ESTEFANI MOORE (NPI# 1205305885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205305885 |
| Entity Type | Individual |
| Full Name | ESTEFANI MOORE |
| Practice Address |
160 Wikiup Dr Ste 102 Santa Rosa CA 95403-7776 |
| Mailing Address |
2730 Shadelands Dr Bldg 10 Walnut Creek CA 94598-2538 |
| Practice Telephone | 7073082120 |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |
| 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 |
| Street Address |
160 WIKIUP DR STE 102 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-7776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578047940 | Jenifer Catherine Hamilton | Behavioral Analyst | 160 Wikiup Dr Ste 102, Santa Rosa, CA 95403-7776 | 2018-09-20 |
| 1366900177 | Victoria Borquez Paredes | Behavior Technician | 160 Wikiup Dr Ste 102, Santa Rosa, CA 95403-7776 | 2019-03-11 |
| 1649749649 | Maria Deysi Nunez | Behavior Technician | 160 Wikiup Dr Ste 102, Santa Rosa, CA 95403-7776 | 2018-11-19 |
| 1023593589 | Brenna Marie Hack | Behavior Technician | 160 Wikiup Dr Ste 102, Santa Rosa, CA 95403-7776 | 2018-10-01 |
| 1053896605 | Roxana Elizabeth Viste Guzman | Behavior Technician | 160 Wikiup Dr Ste 102, Santa Rosa, CA 95403-7776 | 2018-09-29 |
| 1568947174 | Jennifer Rose Fulton | Behavior Technician | 160 Wikiup Dr Ste 102, Santa Rosa, CA 95403-7776 | 2018-09-28 |
| 1336624915 | Jennifer Patricia Gonzales | Specialist | 160 Wikiup Dr Ste 102, Santa Rosa, CA 95403-7776 | 2018-09-28 |
| 1275018111 | Kaitlin Emily Arnold | Behavior Technician | 160 Wikiup Dr Ste 102, Santa Rosa, CA 95403-7776 | 2018-09-26 |
| 1063996353 | Gianna Fistolera | Behavior Technician | 160 Wikiup Dr Ste 102, Santa Rosa, CA 95403-7776 | 2018-09-21 |
| 1427532720 | Stacey Cablk | Marriage & Family Therapist | 160 Wikiup Dr Ste 102, Santa Rosa, CA 95403-7776 | 2018-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| 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 |
|---|---|---|---|---|
| 1396364311 | Smrity Singh Burritt | Behavior Technician | 2133 Fairfax Pl, Santa Rosa, CA 95404-8033 | 2020-04-09 |
| 1194350611 | Hannah Teal | Behavior Technician | 5040 Charmian Dr, Santa Rosa, CA 95409-3538 | 2020-03-04 |
| 1932732971 | Mercedes Chanel Johnson | Behavior Technician | 3 San Luis Pl, Santa Rosa, CA 95409-2806 | 2020-02-18 |
| 1639702160 | Leah Gulley | Behavior Technician | 1929 Contra Costa Ave, Santa Rosa, CA 95405-8104 | 2020-02-12 |
| 1326670704 | Jackeline Howard | Behavior Technician | 560 Dexter St Apt F, Santa Rosa, CA 95404-2403 | 2020-02-04 |
| 1255979670 | Anahy Tinoco Lopez | Behavior Technician | 170 Eddy Dr, Santa Rosa, CA 95407-7852 | 2019-12-16 |
| 1588206528 | Erika K Chavez | Behavior Technician | 526 Kirkwood Ct, Santa Rosa, CA 95407-7074 | 2019-10-10 |
| 1780247999 | Amanda Kay Bourke | Behavior Technician | 703 2nd St Ste 106, Santa Rosa, CA 95404-6505 | 2019-04-15 |
| 1205309473 | Jay Vien Marquez | Behavior Technician | 1335 N Dutton Ave Ste 11, Santa Rosa, CA 95401-4609 | 2019-01-09 |
| 1215400932 | Philip Drasny | Behavior Technician | 4818 School St, Santa Rosa, CA 95409-3535 | 2019-01-04 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on ESTEFANI MOORE.
| 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.