OTHON GURROLA (NPI# 1285126821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285126821 |
| Entity Type | Individual |
| Full Name | OTHON GURROLA |
| Practice Address |
2565 Alluvial Ave Ste 152 Clovis CA 93611 |
| Mailing Address |
2565 Alluvial Ave Ste 152 Clovis CA 93611-9514 |
| Practice Telephone | 5593489225 |
| Mailing Telephone | 5593489225 |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
2565 ALLUVIAL AVE STE 152 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972094852 | Antonio Berber | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-05-25 |
| 1184107013 | Stephanie-ann Rosemary Obeso | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-09-06 |
| 1992288823 | Ana Gabriela Monzon | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-09-06 |
| 1972083590 | Sabah Naeem | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-08-14 |
| 1093294332 | Pedro Diaz | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-08-08 |
| 1528547866 | Lorena Aranda | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-08-08 |
| 1467931717 | Lizet Medina Delgado | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-08-08 |
| 1902384266 | Edna Natalie Ramirez-romero | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-07-30 |
| 1346728615 | Teresa Robles | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-07-30 |
| 1518444355 | Eddie Reyes | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1649826611 | Ashley Falcon | Assistant Behavior Analyst | 2708 Northglen Dr, Clovis, NM 88101-2936 | 2019-08-14 |
| 1275900631 | Mariah Sierra | Assistant Behavior Analyst | 1513 Redcloud Pl, Clovis, NM 88101-3270 | 2015-09-01 |
| 1831681592 | Maribel Lopez | Assistant Behavior Analyst | 2565 Alluvial Ave Ste 152, Clovis, CA 93611 | 2018-05-30 |
| 1821580465 | Adrian Gonzalez | Assistant Behavior Analyst | 2565 Alluvial Ave Ste 152, Clovis, CA 93611 | 2018-05-30 |
| 1437641198 | Jesse Orosco-santiago | Assistant Behavior Analyst | 2565 Alluvial Ave Ste 152, Clovis, CA 93611 | 2018-05-30 |
| 1336631969 | Sua Romero | Assistant Behavior Analyst | 2565 Alluvial Ave Ste 152, Clovis, CA 93611 | 2018-05-30 |
| 1417274317 | Bryan Alan Bump | Assistant Behavior Analyst | 20 N Dewitt Ave, Clovis, CA 93612-1066 | 2010-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457716 | Amanda B Ford | Assistant Behavior Analyst | 12412 Crystal Ranch Rd, Moorpark, CA 93021-2916 | 2020-11-03 |
| 1700493327 | Natalie N Taylor | Assistant Behavior Analyst | 620 E Angela St, Pleasanton, CA 94566-7414 | 2020-09-28 |
| 1174139729 | Janea Jones | Assistant Behavior Analyst | 9377 Haven Ave, Rancho Cucamonga, CA 91730-5340 | 2020-09-18 |
| 1285249300 | Janette Lopez | Assistant Behavior Analyst | 15490 Civic Dr, Victorville, CA 92392-2924 | 2020-09-15 |
| 1073126983 | Raena A Juarez | Assistant Behavior Analyst | 2488 Shield Dr, Union City, CA 94587-1925 | 2020-08-28 |
| 1306459573 | Loremari Samantha Mohr | Assistant Behavior Analyst | 4688 Ontario Mills Parkwar, Ontario, CA 91764 | 2020-08-28 |
| 1730799354 | Krystle Lam | Assistant Behavior Analyst | 7871 Mission Grove Pkwy S Apt 106, Riverside, CA 92508-5032 | 2020-08-07 |
| 1346850344 | James Kahler | Assistant Behavior Analyst | 40509 Calla Lilly St, Murrieta, CA 92563-6443 | 2020-08-04 |
| 1154931244 | Cathern Hedge | Assistant Behavior Analyst | 255 E Rincon St Ste 109, Corona, CA 92879-1367 | 2020-08-04 |
| 1801406814 | Garrett Chase | Assistant Behavior Analyst | 29782 Smugglers Point Dr, Canyon Lake, CA 92587-7474 | 2020-08-04 |
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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.