DONOVAN G GARDNER (NPI# 1164032314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164032314 |
| Entity Type | Individual |
| Full Name | DONOVAN G GARDNER |
| Practice Address |
1115 14th St Modesto CA 95354-1003 |
| Mailing Address |
Po Box 5157 Modesto CA 95352-5157 |
| Practice Telephone | 2095722589 |
| Practice Fax Number | 2095721461 |
| Mailing Telephone | 2095722589 |
| Mailing Fax Number | 2093533353 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | CA | Behavioral Health & Social Service Providers |
| Street Address |
1115 14TH ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962638486 | Therapeutic Pathways, Inc. | Early Intervention Provider Agency | 1115 14th St, Modesto, CA 95354-1003 | 2009-06-10 |
| 1598365843 | Justin Nieto | Behavior Technician | 1115 14th St, Modesto, CA 95354-1003 | 2020-10-27 |
| 1336748011 | Ada Moua | Behavior Technician | 1115 14th St, Modesto, CA 95354-1003 | 2020-10-22 |
| 1780283473 | Cintia Guzman | Behavior Technician | 1115 14th St, Modesto, CA 95354-1003 | 2020-10-22 |
| 1699374363 | Sylvia Guevara | Behavior Technician | 1115 14th St, Modesto, CA 95354-1003 | 2020-10-22 |
| 1841899523 | Laura Torres | Behavior Technician | 1115 14th St, Modesto, CA 95354-1003 | 2020-10-22 |
| 1073111795 | Leonel Ortiz | Behavior Technician | 1115 14th St, Modesto, CA 95354-1003 | 2020-10-14 |
| 1710585484 | Lisette Maciel-hernandez | Behavior Technician | 1115 14th St, Modesto, CA 95354-1003 | 2020-10-14 |
| 1902403728 | Lucas Shirley | Behavior Technician | 1115 14th St, Modesto, CA 95354-1003 | 2020-10-05 |
| 1033716865 | Alyssa Zigler | Assistant Behavior Analyst | 1115 14th St, Modesto, CA 95354-1003 | 2020-10-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
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| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1699296384 | Megan Weber | Assistant Behavior Analyst | 901 Mchenry Ave, Modesto, CA 95350-5416 | 2017-07-03 |
| 1033716865 | Alyssa Zigler | Assistant Behavior Analyst | 1115 14th St, Modesto, CA 95354-1003 | 2020-10-05 |
| 1588274740 | Cynthia Verduzco | Assistant Behavior Analyst | 1115 14th St, Modesto, CA 95354-1003 | 2020-08-03 |
| 1841800075 | Summer England | Assistant Behavior Analyst | 1115 14th St, Modesto, CA 95354-1003 | 2020-08-03 |
| 1437769676 | Alicia Torres-belmonte | Assistant Behavior Analyst | 1115 14th St, Modesto, CA 95354-1003 | 2020-08-03 |
| 1538786348 | Rachel Arrouzet | Assistant Behavior Analyst | 1115 14th St, Modesto, CA 95354-1003 | 2020-06-26 |
| 1780154690 | Tiffany Leanne Aguirre | Assistant Behavior Analyst | 1115 14th St, Modesto, CA 95354-1003 | 2018-12-04 |
| 1295200269 | Maria Vazquez | Assistant Behavior Analyst | 1115 14th St, Modesto, CA 95354-1003 | 2018-10-05 |
| 1356835979 | Sarah Marie Handel | Assistant Behavior Analyst | 1115 14th St, Modesto, CA 95354-1003 | 2018-06-18 |
| 1528551215 | Jessica Tober | Assistant Behavior Analyst | 1115 14th St, Modesto, CA 95354-1003 | 2018-06-07 |
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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.