KENDALL LEEANNE MATTIX (NPI# 1255978961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255978961 |
| Entity Type | Individual |
| Full Name | KENDALL LEEANNE MATTIX |
| Practice Address |
26720 Ynez Court Temecula CA 92591 |
| Mailing Address |
43130 Turf Ln Temecula CA 92592 |
| Practice Telephone | 9518134034 |
| Mailing Telephone | 9517190790 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
| Street Address |
26720 YNEZ COURT |
| City | TEMECULA |
| State | CA |
| Zip Code | 92591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1356830426 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 40780 Winchester Rd, Temecula, CA 92591 | 2018-05-04 |
| 1780196428 | Shirley K Wade | Case Manager/Care Coordinator | 40925 County Circle Drive, Temecula, CA 92591 | 2017-11-03 |
| 1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
| 1386166395 | Jonathan James Creech | Optometrist | 41257 Magarita Road, Suite B 103, Temecula, CA 92591 | 2017-07-11 |
| 1730600743 | Rachel Michele Brannigan | Specialist/Technologist | 39522 Seraphina Rd, Temecula, CA 92591 | 2017-06-29 |
| 1457890303 | Kala Chrisilis Earley | Specialist/Technologist | 29004 Bridgehampton Rd, Temecula, CA 92591 | 2017-02-13 |
| 1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
| 1164978409 | Susan Rollins-swantusch | Counselor | 41002 County Circle Dr., Suite 320, Temecula, CA 92591 | 2016-08-28 |
| Find all providers in zip 92591 | ||||
| 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 |
|---|---|---|---|---|
| 1225639321 | Megan Kay Goodnough | Behavior Technician | 44864 Corte Casa, Temecula, CA 92592-1603 | 2020-11-04 |
| 1659904696 | Amy Renee Gilman | Behavior Technician | 26720 Ynez Ct # Xt, Temecula, CA 92591-4659 | 2020-02-18 |
| 1396388625 | Rachel S Burgess | Behavior Technician | 32472 Sunnyvail Cir, Temecula, CA 92592-1841 | 2019-10-18 |
| 1013579937 | Jessica Sarmiento Sison | Behavior Technician | 44949 Vine Cliff St, Temecula, CA 92592-5513 | 2019-07-01 |
| 1790248755 | Drake Skaggs | Behavior Technician | 32889 Stonefield Ln, Temecula, CA 92592-7210 | 2019-04-08 |
| 1598220246 | Shanay Lamont Moore | Behavior Technician | 30660 Milky Way Dr., V174, Temecula, CA 92592 | 2019-02-07 |
| 1073084000 | Kathryn Kunitake | Behavior Technician | 30858 Canterfield Dr, Temecula, CA 92592-5862 | 2018-12-17 |
| 1275003741 | Alexa P Clark | Behavior Technician | 46357 Kohinoor Way, Temecula, CA 92592-3323 | 2018-11-28 |
| 1114496346 | Allison Joy Sherman | Behavior Technician | 32218 Corte Carmona, Temecula, CA 92592-3655 | 2018-11-16 |
| 1841767175 | Kaitlin Marie Donnelly | Behavior Technician | 32061 Campanula Way Apt 17103, Temecula, CA 92592-8698 | 2018-10-24 |
| Find all providers in TEMECULA | ||||
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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.