BRENDA SUE WOUDENBERG (NPI# 1265895411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265895411 |
| Entity Type | Individual |
| Full Name | BRENDA SUE WOUDENBERG |
| Credential | BEHAVIORAL TECH |
| Practice Address |
7700 Irvine Center Dr Ste 220 Irvine CA 92618-3012 |
| Mailing Address |
120 Tustin Ave # C151 Newport Beach CA 92663-4729 |
| Practice Telephone | 6167452095 |
| Mailing Telephone | 6167452095 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2020-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | 213075 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
| Street Address |
7700 IRVINE CENTER DR STE 220 |
| City | IRVINE |
| State | CA |
| Zip Code | 92618-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962553 | Anthony Charles Gonzalez | Behavior Technician | 7700 Irvine Center Dr Ste 220, Irvine, CA 92618-3012 | 2019-10-07 |
| 1093360489 | Abigail Hobbs | Behavior Technician | 7700 Irvine Center Dr Ste 220, Irvine, CA 92618-3012 | 2019-08-02 |
| 1003394842 | Kellie Loney | Community/Behavioral Health | 7700 Irvine Center Dr Ste 220, Irvine, CA 92618-3012 | 2018-08-03 |
| 1063990844 | Emily Thompson | Community/Behavioral Health | 7700 Irvine Center Dr Ste 220, Irvine, CA 92618-3012 | 2018-08-02 |
| 1336627157 | Jennifer Orellana | Community/Behavioral Health | 7700 Irvine Center Dr Ste 220, Irvine, CA 92618-3012 | 2018-08-02 |
| 1497233399 | Ashley M Young | Community/Behavioral Health | 7700 Irvine Center Dr Ste 220, Irvine, CA 92618-3012 | 2018-08-02 |
| 1174001085 | Vanessa Castillo | Community/Behavioral Health | 7700 Irvine Center Dr Ste 220, Irvine, CA 92618-3012 | 2018-08-02 |
| 1184102956 | Laura Nicole Bader | Community/Behavioral Health | 7700 Irvine Center Dr Ste 220, Irvine, CA 92618-3012 | 2018-08-02 |
| 1811475635 | Harveen Soni | Community/Behavioral Health | 7700 Irvine Center Dr Ste 220, Irvine, CA 92618-3012 | 2018-08-02 |
| 1467930354 | Nick Quoc Nguyen | Community/Behavioral Health | 7700 Irvine Center Dr Ste 220, Irvine, CA 92618-3012 | 2018-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982306 | Zermina Akbary | Registered Nurse | 131 Theme, Irvine, Irvine, CA 92618 | 2020-05-04 |
| 1760028575 | Leibow Psychology Group, PC | Counselor | 7725 Gateway #4203, Irvine, CA 92618 | 2019-11-27 |
| 1790263713 | Jw Professional Dental Corporation | Dentist | 14785 Jeffrey Rd. Ste 200, Irvine, CA 92618 | 2018-08-01 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1952899221 | Oneness Health Group Inc | Chiropractor | 25 Deergrass, Irvine, CA 92618 | 2018-04-23 |
| 1144738899 | Morvarid Emamy | Dentist | 23448 Spectrum, Irvine, CA 92618 | 2018-01-16 |
| 1083123194 | Ning Wang | Behavioral Analyst | 9844 Research Dr Ste 100, Irvine, CA 92618 | 2017-09-21 |
| 1043679715 | Dent All By Dr. Z | Dentist | 15362 Alton Parkway, Irvine, CA 92618 | 2016-02-23 |
| 1265897862 | Whitney Elyse Davies | Physical Therapist | 26650 Alton Parkway, Irvine, CA 92618 | 2015-12-23 |
| 1245619295 | Nora Witt | Registered Nurse | 16205 Sand Canyon Avenue, Suite 100, Irvine, CA 92618 | 2015-05-22 |
| Find all providers in zip 92618 | ||||
| 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 |
|---|---|---|---|---|
| 1245843572 | Jose Raul Sanchez IIi | Behavior Technician | 1063 Mcgraw Ave, Irvine, CA 92614 | 2020-08-26 |
| 1518579820 | Stuti Gohil | Behavior Technician | 12 Del Azul, Irvine, CA 92614-5365 | 2020-08-18 |
| 1548871064 | Angelina Renee Armenta | Behavior Technician | 1063 Mcgraw Avenue, Suite 100, Irvine, CA 92614 | 2020-08-10 |
| 1629617089 | Reiko Sato | Behavior Technician | 102 Sonoma Aisle, Irvine, CA 92618-3906 | 2020-01-03 |
| 1609426303 | Aaleah Brown | Behavior Technician | 58 Deerfield Ave, Irvine, CA 92606-7614 | 2019-09-13 |
| 1326609280 | Abigail Briana Lozano-flores | Behavior Technician | 18008 Sky Park Circle, Suite 110, Irvine, CA 92614 | 2019-06-21 |
| 1477022341 | Christine Lynn Mumea | Behavior Technician | 16800 Aston, Irvine, CA 92606-4812 | 2018-11-20 |
| 1477037026 | Christopher John Ramirez | Behavior Technician | 3345 Spectrum, Irvine, CA 92618-3374 | 2018-09-19 |
| 1518458173 | Amanda Renee Valles | Behavior Technician | 18008 Sky Park Cir Ste 108, Irvine, CA 92614-6434 | 2018-05-19 |
| 1487162327 | Jessica Nicole Osorio | Behavior Technician | 18008 Sky Park Cir Ste 101, Irvine, CA 92614-6433 | 2018-01-12 |
| Find all providers in IRVINE | ||||
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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.