SUZANNE ELIZABETH MATA (NPI# 1073953170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073953170 |
| Entity Type | Individual |
| Full Name | SUZANNE ELIZABETH MATA |
| Practice Address |
11777 Sebastian Way Ste 102 Rancho Cucamonga CA 91730-0707 |
| Mailing Address |
713 W Commonwealth Ave Fullerton CA 92832-1612 |
| Practice Telephone | 9098380044 |
| Mailing Telephone | 7148794274 |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2019-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
11777 SEBASTIAN WAY STE 102 |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91730-0707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487971198 | Michael Nelson | Counselor | 11777 Sebastian Way Ste 102, Rancho Cucamonga, CA 91730-0707 | 2010-04-21 |
| 1013434885 | Theresa Strand | Marriage & Family Therapist | 11777 Sebastian Way Ste 102, Rancho Cucamonga, CA 91730-0707 | 2017-08-23 |
| 1609204593 | Chrissie Radcliff | Student in an Organized Health Care Education/Training Program | 11777 Sebastian Way Ste 102, Rancho Cucamonga, CA 91730-0707 | 2013-10-31 |
| 1750629275 | Richard Steven Lemmon | Counselor | 11777 Sebastian Way Ste 102, Rancho Cucamonga, CA 91730-0707 | 2013-01-17 |
| 1740528389 | Jossalyn Engberson | Behavioral Analyst | 11777 Sebastian Way Ste 102, Rancho Cucamonga, CA 91730-0707 | 2013-01-16 |
| 1376817379 | Kimberly Wampler | Behavioral Analyst | 11777 Sebastian Way Ste 102, Rancho Cucamonga, CA 91730-0707 | 2012-03-08 |
| 1285904326 | Mark Richardson Fowlis | Counselor | 11777 Sebastian Way Ste 102, Rancho Cucamonga, CA 91730 | 2012-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722444 | Alliancerx Health Solutions, LLC. | Clinical Medical Laboratory | 9431 Haven Ave, Suite 100 #376, Rancho Cucamonga, CA 91730 | 2020-05-19 |
| 1346860194 | Wecare Dialysis Center | Clinic/Center | 8591 Grove Ave, Rancho Cucamonga, CA 91730 | 2020-04-22 |
| 1982235263 | Mel Latone Family Counseling, Inc. | Marriage & Family Therapist | 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 | 2020-01-27 |
| 1205471240 | Breena Nakamoto | Social Worker | 9645 Arrow Route, Building 5, Suite A, Rancho Cucamonga, CA 91730 | 2019-11-13 |
| 1497300180 | Laura Estela Le | Behavior Technician | 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 | 2019-08-08 |
| 1336792100 | Swan Psychological Services, Inc. | Psychologist | 8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730 | 2019-07-22 |
| 1568023745 | Mariah Wright | Behavior Technician | 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 | 2019-06-27 |
| 1770140378 | Amanda Ware | Clinic/Center | 9333 Fairway View Place Suite 101, Rancho Cucamonga, CA 91730 | 2019-05-20 |
| 1265995435 | Collaborative Autism Management Programs Inc. | Community/Behavioral Health | 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 | 2019-04-12 |
| 1700361326 | Brittany Rhone | Behavioral Analyst | 933 Baseline Rd, Rancho Cucamonga, CA 91730 | 2018-09-28 |
| Find all providers in zip 91730 | ||||
| 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 |
|---|---|---|---|---|
| 1629676176 | Amber Enriquez | Behavior Technician | 7164 Sapri Pl, Rancho Cucamonga, CA 91701-8570 | 2020-10-15 |
| 1912513144 | Heather Trindle | Behavior Technician | 10604 N Trademark Pkwy Ste 308, Rancho Cucamonga, CA 91730-5938 | 2020-09-22 |
| 1457961658 | Alejandro Rosas Reyes | Behavior Technician | 8350 Archibald Ave Ste 160, Rancho Cucamonga, CA 91730-3669 | 2020-08-03 |
| 1558983411 | Xavier Mathias Ariza | Behavior Technician | 9360 Santa Anita Ave Ste 100, Rancho Cucamonga, CA 91730-6151 | 2020-05-14 |
| 1518586551 | Linda Jasmine Del Castillo | Behavior Technician | 10413 Gala Ave, Rancho Cucamonga, CA 91701-5259 | 2020-04-09 |
| 1396379079 | Karina Lopez-villegas | Behavior Technician | 8512 Baker Ave, Rancho Cucamonga, CA 91730-4240 | 2020-03-03 |
| 1487286308 | Hala Fehan | Behavior Technician | 10418 Cartilla Ct, Rancho Cucamonga, CA 91737-3715 | 2020-02-08 |
| 1366072241 | Zahra Hassan | Behavior Technician | 9731 Pleasant View Dr, Rancho Cucamonga, CA 91701-5166 | 2020-01-20 |
| 1295374429 | Rina C Bacot-merriman | Behavior Technician | 9333 Baseline Rd Ste 290a, Rancho Cucamonga, CA 91730-1350 | 2020-01-06 |
| 1942846118 | Selina Sanchez | Behavior Technician | 9999 Foothill Blvd Spc 69, Rancho Cucamonga, CA 91730-3655 | 2019-11-22 |
| Find all providers in RANCHO CUCAMONGA | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91730 |
Please comment or provide details below to improve the information on SUZANNE ELIZABETH MATA.
| 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.