ELIZABETH BANUELOS (NPI# 1245702737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245702737 |
| Entity Type | Individual |
| Full Name | ELIZABETH BANUELOS |
| Practice Address |
206 N Jackson St Ste 202 Glendale CA 91206-4330 |
| Mailing Address |
1055 E Colorado Blvd Ste 560 Pasadena CA 91106-2380 |
| Practice Telephone | 8182416780 |
| Practice Fax Number | 8182416853 |
| Mailing Telephone | 8182416780 |
| Mailing Fax Number | 8182416853 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588145718 | Elizabeth Banuelos | Occupational Therapy Assistant | 815 E Grayson St, San Antonio, TX 78208-1014 | 2018-08-26 |
| Street Address |
206 N JACKSON ST STE 202 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91206-4330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689189565 | Megan Boswell | Behavior Technician | 206 N Jackson St Ste 202, Glendale, CA 91206-4330 | 2017-12-13 |
| 1902365463 | Felicia Edozie | Behavior Technician | 206 N Jackson St Ste 202, Glendale, CA 91206-4330 | 2019-03-14 |
| 1881153351 | Sou Saetern | Behavior Technician | 206 N Jackson St Ste 202, Glendale, CA 91206-4330 | 2019-03-14 |
| 1245799865 | Tiffany Clare | Behavior Technician | 206 N Jackson St Ste 202, Glendale, CA 91206-4330 | 2019-03-13 |
| 1053870691 | Mariana Hernandez | Behavior Technician | 206 N Jackson St Ste 202, Glendale, CA 91206-4330 | 2019-03-13 |
| 1295294841 | Jocelyn Baber-gant | Behavior Technician | 206 N Jackson St Ste 202, Glendale, CA 91206-4330 | 2019-03-13 |
| 1750840385 | Mayra Rodriguez | Behavior Technician | 206 N Jackson St Ste 202, Glendale, CA 91206-4330 | 2019-03-13 |
| 1669931291 | Linda Navarro | Behavior Technician | 206 N Jackson St Ste 202, Glendale, CA 91206-4330 | 2019-03-13 |
| 1467911081 | Dominic Calhoun | Behavior Technician | 206 N Jackson St Ste 202, Glendale, CA 91206-4330 | 2019-03-13 |
| 1578022133 | Diana Karen Perez Higareda | Behavior Technician | 206 N Jackson St Ste 202, Glendale, CA 91206-4330 | 2019-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
| 1861017303 | Scm Nutrition Diet Inc | Dietitian, Registered | 2437 Bywood Drive, Glendale, CA 91206 | 2020-06-10 |
| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
| 1689132920 | M4l Transport Inc | Non-emergency Medical Transport (VAN) | 336 N Louise St #4d, Glendale, CA 91206 | 2019-03-05 |
| 1376042705 | Eileen Wong, Md Inc. | Physical Medicine & Rehabilitation | 2664 E Glenoaks Blvd, Glendale, CA 91206 | 2018-02-12 |
| 1629507900 | Aleksan Chakhoyan | Registered Nurse | 501 N. Glendale Ave., Glendale, CA 91206 | 2017-06-08 |
| 1851793343 | Sevak Olmessekian | Pharmacist | 230 N. Maryland Ave., Suite 307, Glendale, CA 91206 | 2014-09-16 |
| 1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
| 1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
| Find all providers in zip 91206 | ||||
| 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 |
|---|---|---|---|---|
| 1235746298 | Bernadette Poawui | Behavior Technician | 5665 W Desert Jewel Dr, Glendale, AZ 85302-4663 | 2020-09-24 |
| 1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
| 1326665290 | Lizeth Sandoval | Behavior Technician | 611 N Brand Blvd Ste 100, Glendale, CA 91203-1221 | 2020-06-26 |
| 1841813961 | Yoshica Mitchell | Behavior Technician | 12923 W Lawrence Ct, Glendale, AZ 85307-1900 | 2020-05-22 |
| 1730702960 | Christina E Bernier | Behavior Technician | 5625 W Bloomfield Rd, Glendale, AZ 85304-1816 | 2020-05-21 |
| 1164045704 | Tina Choi | Behavior Technician | 741 Glenvia St Ste 102&200, Glendale, CA 91206-2425 | 2020-05-18 |
| 1104466382 | Ashley Torres | Behavior Technician | 501 East Harvard Street, Glendale, CA 91205 | 2020-01-15 |
| 1811548639 | Jennifer Anne Nardoni | Behavior Technician | 741 Glenvia St Ste 102, Glendale, CA 91206-2425 | 2019-09-23 |
| 1497305379 | Karl Garfield Hinshaw | Behavior Technician | 1871 Sherer Ln, Glendale, CA 91208-2713 | 2019-09-12 |
| 1700345147 | James Kevin Harris | Behavior Technician | 6820 W Denton Ln, Glendale, AZ 85303-5920 | 2019-03-15 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on ELIZABETH BANUELOS.
| 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.