JESSICA KOERNKE (NPI# 1275051468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275051468 |
| Entity Type | Individual |
| Full Name | JESSICA KOERNKE |
| Practice Address |
1800 Sutter St Ste 300 Concord CA 94520 |
| Mailing Address |
1663 Mission St Ste 400 San Francisco CA 94103-2485 |
| Practice Telephone | 8772646747 |
| Practice Fax Number | 8775397730 |
| Mailing Telephone | 8772646747 |
| Mailing Fax Number | 8775397730 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | RBT-15-03519 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1070 Concord Ave Ste 120, Concord, CA 94520 | 8772646747 | 8775397730 |
| Street Address |
1800 SUTTER ST STE 300 |
| City | CONCORD |
| State | CA |
| Zip Code | 94520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144764226 | Ana Burton | Behavior Technician | 1800 Sutter St Ste 300, Concord, CA 94520-2556 | 2016-12-08 |
| 1962026856 | Angela Granger | Behavior Technician | 1800 Sutter St Ste 300, Concord, CA 94520-2556 | 2020-06-05 |
| 1316579014 | Breanna Da Sylveira | Behavior Technician | 1800 Sutter St Ste 300, Concord, CA 94520-2556 | 2020-02-10 |
| 1386284206 | Shelly Najera | Behavior Technician | 1800 Sutter St Ste 300, Concord, CA 94520-2556 | 2020-01-08 |
| 1508400631 | Summer Yared | Behavior Technician | 1800 Sutter St Ste 300, Concord, CA 94520-2556 | 2019-10-31 |
| 1972147007 | Dinelo Tenorio | Behavior Technician | 1800 Sutter St Ste 300, Concord, CA 94520-2556 | 2019-10-31 |
| 1063068914 | Sikwayi Dawson | Behavior Technician | 1800 Sutter St Ste 300, Concord, CA 94520-2556 | 2019-08-16 |
| 1942861893 | Matthew Ashmore | Behavior Technician | 1800 Sutter St Ste 300, Concord, CA 94520-2556 | 2019-06-21 |
| 1154981058 | Jungmok Yoon | Behavior Technician | 1800 Sutter St Ste 300, Concord, CA 94520-2556 | 2019-06-13 |
| 1740840644 | Chenghua Wang | Behavior Technician | 1800 Sutter St Ste 300, Concord, CA 94520-2556 | 2019-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| 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 |
|---|---|---|---|---|
| 1548739386 | Michelle Marie Rice | Behavioral Analyst | 2007 Dalis Dr, Concord, CA 94520-5417 | 2018-11-22 |
| 1225504152 | Joshua Chang | Behavioral Analyst | 859 Madigan Ave, Concord, CA 94518-2146 | 2018-10-18 |
| 1750861357 | Kaitlyn Laura Frith | Behavioral Analyst | 2538 Lynn Ave, Concord, CA 94520-3013 | 2018-08-14 |
| 1508345745 | Loretta Johnson | Behavioral Analyst | 1164 Carey Dr, Concord, CA 94520-4336 | 2018-08-08 |
| 1770069734 | Maria E Ramirez | Behavioral Analyst | 2065 Solano Way Apt 3, Concord, CA 94520-4743 | 2018-07-12 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1497260913 | Nicole Rei Auclair | Behavioral Analyst | 555 Virginia Rd Ste 204, Concord, MA 01742-2769 | 2017-12-06 |
| 1093239055 | Brittany Ann Lavigne | Behavioral Analyst | 6 Chenell Dr Ste 150, Concord, NH 03301-8505 | 2017-08-01 |
| 1790140713 | Walter Jameson West Jr. | Behavioral Analyst | 900 Branchview Dr Ne Ste 200, Concord, NC 28025-2226 | 2015-12-17 |
| 1013381227 | Pratibha Sharma | Behavioral Analyst | 4414 Spoonwood Ct, Concord, CA 94521-4307 | 2015-11-26 |
| Find all providers in CONCORD | ||||
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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.