GUADALUPE GASTELUM (NPI# 1083850846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083850846 |
| Entity Type | Individual |
| Full Name | GUADALUPE GASTELUM |
| Practice Address |
13800 Heacock St Suite C236 Moreno Valley CA 92553-3339 |
| Mailing Address |
35234 Eureka Ave Yucaipa CA 92399-4783 |
| Practice Telephone | 9516530819 |
| Practice Fax Number | 9516562614 |
| Mailing Telephone | 9098107936 |
| Mailing Fax Number | 9097972480 |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2010-12-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
13800 HEACOCK ST SUITE C236 |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760536874 | Brenda M. Rees | Counselor | 13800 Heacock St, D117, Moreno Valley, CA 92553-3339 | 2007-01-23 |
| 1780071282 | Jeree Lotts | Case Manager/Care Coordinator | 13800 Heacock St, Suite C236, Moreno Valley, CA 92553-3339 | 2015-04-22 |
| 1184027112 | A.m.palanca-capistrano,m.d.inc. | Clinic/Center | 13800 Heacock St, Suite C-110, Moreno Valley, CA 92553-3339 | 2014-10-05 |
| 1558786277 | Ester Raha Ngeembi Nyaggah | Case Manager/Care Coordinator | 13800 Heacock St, Suite C236, Moreno Valley, CA 92553-3339 | 2014-03-04 |
| 1801211032 | Aumond L Archibald | Case Manager/Care Coordinator | 13800 Heacock St, C236, Moreno Valley, CA 92553-3339 | 2014-02-25 |
| 1225478266 | Jonathan Brian Fox | Case Manager/Care Coordinator | 13800 Heacock St, Suite C236, Moreno Valley, CA 92553-3339 | 2013-07-03 |
| 1396180212 | Sulmy Mayly Salazar Cifuentes | Rehabilitation Practitioner | 13800 Heacock St, Moreno Valley, CA 92553-3339 | 2013-05-06 |
| 1346582962 | C.l.s.non-emergency Medical Transportation Services | Non-emergency Medical Transport (VAN) | 13800 Heacock St, Bldg C, Suite 230-c, Moreno Valley, CA 92553-3339 | 2013-03-21 |
| 1194078238 | Jazmin Quintero | Case Manager/Care Coordinator | 13800 Heacock St, 236, Moreno Valley, CA 92553-3339 | 2012-10-25 |
| 1104184860 | Central Occupational Medicine Providers - Ontario, A Medical Corporati | Family Medicine | 13800 Heacock St, Suite C136, Moreno Valley, CA 92553-3339 | 2012-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896855 | Jessica Magali Zapata | Behavioral Analyst | 13298 Silver Ln, Moreno Valley, CA 92553-4271 | 2020-03-18 |
| 1952935884 | Keisha Matthews | Behavioral Analyst | 25886 Iris Ave Unit B, Moreno Valley, CA 92551-2915 | 2020-02-29 |
| 1841824018 | Angelica Yang | Behavioral Analyst | 24574 Covington Way, Moreno Valley, CA 92557-6427 | 2020-02-26 |
| 1558908905 | Julio Rebollar | Behavioral Analyst | 11353 Red Hill Rd, Moreno Valley, CA 92557-4913 | 2019-12-04 |
| 1073164356 | Katherine Scroggins | Behavioral Analyst | 12865 Gorham St, Moreno Valley, CA 92553-5602 | 2019-09-27 |
| 1447816897 | Janeira Tenorio Anguiano | Behavioral Analyst | 24171 Rothbury Dr, Moreno Valley, CA 92553-3317 | 2019-05-11 |
| 1952864019 | Sierra D Jefferson | Behavioral Analyst | 24715 Sunday Dr, Moreno Valley, CA 92557-5102 | 2019-04-07 |
| 1144789181 | Taquoryiea Matthews | Behavioral Analyst | 23157 Ironwood Ave Apt 28, Moreno Valley, CA 92557-8037 | 2019-03-19 |
| 1093287153 | Shamica Morton | Behavioral Analyst | 24081 Sandy Glade Ave, Moreno Valley, CA 92557-5529 | 2018-12-28 |
| 1568930212 | Bradly Pool | Behavioral Analyst | 11627 Mccully Ct, Moreno Valley, CA 92557-7912 | 2018-11-09 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
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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.