BENEDICTA BANNERMAN (NPI# 1265046296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265046296 |
| Entity Type | Individual |
| Full Name | BENEDICTA BANNERMAN |
| Practice Address |
39201 State St Fremont CA 94538-1437 |
| Practice Telephone | 8662062008 |
| Mailing Telephone | 8662062008 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
39201 STATE ST |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073629804 | Ergo-rehab, Inc. | Specialist | 39201 State St, Fremont, CA 94538-1437 | 2006-08-22 |
| 1790384626 | Mayra Gontiz | Behavior Technician | 39201 State St, Fremont, CA 94538-1437 | 2020-10-21 |
| 1265049332 | Olivia Irene Hope Morris | Behavior Technician | 39201 State St, Fremont, CA 94538-1437 | 2020-09-23 |
| 1255945176 | Bridget S Edirisinghe | Counselor | 39201 State St, Fremont, CA 94538-1437 | 2020-09-08 |
| 1992319990 | Graciela Medina Ramos | Behavior Technician | 39201 State St, Fremont, CA 94538-1437 | 2020-09-07 |
| 1588275457 | Denise Leung | Behavior Technician | 39201 State St, Fremont, CA 94538-1437 | 2020-08-13 |
| 1689284564 | Morgan Turner | Behavior Technician | 39201 State St, Fremont, CA 94538-1437 | 2020-08-05 |
| 1558988089 | Emily Wright | Occupational Therapist | 39201 State St, Fremont, CA 94538-1437 | 2020-06-30 |
| 1184246217 | Brittney Marie Cooper | Speech-Language Pathologist | 39201 State St, Fremont, CA 94538-1437 | 2020-05-12 |
| 1497381073 | Jazmine Virrueta Castillo | Behavior Technician | 39201 State St, Fremont, CA 94538-1437 | 2020-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| 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 |
|---|---|---|---|---|
| 1669073334 | Asha Aba, LLC | Behavioral Analyst | 4201 Vincente St, Fremont, CA 94536-4512 | 2020-11-07 |
| 1063012599 | Across The Spectrum LLC | Behavioral Analyst | 7055 E State Road 120, Fremont, IN 46737-9520 | 2020-10-26 |
| 1578178141 | Neethu Shekhar | Behavioral Analyst | 4869 Deep Creek Rd, Fremont, CA 94555-3427 | 2020-09-10 |
| 1881251098 | Anna Marie Lorenzo Galay | Behavioral Analyst | 34115 Spezia Ter, Fremont, CA 94555-2389 | 2019-05-22 |
| 1104388735 | Akbar Mohmmad Shuja | Behavioral Analyst | 34274 Mimosa Ter, Fremont, CA 94555-1809 | 2019-04-02 |
| 1205306800 | Myjana Mosley | Behavioral Analyst | 4468 Millard Ave, Fremont, CA 94538-2831 | 2018-11-27 |
| 1063993269 | Mosaic Therapeutic Services | Behavioral Analyst | 4163 Rainbow Ter, Fremont, CA 94555-3240 | 2018-08-25 |
| 1578057998 | Kaili Natane Collins | Behavioral Analyst | 33140 Gull Ct # 94555, Fremont, CA 94555-1149 | 2018-06-19 |
| 1225552268 | Ashley Lara | Behavioral Analyst | 39210 State St Ste 100, Fremont, CA 94538-1456 | 2017-08-01 |
| 1619429966 | Hitomi Wada | Behavioral Analyst | 1133 Auburn St Ste 200, Fremont, CA 94538-7329 | 2016-11-02 |
| Find all providers in FREMONT | ||||
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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.