JACQUELIN MEZA (NPI# 1215497011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215497011 |
| Entity Type | Individual |
| Full Name | JACQUELIN MEZA |
| Practice Address |
4300 Latham St Ste 200 Riverside CA 92501-4334 |
| Mailing Address |
7226 Sepulveda Blvd Van Nuys CA 91405-2003 |
| Practice Telephone | 8182351414 |
| Mailing Telephone | 8182351414 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |
| 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 |
4300 LATHAM ST STE 200 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-4334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801333588 | David Kettle | Behavior Technician | 4300 Latham St Ste 200, Riverside, CA 92501 | 2017-01-19 |
| 1982202172 | Sharon Fayette Gutierrez | Behavior Technician | 4300 Latham St Ste 200, Riverside, CA 92501-4334 | 2020-10-11 |
| 1124656723 | Kameron Hawks | Behavior Technician | 4300 Latham St Ste 200, Riverside, CA 92501-4334 | 2020-03-30 |
| 1841826237 | Ashley Nicole Richardson | Behavior Technician | 4300 Latham St Ste 200, Riverside, CA 92501-4334 | 2020-03-17 |
| 1164057246 | Jasmine Flores | Behavior Technician | 4300 Latham St Ste 200, Riverside, CA 92501-4334 | 2020-03-09 |
| 1619502143 | Liliana Ruiz | Behavior Technician | 4300 Latham St Ste 200, Riverside, CA 92501-4334 | 2020-03-05 |
| 1689135337 | Katherine Kani | Behavior Technician | 4300 Latham St Ste 200, Riverside, CA 92501-4334 | 2019-03-26 |
| 1124588520 | Tracie L Montgomery | Behavioral Analyst | 4300 Latham St Ste 200, Riverside, CA 92501-4334 | 2019-03-21 |
| 1811456908 | Hitomi Matoba | Behavioral Analyst | 4300 Latham St Ste 200, Riverside, CA 92501-4334 | 2019-03-18 |
| 1508325762 | Arlyn Janely Chajon | Behavior Technician | 4300 Latham St Ste 200, Riverside, CA 92501-4334 | 2019-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| 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 |
|---|---|---|---|---|
| 1588271761 | Luis Enrique Lara | Behavior Technician | 3600 Lime St Ste 612, Riverside, CA 92501-0919 | 2020-09-30 |
| 1336754589 | Deja Maree Jane Stockdale | Behavior Technician | 6221 Heatherwood Dr, Riverside, CA 92509-6163 | 2020-09-14 |
| 1932712411 | Francesca Boria Andrade | Behavior Technician | 4910 Magnolia Ave, Riverside, CA 92506-1266 | 2020-08-25 |
| 1811509078 | Emily Hayden | Behavior Technician | 16719 Minneola Ave, Riverside, CA 92503-6929 | 2020-08-19 |
| 1881205573 | Elisa Mailloux | Behavior Technician | 9393 Hawthorne Ave, Riverside, CA 92503-3862 | 2020-08-14 |
| 1982214359 | Brandi Rae Temple | Behavior Technician | 11662 Inwood Dr, Riverside, CA 92503-5057 | 2020-07-31 |
| 1023636339 | Nathalia Maria Montes | Behavior Technician | 1100 Everton Pl, Riverside, CA 92507-4475 | 2020-07-13 |
| 1982225470 | Kathy Zinzun | Behavior Technician | 8735 Greenpoint Ave, Riverside, CA 92503-1353 | 2020-05-06 |
| 1447884598 | Erica Thompson | Behavior Technician | 2155 Chicago Ave Ste 680, Riverside, CA 92507-2204 | 2020-02-27 |
| 1033742812 | Saeli Morales | Behavior Technician | 635 Highlander Dr, Riverside, CA 92507-3035 | 2020-02-19 |
| Find all providers in RIVERSIDE | ||||
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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.