CA 90680 | 2018-10-22 |
| 1073983250 | Jennifer Van | Dental Hygienist | 10882 Cedar Street, Stanton, CA 90680 | 2015-10-01 |
| 1780097915 | Chris G Kim | Acupuncturist | 7731 Katella Ave #b, Stanton, CA 90680 | 2014-06-05 |
| 1982035069 | San Blas Medical Clinic | General Practice | 7777 Katella Avenue, Stanton, CA 90680 | 2013-11-27 |
| 1487969861 | Dean Tran, D.o., Inc | Clinic/Center | 11418 1/2 Renaissance Way, Stanton, CA 90680 | 2010-08-10 |
| 1255562229 | Ability Center | Durable Medical Equipment & Medical Supplies | 11600 Western Ave, Stanton, CA 90680 | 2009-08-07 |
| 1235369786 | Diem-trinh Maria Nguyen | Dentist | 532 E Chapman, Orange, CA 90680 | 2009-07-17 |
| 1932315959 | Esther L Sy | Dentist | 10468 Beach Boulevard, Stanton, CA 90680 | 2007-05-15 |
| 1255409694 | Minh Duc Nguyen | Dentist | 12880 Beach Blvd, Stuite Aa, Stanton, CA 90680 | 2006-12-02 |
| 1780750612 | Go Diagnostics Inc | Specialist/Technologist, Other | 7159 Katella Ave, Stanton, CA 90680 | 2006-11-24 |
| Find all providers in zip 90680 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497365126 | Brenda Patricia Ramos Zavala | Behavior Technician | 12235 Beach Blvd Ste 110, Stanton, CA 90680-3943 | 2020-08-06 |
| 1487116018 | Jean Marie Donaghy | Behavior Technician | 12640 Briarglen Loop Unit F, Stanton, CA 90680-4122 | 2019-04-02 |
| 1962961037 | Nicholas Luskin | Behavior Technician | 8100 Park Plz Apt 167, Stanton, CA 90680-5767 | 2019-03-18 |
| 1255833455 | Sara Temsah | Behavior Technician | 10301 Western Ave, Stanton, CA 90680-1452 | 2018-03-02 |
| 1659873115 | Melanie Cazier | Behavior Technician | 100 E Main St #c, Stanton, MI 48888 | 2018-03-01 |
| 1225530611 | Stanton Pain & Rehab Center Inc | Behavior Technician | 8220 Katella Ave Ste D, Stanton, CA 90680-4602 | 2018-03-01 |
| 1285133561 | Alicia Henderson | Behavior Technician | 100 E Main St Ste A, Stanton, MI 48888-9687 | 2018-02-01 |
| 1851809719 | Ignacio Aviles | Behavior Technician | 12235 Beach Blvd Ste 100, Stanton, CA 90680-3943 | 2018-01-12 |
| 1023619608 | Michelle Marie Leak-rensland | Behavior Technician | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-11-02 |
| 1588263297 | Nancy Rubi Araujo | Behavior Technician | 12235 Beach Blvd, Stanton, CA 90680-3939 | 2020-10-22 |
| Find all providers in STANTON | ||||
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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.