XIA LEE (NPI# 1144747668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144747668 |
| Entity Type | Individual |
| Full Name | XIA LEE |
| Practice Address |
6001 Fred Russo Dr Stockton CA 95212-2858 |
| Practice Telephone | (209) 361-7995 |
| Mailing Telephone | 2093617995 |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
6001 FRED RUSSO DR |
| City | STOCKTON |
| State | CA |
| Zip Code | 95212-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962046524 | Randy Sarnillo Morelos | Residential Treatment Facility, Physical Disabilities | 9152 Chianti Circle, Stockton, CA 95212 | 2019-11-06 |
| 1316494339 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 9555 Priscilla Ln, Stockton, CA 95212 | 2016-09-07 |
| 1487058848 | Faith Isiderio | Physical Therapy Assistant | 5650 Patti Lynn Way, Stockton, CA 95212 | 2014-10-14 |
| 1124173448 | George T Lin | Dentist | 3459 Matterhorn Drive, Stockton, CA 95212 | 2007-01-25 |
| 1851395131 | Eric Chapa | Family Medicine | 5040 E Morada Ln, Stockton, CA 95212 | 2005-06-02 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1396281507 | Kaitlend Tatiana Smith | Behavioral Analyst | 4899 Hildreth Ln, Stockton, CA 95212-1408 | 2017-01-11 |
| 1629489315 | Charles Vansicklen | Student in an Organized Health Care Education/Training Program | 8619 Emanuel Way, Stockton, CA 95212-1423 | 2014-05-15 |
| 1891853826 | Raleys | Pharmacy | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2006-12-04 |
| 1881006351 | Phillip H Shin | Pharmacist | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2014-06-02 |
| Find all providers in zip 95212 | ||||
| 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 |
|---|---|---|---|---|
| 1417558727 | Adriana B Juarez | Behavior Technician | 935 W Swain Rd Apt 10, Stockton, CA 95207-9209 | 2020-11-03 |
| 1609477918 | Samantha Mendoza Sanchez | Behavior Technician | 1633 E Bianchi Rd Apt 203, Stockton, CA 95210-7611 | 2020-11-03 |
| 1154929867 | Devina Renee Colon | Behavior Technician | 2124 Canby Oak Dr, Stockton, CA 95205-2687 | 2020-10-14 |
| 1609474311 | Daniela Iridian Aguirre | Behavior Technician | 1550 S B St Spc 19, Stockton, CA 95206-2461 | 2020-10-14 |
| 1336747039 | Aaliyah A Nino | Behavior Technician | 7638 Peppertree Dr, Stockton, CA 95207-1448 | 2020-10-14 |
| 1972101681 | Mersadez Oller | Behavior Technician | 4815 Joseph Leon Ln, Stockton, CA 95215-1153 | 2020-10-14 |
| 1053919761 | Corriana Brown | Behavior Technician | 5523 Patti Lynn Way, Stockton, CA 95212-3842 | 2020-10-14 |
| 1366049959 | Maria Estavillo | Behavior Technician | 4305 Julius Ct, Stockton, CA 95207-6531 | 2020-10-06 |
| 1417564634 | Ceidy Burgos | Behavior Technician | 8651 Acapulco Way Apt 2, Stockton, CA 95210-1811 | 2020-09-30 |
| 1982211488 | Willisha Tietiana Bottley | Behavior Technician | 3893 Jacarandas Ct, Stockton, CA 95206-5159 | 2020-09-29 |
| Find all providers in STOCKTON | ||||
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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.