DOMINICK DEGRACIA (NPI# 1093313488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093313488 |
| Entity Type | Individual |
| Full Name | DOMINICK DEGRACIA |
| Practice Address |
749 37th Ave Santa Cruz CA 95062-5124 |
| Practice Telephone | 8443227483 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
749 37TH AVE |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95062-5124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558534347 | Raymond Alvin Plamondon | Counselor | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2008-04-11 |
| 1376144568 | Angela Villa | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-11-04 |
| 1194326389 | Amber Bothman | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-11-04 |
| 1992304950 | Sierra Donahue | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-10-21 |
| 1760081731 | Nabil Sirur | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-10-21 |
| 1073112330 | Jeffrey Doezie | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-10-19 |
| 1821697186 | Alex Mosher | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-10-19 |
| 1396343778 | Mariana Rivera | Behavioral Analyst | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-10-16 |
| 1487251963 | Sara Higgs | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-10-07 |
| 1891392601 | Mikal Cruz | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706698 | Laura Lynn Rabb-jancola | Home Health | 275 Lake Ave #8, Santa Cruz, CA 95062 | 2020-06-26 |
| 1043792740 | New Life Community Services, Inc | Substance Abuse Rehabilitation Facility | 521 Capitola Rd Ext, Santa Cruz, CA 95062 | 2018-08-30 |
| 1780180380 | Philips Patton | Acupuncturist | 129 Dake Ave, Santa Cruz, CA 95062 | 2018-04-03 |
| 1477069896 | Wei Jiang | Acupuncturist | 1099 38th Ave #46, Santa Cruz, CA 95062 | 2017-12-21 |
| 1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
| 1639601784 | Catharine Lee Sheets | Registered Nurse | 21507 East Cliff Drive, Santa Cruz, CA 95062 | 2017-03-29 |
| 1972968857 | Brenda M. Williams | Counselor | 941 Eldorado Ave, Santa Cruz, CA 95062 | 2015-12-21 |
| 1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
| 1578935839 | Jennifer Langon, Lmft | Community/Behavioral Health | 5905 Soquel Ave Suite 400, Aptos, CA 95062 | 2015-10-27 |
| 1255718581 | Joanne Gramo | Acupuncturist | 316a Oceanview Ave., Santa Cruz, CA 95062 | 2015-05-06 |
| Find all providers in zip 95062 | ||||
| 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 |
|---|---|---|---|---|
| 1265076772 | Brenda Lara | Behavior Technician | 205 Maple St Apt 2, Santa Cruz, CA 95060-4365 | 2019-10-29 |
| 1477052561 | Makaila Fong | Behavior Technician | 1007 Corlett Rd, Santa Cruz, NM 87567 | 2018-02-05 |
| 1376144568 | Angela Villa | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-11-04 |
| 1194326389 | Amber Bothman | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-11-04 |
| 1992304950 | Sierra Donahue | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-10-21 |
| 1760081731 | Nabil Sirur | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-10-21 |
| 1073112330 | Jeffrey Doezie | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-10-19 |
| 1821697186 | Alex Mosher | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-10-19 |
| 1487251963 | Sara Higgs | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-10-07 |
| 1891392601 | Mikal Cruz | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-10-05 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95062 |
Please comment or provide details below to improve the information on DOMINICK DEGRACIA.
| 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.