TINA TANGTHEINKUL AVILA (NPI# 1093041196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093041196 |
| Entity Type | Individual |
| Full Name | TINA TANGTHEINKUL AVILA |
| Credential | LMFT, BCBA |
| Practice Address |
3602 Inland Empire Blvd Ontario CA 91764 |
| Mailing Address |
3200 E Guasti Rd Ste 100 Ontario CA 91761-8661 |
| Practice Telephone | 9094766464 |
| Practice Fax Number | 9094766868 |
| Mailing Telephone | 9093068686 |
| Mailing Fax Number | 9095108260 |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2019-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | 51769 | CA | Behavioral Health & Social Service Providers |
| Y | 103K00000X | Behavioral Analyst | 1-15-19368 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3602 Inland Empire Blvd, Ontario, CA 91764 | 9094766464 | 9094766868 |
| 9333 Baseline Rd Ste 290, Rancho Cucamonga, CA 917301300 | 9097555220 | |
| 3200 E Guasti Rd Ste 100, Ontario, CA 917618661 | 9093068686 | 9095108260 |
| Street Address |
3602 INLAND EMPIRE BLVD |
| City | ONTARIO |
| State | CA |
| Zip Code | 91764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891890026 | Andrew Miles | Chiropractor | 3602 Inland Empire Blvd, B140, Ontario, CA 91764-4900 | 2006-09-13 |
| 1679135487 | Ashley Adkins | Behavior Technician | 3602 Inland Empire Blvd, Ontario, CA 91764-4900 | 2019-07-01 |
| 1861053225 | Sarah Hernandez | Behavior Technician | 3602 Inland Empire Blvd, Ontario, CA 91764-4900 | 2019-06-26 |
| 1164997664 | Antoinette Mulder | Behavior Technician | 3602 Inland Empire Blvd, Ontario, CA 91764-4900 | 2018-10-11 |
| 1194236117 | Gino A Veltri | Behavior Technician | 3602 Inland Empire Blvd, Ontario, CA 91764-4900 | 2017-10-17 |
| 1114445061 | Bita Roshannia | Behavior Technician | 3602 Inland Empire Blvd, Ontario, CA 91764-4900 | 2017-08-30 |
| 1750806576 | Jennifer Delgado | Behavior Technician | 3602 Inland Empire Blvd, Ste B-208, Ontario, CA 91764 | 2017-08-14 |
| 1194245407 | Shary Moreno | Behavior Technician | 3602 Inland Empire Blvd, Ontario, CA 91764 | 2017-06-27 |
| 1114463452 | Shanene Romero | Behavior Technician | 3602 Inland Empire Blvd, Ontario, CA 91764-4900 | 2017-01-10 |
| 1912443235 | Annie Castillo | Behavior Technician | 3602 Inland Empire Blvd, Suite B208, Ontario, CA 91764-4900 | 2017-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760096952 | Jacqueline Iriart | Behavior Technician | 2930 Inland Empire Blvd St 100, Ontario, CA 91764 | 2020-09-03 |
| 1306459573 | Loremari Samantha Mohr | Assistant Behavior Analyst | 4688 Ontario Mills Parkwar, Ontario, CA 91764 | 2020-08-28 |
| 1023629649 | Yazmin Ramos | Behavior Technician | 4688 Ontario Mills Pwky, Ontario, CA 91764 | 2020-08-17 |
| 1184234999 | Adoniram Morales | Behavior Technician | 4688 Ontatio Mills Parkway, Ontario, CA 91764 | 2020-08-06 |
| 1396395489 | Enhanced Sleep Solutions | Clinic/Center | 2990 E. Inland Empire Blvd. #105, Antonio, CA 91764 | 2019-09-19 |
| 1013561588 | Jaquelyn Herrera | Behavior Technician | 2151 E Convention Center Way Ste #103, Ontario, CA 91764 | 2019-08-01 |
| 1285287995 | Ha Tran Tsai Dental Corporation | Dentist | 1361 East 4th Street, Ontario, CA 91764 | 2019-07-22 |
| 1346702974 | Rocio Sandoval | Behavior Technician | 800 Ferrari Ln Ste 100, Ontario, CA 91764 | 2019-04-02 |
| 1275011678 | Jquana Lucille Dowdy | Behavior Technician | 2903 Inland Empire Blvd, Suite 101, Ontario, CA 91764 | 2018-07-30 |
| 1063917458 | Maria Veronica Heard | Specialist/Technologist | 740 E Princeton St, Ontario, CA 91764 | 2018-03-27 |
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| 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 |
|---|---|---|---|---|
| 1760009245 | Jenniffer Cartagena | Behavioral Analyst | 337 N Vineyard Ave # 201, Ontario, CA 91764-4453 | 2020-06-30 |
| 1508492828 | Shanae R Hampton | Behavioral Analyst | 1729 E G St Apt 110, Ontario, CA 91764-4467 | 2020-03-18 |
| 1871158824 | Chelsee Mena | Behavioral Analyst | 948 W El Morado Ct, Ontario, CA 91762-2606 | 2019-05-06 |
| 1437623600 | Brittany Rene Gonzalez | Behavioral Analyst | 5152 Cottage Garden Way, Ontario, CA 91762-7219 | 2019-01-21 |
| 1265932107 | Crystal Trujillo | Behavioral Analyst | 2151 E Convention Center Way, Ontario, CA 91764-5429 | 2018-02-16 |
| 1821515255 | Karina Nieto | Behavioral Analyst | 1512 E 5th St Spc 75, Ontario, CA 91764-2163 | 2017-08-25 |
| 1780101329 | Alejandra Gutierrez | Behavioral Analyst | 1855 E Riverside Dr, Ontario, CA 91761-7251 | 2017-08-24 |
| 1588191605 | Kari Donnenwirth | Behavioral Analyst | 2151 E Convention Center Way Ste 103, Ontario, CA 91764-5449 | 2017-05-19 |
| 1225573942 | Edward D Escobar | Behavioral Analyst | 2920 Inland Empire Blvd Ste 106, Ontario, CA 91764-6582 | 2017-01-04 |
| 1568826295 | Eileen Romulo | Behavioral Analyst | 800 Ferarri Lane, Suite 100, Ontario, CA 91764-4517 | 2016-04-08 |
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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.