MS. RENA MONIQUE JETTON (NPI# 1215280250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215280250 |
| Entity Type | Individual |
| Full Name | MS. RENA MONIQUE JETTON |
| Credential | MS |
| Practice Address |
5361 N Pershing Ave Ste H Stockton CA 95207-5450 |
| Practice Telephone | 2094779177 |
| Practice Fax Number | 2094774667 |
| Mailing Telephone | 2094779177 |
| Mailing Fax Number | 2094774667 |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
5361 N PERSHING AVE STE H |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-5450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548384597 | Jose C Favela | Counselor | 5361 N Pershing Ave Ste H, Stockton, CA 95207-5450 | 2007-03-16 |
| 1669721791 | Crispin Gonzalez | Behavioral Analyst | 5361 N Pershing Ave Ste H, Stockton, CA 95207-5450 | 2012-09-05 |
| 1578844759 | Richard Sanguinetti | Behavioral Analyst | 5361 N Pershing Ave Ste H, Stockton, CA 95207-5450 | 2011-09-01 |
| 1114208675 | Deborah Sue Flanary | Behavioral Analyst | 5361 N Pershing Ave Ste H, Stockton, CA 95207-5450 | 2011-08-29 |
| 1083924062 | Laura C Torres | Counselor | 5361 N Pershing Ave Ste H, Stockton, CA 95207-5450 | 2010-10-08 |
| 1366750226 | Human Services Project, Inc | Community Based Residential Treatment Facility, Mental Illness | 5361 N Pershing Ave Ste H, Stockton, CA 95207-5450 | 2010-09-14 |
| 1982832341 | Linda Griffin | Behavioral Analyst | 5361 N Pershing Ave Ste H, Stockton, CA 95207-5450 | 2009-06-24 |
| 1659541290 | William Freitas | Counselor | 5361 N Pershing Ave Ste H, Stockton, CA 95207-5450 | 2008-03-11 |
| 1649440280 | Raksmey Roeum - Castleman | Counselor | 5361 N Pershing Ave Ste H, Stockton, CA 95207-5450 | 2008-03-11 |
| 1578733127 | Wilbur Hightower | Counselor | 5361 N Pershing Ave Ste H, Stockton, CA 95207-5450 | 2008-03-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
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| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1033678768 | Pao Huwg Moua | Behavioral Analyst | 1616 N Harrison St Ste A, Stockton, CA 95204-5642 | 2019-03-12 |
| 1205391976 | Maurqui Wonsook C.l. Burks | Behavioral Analyst | 717 Paloma Ave, Stockton, CA 95210-1866 | 2019-02-06 |
| 1679054605 | Jessica Subia | Behavioral Analyst | 4981 Moorcroft Cir, Stockton, CA 95206-6154 | 2018-08-28 |
| 1437645793 | Kanasha Allen | Behavioral Analyst | 4030 E Morada Ln Apt 9206, Stockton, CA 95212-1658 | 2018-07-10 |
| 1396231049 | Karina Gonzalez | Behavioral Analyst | 3016 Malisa Way, Stockton, CA 95206-3891 | 2018-07-05 |
| 1104312800 | Melissa Delossantos | Behavioral Analyst | 2180 Lucerne Ave, Stockton, CA 95203-1257 | 2018-07-05 |
| 1336633122 | Donisha Harrison | Behavioral Analyst | 2013 Franklin Ave, Stockton, CA 95204-4805 | 2018-06-15 |
| 1194214601 | Denise Mendez | Behavioral Analyst | 1706 Sacchetti Cir, Stockton, CA 95206-5660 | 2018-05-10 |
| 1679076400 | Kasey Miller Ross | Behavioral Analyst | 60 Ferry Rd, Stockton, NJ 08559-1003 | 2018-03-18 |
| 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.