KRYSTAL PEREZ (NPI# 1285198093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285198093 |
| Entity Type | Individual |
| Full Name | KRYSTAL PEREZ |
| Practice Address |
555 Technology Ct Ste 300 Riverside CA 92507-2156 |
| Mailing Address |
612 S Myrtle Ave Ste 100 Monrovia CA 91016-3406 |
| Practice Telephone | 9516868500 |
| Mailing Telephone | 9516868500 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700432630 | Krystal Elenia Perez | Counselor | 2090 7th Ave, New York, NY 10027-4990 | 2019-08-15 |
| 1821357393 | Krystal Perez | Speech-Language Pathologist | 4208 Retama Cir, Victoria, TX 77901-2765 | 2012-05-03 |
| Street Address |
555 TECHNOLOGY CT STE 300 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023278090 | Carmen Ann King | Case Manager/Care Coordinator | 555 Technology Ct Ste 300, Riverside, CA 92507-2156 | 2008-06-13 |
| 1427616499 | Diana Mendoza | Counselor | 555 Technology Ct Ste 300, Riverside, CA 92507-2156 | 2019-06-04 |
| 1992363147 | Valerie Medina | Marriage & Family Therapist | 555 Technology Ct Ste 300, Riverside, CA 92507-2156 | 2019-06-03 |
| 1013570233 | Valenzuela Taitoa | Case Manager/Care Coordinator | 555 Technology Ct Ste 300, Riverside, CA 92507-2156 | 2019-04-15 |
| 1124580444 | Joshua Starks | Marriage & Family Therapist | 555 Technology Ct Ste 300, Riverside, CA 92507-2156 | 2019-04-04 |
| 1952866436 | Yulon Wroten | Case Manager/Care Coordinator | 555 Technology Ct Ste 300, Riverside, CA 92507-2156 | 2019-02-08 |
| 1194280677 | Cynthia Limon | Case Manager/Care Coordinator | 555 Technology Ct Ste 300, Riverside, CA 92507-2156 | 2019-02-08 |
| 1154894947 | Gilbert Ortiz | Case Manager/Care Coordinator | 555 Technology Ct Ste 300, Riverside, CA 92507-2156 | 2019-01-04 |
| 1114490901 | Alexia Garcia | Case Manager/Care Coordinator | 555 Technology Ct Ste 300, Riverside, CA 92507-2156 | 2019-01-04 |
| 1467923052 | Blanca Marquez | Case Manager/Care Coordinator | 555 Technology Ct Ste 300, Riverside, CA 92507-2156 | 2018-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| 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 |
|---|---|---|---|---|
| 1588271761 | Luis Enrique Lara | Behavior Technician | 3600 Lime St Ste 612, Riverside, CA 92501-0919 | 2020-09-30 |
| 1336754589 | Deja Maree Jane Stockdale | Behavior Technician | 6221 Heatherwood Dr, Riverside, CA 92509-6163 | 2020-09-14 |
| 1932712411 | Francesca Boria Andrade | Behavior Technician | 4910 Magnolia Ave, Riverside, CA 92506-1266 | 2020-08-25 |
| 1811509078 | Emily Hayden | Behavior Technician | 16719 Minneola Ave, Riverside, CA 92503-6929 | 2020-08-19 |
| 1881205573 | Elisa Mailloux | Behavior Technician | 9393 Hawthorne Ave, Riverside, CA 92503-3862 | 2020-08-14 |
| 1982214359 | Brandi Rae Temple | Behavior Technician | 11662 Inwood Dr, Riverside, CA 92503-5057 | 2020-07-31 |
| 1023636339 | Nathalia Maria Montes | Behavior Technician | 1100 Everton Pl, Riverside, CA 92507-4475 | 2020-07-13 |
| 1982225470 | Kathy Zinzun | Behavior Technician | 8735 Greenpoint Ave, Riverside, CA 92503-1353 | 2020-05-06 |
| 1447884598 | Erica Thompson | Behavior Technician | 2155 Chicago Ave Ste 680, Riverside, CA 92507-2204 | 2020-02-27 |
| 1033742812 | Saeli Morales | Behavior Technician | 635 Highlander Dr, Riverside, CA 92507-3035 | 2020-02-19 |
| Find all providers in RIVERSIDE | ||||
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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.