BAILEY WILSON (NPI# 1154936128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154936128 |
| Entity Type | Individual |
| Full Name | BAILEY WILSON |
| Practice Address |
15478 Ventura Blvd Sherman Oaks CA 91403-3002 |
| Mailing Address |
749 37th Ave Santa Cruz CA 95062-5124 |
| Practice Telephone | 8443227483 |
| Practice Fax Number | 8883347021 |
| Mailing Telephone | 8443227483 |
| Mailing Fax Number | 8883347021 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| 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 |
|---|---|---|---|---|
| 1326586124 | Bailey K. Wilson | Behavior Technician | 3101 Lynn Ave., Apt. #3, Billings, MT 59102 | 2017-02-01 |
| 1063040004 | Bailey Wilson | Occupational Therapist | 2200 E Washington St, Bloomington, IL 61701-4364 | 2020-03-27 |
| Street Address |
15478 VENTURA BLVD |
| City | SHERMAN OAKS |
| State | CA |
| Zip Code | 91403-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326518259 | Jazmin Alvarado | Behavior Technician | 15478 Ventura Blvd, Sherman Oaks, CA 91403-3002 | 2018-12-04 |
| 1891300869 | Alice Liwag | Behavior Technician | 15478 Ventura Blvd, Sherman Oaks, CA 91403-3002 | 2020-09-15 |
| 1053926261 | Megan Ethridge | Behavior Technician | 15478 Ventura Blvd, Sherman Oaks, CA 91403-3002 | 2020-09-14 |
| 1194337907 | Korrine Terriquez | Behavior Technician | 15478 Ventura Blvd, Sherman Oaks, CA 91403-3002 | 2020-08-21 |
| 1063024024 | Ashley Fahy | Behavior Technician | 15478 Ventura Blvd, Sherman Oaks, CA 91403-3002 | 2020-08-20 |
| 1568074425 | Brienna Hallman | Behavior Technician | 15478 Ventura Blvd, Sherman Oaks, CA 91403-3002 | 2020-08-20 |
| 1013526540 | Tara Voettiner | Behavior Technician | 15478 Ventura Blvd, Sherman Oaks, CA 91403-3002 | 2020-07-30 |
| 1922617463 | Ivory Guerrero | Behavior Technician | 15478 Ventura Blvd, Sherman Oaks, CA 91403-3002 | 2020-07-30 |
| 1811522667 | Ibrahim Alkhalili | Behavior Technician | 15478 Ventura Blvd, Sherman Oaks, CA 91403-3002 | 2020-03-11 |
| 1417580192 | Katherine Deloera | Behavior Technician | 15478 Ventura Blvd, Sherman Oaks, CA 91403-3002 | 2020-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1245844596 | Montage Recovery California | Psychiatric Residential Treatment Facility | 15367 Valley Vista Blvd, Sherman Oaks, CA 91403 | 2020-09-03 |
| 1053870741 | Quality Life Experience | Assistant Behavior Analyst | 4723 1/4 Vista Del Monte, Sherman Oaks, CA 91403 | 2019-03-13 |
| 1871092254 | Andrew Pascual | Hospitalist | 4929 Van Nuys Blvs, Sherman Oaks, CA 91403 | 2018-02-12 |
| 1063941466 | Nancy Green Satenberg | Counselor | 4419 Van Nuys Blvd Ste. 301, Sherman Oaks, CA 91403 | 2017-06-08 |
| 1710414875 | Jeffery Edward Havig | Registered Nurse | 1536 Mission St, San Francisco, CA 91403 | 2017-05-18 |
| 1700310885 | Judy Koutal | Behavioral Analyst | 15720 Sutton St, Apt 201, Sherman Oaks, CA 91403 | 2017-04-17 |
| 1043742133 | Christa Maria Eskelin | Marriage & Family Therapist | 4419 Van Nuys Blvd, Suite 400, Sherman Oaks, CA 91403 | 2017-03-29 |
| 1760841431 | Dent All By Dr. Z | Dentist | 15301 Ventura Blvd. Ste U-5, Sherman Oaks, CA 91403 | 2016-02-23 |
| 1821456286 | Liana Kogan | Speech-Language Pathologist | 14569 Benefit Street, #312, Sherman Oaks, CA 91403 | 2016-02-01 |
| Find all providers in zip 91403 | ||||
| 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 |
|---|---|---|---|---|
| 1326518259 | Jazmin Alvarado | Behavior Technician | 15478 Ventura Blvd, Sherman Oaks, CA 91403-3002 | 2018-12-04 |
| 1184102899 | Bryan Burra | Behavior Technician | 15335 Morrison St Ste 320, Sherman Oaks, CA 91403-6709 | 2018-08-03 |
| 1891300869 | Alice Liwag | Behavior Technician | 15478 Ventura Blvd, Sherman Oaks, CA 91403-3002 | 2020-09-15 |
| 1053926261 | Megan Ethridge | Behavior Technician | 15478 Ventura Blvd, Sherman Oaks, CA 91403-3002 | 2020-09-14 |
| 1508479452 | Edward Reyes | Behavior Technician | 15315 Magnolia Blvd Ste 306, Sherman Oaks, CA 91403-1172 | 2020-08-28 |
| 1194337907 | Korrine Terriquez | Behavior Technician | 15478 Ventura Blvd, Sherman Oaks, CA 91403-3002 | 2020-08-21 |
| 1063024024 | Ashley Fahy | Behavior Technician | 15478 Ventura Blvd, Sherman Oaks, CA 91403-3002 | 2020-08-20 |
| 1568074425 | Brienna Hallman | Behavior Technician | 15478 Ventura Blvd, Sherman Oaks, CA 91403-3002 | 2020-08-20 |
| 1871105106 | Lindsay Ou | Behavior Technician | 15315 Magnolia Blvd Ste 306, Sherman Oaks, CA 91403-1172 | 2020-08-18 |
| 1558973172 | Chong Thao | Behavior Technician | 15315 Magnolia Blvd Ste 306, Sherman Oaks, CA 91403-1172 | 2020-08-17 |
| Find all providers in SHERMAN OAKS | ||||
| City | SHERMAN OAKS |
| Zip Code | 91403 |
Please comment or provide details below to improve the information on BAILEY WILSON.
| 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.