TIFFANY WYNN (NPI# 1104321173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104321173 |
| Entity Type | Individual |
| Full Name | TIFFANY WYNN |
| Practice Address |
1900 Embarcadero Ste 310 Oakland CA 94606-5227 |
| Practice Telephone | 5108324383 |
| Mailing Telephone | 5108324383 |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357638 | Tiffany Wynn | Social Worker | 1805 Roswell Rd Apt 23d, Marietta, GA 30062-8951 | 2020-08-18 |
| 1225404437 | Tiffany Wynn | Counselor | 1524 Bishops Lodge Rd, #b, Tesuque, NM 87506 | 2015-08-12 |
| Street Address |
1900 EMBARCADERO STE 310 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94606-5227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669911921 | Christophere Jordan | Behavioral Analyst | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2017-02-20 |
| 1518435700 | Kyle Sutherland | Behavior Technician | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-11-06 |
| 1336617521 | Veseth Vong | Behavior Technician | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-11-06 |
| 1174091367 | Cristine Perez | Behavior Technician | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-11-06 |
| 1285102475 | Elicia Morgan | Behavior Technician | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-11-06 |
| 1023586294 | Karla Cora | Behavior Technician | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-11-06 |
| 1598233777 | Yalexis Lopez | Behavior Technician | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-11-06 |
| 1922576107 | Karen Mcbain | Behavior Technician | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-11-06 |
| 1912475104 | Victoria Meho | Behavior Technician | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-11-06 |
| 1457829798 | Shanelle Woodard | Behavior Technician | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366923369 | Rhummanee Hang | Case Manager/Care Coordinator | 544 International Blvd., Suite #9, Oakland, CA 94606 | 2018-08-27 |
| 1841746153 | First Aid Transportation LLC | Non-emergency Medical Transport (VAN) | 1709 International Blvd Ste 107, Oakland, CA 94606 | 2016-08-27 |
| 1609236686 | Erik D Grasso | Behavioral Analyst | 1340 East 28th St., Suite C, Oakland, CA 94606 | 2016-03-03 |
| 1457770935 | Jessica Robin Gar Ling Leung | Family Medicine | 250 E. 18th Street, 2nd Floor, Oakland, CA 94606 | 2014-04-10 |
| 1902230709 | Masja Van Der Hoog | Acupuncturist | 1511 23rd Ave, Apt 10, Oakland, CA 94606 | 2013-08-28 |
| 1063756997 | Christine Michelle Huffner | Nurse Practitioner | 1030 International Blvd. San Antonio Neighborhood Healt, Oakland, CA 94606 | 2012-11-15 |
| 1336418920 | Alexandra Elisabeth Brewster | Counselor | 907 Lake Street San Pablo Avenue, San Pablo, CA 94606 | 2011-12-28 |
| 1780964064 | Meagen Elizabeth Grundberg | Community Health Worker | 544 International Blvd Ste 9, Oakland, CA 94606 | 2011-08-18 |
| 1285764217 | Nguyen Tran Dang, Dds, Inc. | Dentist | 270 East 12th St., Oakland, CA 94606 | 2007-03-07 |
| 1689704017 | Nguyen Tran Dang | Dentist | 270 East 12th Street, Oakland, CA 94606 | 2007-03-06 |
| Find all providers in zip 94606 | ||||
| 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 |
|---|---|---|---|---|
| 1922606011 | Andrew Davidson | Behavior Technician | 3063 Parker Ave, Oakland, CA 94605-3321 | 2020-10-12 |
| 1417564824 | Kaitlyn Goss | Behavior Technician | 2476 Pebble Beach Dr, Oakland, MI 48363-2445 | 2020-09-29 |
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1326651811 | Antony Navidad | Behavior Technician | 155 Grand Ave Ste 100, Oakland, CA 94612-3721 | 2020-08-25 |
| 1336750819 | Tashay Price | Behavior Technician | 400 29th St Ste 209, Oakland, CA 94609-3547 | 2020-08-10 |
| 1306462916 | Erica Jenine Ramos | Behavior Technician | 301 S Tubb St # A1, Oakland, FL 34760-8859 | 2020-06-19 |
| 1093340127 | Nereida Gonzalez Huizar | Behavior Technician | 1716 90th Ave Apt B, Oakland, CA 94603-1602 | 2020-03-09 |
| 1982236527 | Victor Ross Tolbert | Behavior Technician | 400 29th St Ste Oakland, Oakland, CA 94609-3522 | 2020-02-11 |
| 1851922264 | Nehchal Kaur Matharu | Behavior Technician | 155 Grand Ave, Oakland, CA 94612-3758 | 2020-02-04 |
| 1215567763 | Nora Cooper | Behavior Technician | 160 Franklin St Ste 100, Oakland, CA 94607-3764 | 2020-01-23 |
| Find all providers in OAKLAND | ||||
Please comment or provide details below to improve the information on TIFFANY WYNN.
| 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.