DOMINIQUE ANGEL LAI (NPI# 1104434505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104434505 |
| Entity Type | Individual |
| Full Name | DOMINIQUE ANGEL LAI |
| Practice Address |
2366 Maritime Dr Elk Grove CA 95758-3639 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 9163474041 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
| Street Address |
2366 MARITIME DR |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95758-3639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871945576 | Amy Marie Hodges | Behavioral Analyst | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2016-07-06 |
| 1932709086 | Katelyn Joann Garay | Behavioral Analyst | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2020-10-28 |
| 1679186738 | Ashley Elisabeth Kimiko Asoo | Behavior Technician | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2020-08-28 |
| 1376178921 | Jevin Justin Mattathil | Behavior Technician | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2020-03-04 |
| 1700410552 | Vincent Larry Gonzales | Behavioral Analyst | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2020-03-02 |
| 1477187656 | Alyssa L Mojica | Behavioral Analyst | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2020-02-26 |
| 1326671298 | Blanche Scroggins | Behavior Technician | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2020-02-19 |
| 1306479290 | Ruben Toscano Jr | Behavioral Analyst | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2020-02-19 |
| 1275165672 | Ahmer Hussain | Behavior Technician | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2020-02-04 |
| 1578193959 | Naqshe Zeb Tahirhkheli | Behavior Technician | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2020-01-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244208 | Obia Njoku | Nurse Practitioner | 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 | 2020-01-14 |
| 1992362362 | Kimberly Abrahamson | Student in an Organized Health Care Education/Training Program | 9412 Big Horn Dr #6, Elk Grove, CA 95758 | 2019-05-21 |
| 1447737333 | Elk Grove Rehab & Counseling Center | Counselor | 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 | 2018-07-24 |
| 1114424579 | Arielle Mize | Dietitian, Registered | 8161 Sheldon Road, #103, Elk Grove, CA 95758 | 2018-04-11 |
| 1154822609 | Eston Garcia | Behavior Technician | 2366 Martime Drive, Elk Grove, CA 95758 | 2018-02-21 |
| 1912406364 | Nicole Torneros | Behavior Technician | 2336 Maritime Drive, Elk Grove, CA 95758 | 2018-02-12 |
| 1134628712 | Northern California Vasectomy | Family Medicine | 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 | 2018-02-08 |
| 1083134399 | Uchechi Mbonu | Assisted Living Facility | 7019 Mcgill Court, Elk Grove, CA 95758 | 2017-06-27 |
| 1922557362 | Muhanad Aliakbar | Driver | 8275 Oakbriar Cir, Elk Grove, CA 95758 | 2016-09-27 |
| 1063868123 | Teresa Vinciguerra | Marriage & Family Therapist | 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 | 2016-05-09 |
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| 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 |
|---|---|---|---|---|
| 1063013969 | Jamie Ann Cunningham | Behavior Technician | 9551 S Coast Ln, Elk Grove, CA 95758-1168 | 2020-11-05 |
| 1336748029 | Abbie Villani | Behavior Technician | 9370 W Stockton Blvd Ste 6, Elk Grove, CA 95758-8013 | 2020-10-22 |
| 1154931004 | Amanda Arizmendi | Behavior Technician | 8612 Elk Ridge Way, Elk Grove, CA 95624-2244 | 2020-08-05 |
| 1528676384 | Job Michael Devera Joves | Behavior Technician | 9765 Waterfowl Dr, Elk Grove, CA 95757-8128 | 2020-07-17 |
| 1669091542 | Megan N Tate | Behavior Technician | 6627 Romanzo Way, Elk Grove, CA 95758-5814 | 2020-04-10 |
| 1427685494 | Concepcion Antunez Betancourt | Behavior Technician | 2230 Longport Ct Ste 130, Elk Grove, CA 95758-7182 | 2020-03-26 |
| 1790317642 | Lilliana Minelle Sargent | Behavior Technician | 2230 Longport Ct, Elk Grove, CA 95758-7182 | 2020-02-09 |
| 1194363721 | Sanam Adela Baidar | Behavior Technician | 9170 Dino Dr, Ste 170, Elk Grove, CA 95624 | 2019-12-13 |
| 1447896600 | Cassandra Jan Cassas I | Behavior Technician | 9832 Tundra Swan, Elk Grove, CA 95757 | 2019-11-22 |
| 1225688120 | Kevin Rai | Behavior Technician | 8598 Windsor Point Way, Elk Grove, CA 95624-3461 | 2019-09-13 |
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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.