IAN PAOLO PACALIN GRACILLA


Address: 3491 Elm Ave, Long Beach, CA 90807-4430
Phone: 5629997788

IAN PAOLO PACALIN GRACILLA (NPI# 1215536842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215536842
Entity Type Individual
Full Name IAN PAOLO PACALIN GRACILLA
Practice Address 3491 Elm Ave
Long Beach
CA 90807-4430
Mailing Address 21600 Oxnard St Ste 1800
Woodland Hills
CA 91367-7807
Practice Telephone 5629997788
Mailing Telephone 8183452345
Enumeration Date 2020-10-24
Last Update Date 2020-10-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Office Location

Street Address 3491 ELM AVE
City LONG BEACH
State CA
Zip Code 90807-4430

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629099882 Nelda Bliss Katibian Counselor 3491 Elm Ave, Long Beach, CA 90807-4430 2006-07-22
1841891868 Evelyn Hanley Behavior Technician 3491 Elm Ave, Long Beach, CA 90807-4430 2020-11-05
1326655366 Toni Joy Angelique Biliran Miculob Behavior Technician 3491 Elm Ave, Long Beach, CA 90807-4430 2020-09-24
1194337063 John Hunter Canedy Behavioral Analyst 3491 Elm Ave, Long Beach, CA 90807-4430 2020-08-20
1619509023 Anthony Thompson Jr. Behavior Technician 3491 Elm Ave, Long Beach, CA 90807-4430 2020-02-04
1508405705 Iris C Ruiz Behavioral Analyst 3491 Elm Ave, Long Beach, CA 90807-4430 2020-01-06
1669011995 Adrian Darlene Towns Behavior Technician 3491 Elm Ave, Long Beach, CA 90807-4430 2020-01-03
1467091009 Jessica H Clinard-allmen Behavior Technician 3491 Elm Ave, Long Beach, CA 90807-4430 2019-12-30
1538707344 Zachary Medeiros Behavior Technician 3491 Elm Ave, Long Beach, CA 90807-4430 2019-12-12
1346887890 Alexander Clark Behavior Technician 3491 Elm Ave, Long Beach, CA 90807-4430 2019-12-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992359434 Kanna Lynn Curtis Behavioral Analyst 3491 Elm Avenue, Long Beach, CA 90807 2019-08-01
1891359394 David Smith Samuel Tchon Dds Inc Dentist 4231 Long Beach Blvd, Long Beach, CA 90807 2019-04-30
1477038354 Ryan Bacani Registered Nurse 4506 N Banner Drive Apt 3, Long Beach, CA 90807 2018-09-26
1508363516 Joemari Salvani Dentist 4578 Atlantic Avenue, Long Beach, CA 90807 2018-04-07
1881110096 Shafeeullah Hashim Gaines Counselor 4335 Altantic Ave, Long Beach, CA 90807 2017-08-18
1295259943 Debresia Jackson Community Health Worker 900 E. Wardlow Rd, Long Beach, CA 90807 2017-08-02
1073036315 United Mobile Rad LLC Radiologic Technologist 1720 E Cartagena St, Long Beach, CA 90807 2017-07-19
1336675800 La-pham and Kansagra Dental Corporation Dentist 4578 Atlantic Ave, Long Beach, CA 90807 2017-05-03
1114462637 Andunett Langhum Counselor 4335 Atlantic Blved, Long Beach, CA 90807 2016-12-20
1942742507 Mt Medical Transportation LLC Non-emergency Medical Transport (VAN) 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 2016-11-14
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215538590 Ramsha Khan Behavior Technician 225 W 3rd St Apt 436, Long Beach, CA 90802-3052 2020-11-04
1184221962 Chanel Kim Behavior Technician 3745 Long Beach Blvd Ste 100, Long Beach, CA 90807-3340 2020-10-05
1740898634 Leslie Bernard Behavior Technician 1604 E 3rd St Apt 10, Long Beach, CA 90802-3757 2020-07-16
1053946210 Alexis Khalisse Causey Behavior Technician 234 Termino Ave Apt 10, Long Beach, CA 90803-7504 2020-03-09
1952935298 Caitlin Eng Behavior Technician 2221 Iroquois Ave, Long Beach, CA 90815-2333 2020-02-25
1013557339 Kymberli Parker Behavior Technician 5841 E Pavo St, Long Beach, CA 90808-3719 2020-01-15
1407497969 Sabrina Del Rosario Hermosillo Behavior Technician 1426 Peterson Ave, Long Beach, CA 90813-2326 2019-10-04
1164082392 Stephanie Astudillo Behavior Technician 2696 E 56th St Apt 3, Long Beach, CA 90805-5029 2019-06-19
1265097711 Georgette Ifeoma Ilouno Behavior Technician 2355 Long Beach Blvd, Long Beach, CA 90806-3289 2019-05-09
1205398310 Vilma Garrido Riquenes Behavior Technician 5025 E Pacific Coast Hwy Apt P233, Long Beach, CA 90804-3295 2019-04-05
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Competitor

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City LONG BEACH
Zip Code 90807

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Dataset Information

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.

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