TANNER JOHNSON (NPI# 1295233542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295233542 |
| Entity Type | Individual |
| Full Name | TANNER JOHNSON |
| Practice Address |
1210 Central Blvd Brentwood CA 94513-2242 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 9258056565 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192413 | Tanner Johnson | Student in an Organized Health Care Education/Training Program | 12850 E Montview Blvd # V201127b, Aurora, CO 80045-2605 | 2020-04-12 |
| 1063868032 | Tanner Johnson | Specialist/Technologist | 79568 Sumner Rd., Broken Bow, NE 68822 | 2016-05-10 |
| 1174994990 | Tanner Johnson | Specialist/Technologist | 1460 Hidden Trl, Charlotte, MI 48813-8789 | 2015-10-20 |
| 1245746403 | Tanner J Johnson | Recreation Therapist | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2017-12-22 |
| 1285039321 | Tanner Colby Johnson | Chiropractor | 501 W Main St, Sterling, CO 80751-3035 | 2014-10-31 |
| Street Address |
1210 CENTRAL BLVD |
| City | BRENTWOOD |
| State | CA |
| Zip Code | 94513-2242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003962564 | Rene Lewellyn | Marriage & Family Therapist | 1210 Central Blvd, Suite 122, Brentwood, CA 94513-2242 | 2007-01-26 |
| 1396385258 | Viennese Jefferson | Behavioral Analyst | 1210 Central Blvd, Brentwood, CA 94513-2242 | 2020-01-08 |
| 1013557966 | Hannah Ferreira | Behavioral Analyst | 1210 Central Blvd, Brentwood, CA 94513-2242 | 2020-01-08 |
| 1659919694 | Audrey Elaine Hamel | Behavioral Analyst | 1210 Central Blvd, Brentwood, CA 94513-2242 | 2019-12-19 |
| 1447898341 | Jessica Maitoza | Behavioral Analyst | 1210 Central Blvd, Brentwood, CA 94513 | 2019-12-11 |
| 1689145856 | Kimberly Medeiros | Behavioral Analyst | 1210 Central Blvd, Brentwood, CA 94513-2242 | 2018-12-16 |
| 1932676830 | Cynthia Gallo | Behavior Technician | 1210 Central Blvd, Brentwood, CA 94513-2242 | 2018-10-29 |
| 1003382052 | Samantha Oropeza | Behavioral Analyst | 1210 Central Blvd, Brentwood, CA 94513-2242 | 2018-10-17 |
| 1629553821 | Tasabih Shamboul | Behavioral Analyst | 1210 Central Blvd, Brentwood, CA 94513-2242 | 2018-10-03 |
| 1407331606 | Amanda Gaffagan | Behavioral Analyst | 1210 Central Blvd, Brentwood, CA 94513-2242 | 2018-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154806008 | Brooke Bell | Student in an Organized Health Care Education/Training Program | 1780 Anastasia Drive, Brentwood, CA 94513 | 2018-09-26 |
| 1992287353 | Cheryl Lynn Dobson | Nurse Practitioner | 1206 Silverton Way, Brentwood, CA 94513 | 2018-09-02 |
| 1093212102 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 795 Eden Plains Road, Brentwood, CA 94513 | 2018-04-06 |
| 1851812838 | Vincent Robert Locascio | Dentist | 100 Cortona Way Ste 200, Brentwood, CA 94513 | 2017-06-29 |
| 1770012221 | Rosalind Sheila Raynor | Marriage & Family Therapist | Golden Hills Counseling Center, 2401 Shady Willow Ln., Brentwood, CA 94513 | 2017-06-08 |
| 1427592054 | Tekia Oliver | Private Vehicle | 2758 Saint Andrews Dr., Brentwood, CA 94513 | 2016-12-16 |
| 1467908681 | Abid Niazi | Student in an Organized Health Care Education/Training Program | 2108 Cristina Way, Brentwood, CA 94513 | 2016-08-28 |
| 1346600418 | Foundations Therapy Services | Specialist/Technologist | 101 Continente Ave, Suite 100, Brentwood, CA 94513 | 2016-03-02 |
| 1093171654 | Sabrina Samaniego | Behavioral Analyst | 809 Paririe Rose Way, Brentwood, CA 94513 | 2016-01-12 |
| 1477920841 | Susan C Novak-nizami | Registered Nurse | 2400 Balfour Rd., Patient Support Services, Brentwood, CA 94513 | 2015-09-01 |
| Find all providers in zip 94513 | ||||
| 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 |
|---|---|---|---|---|
| 1073141610 | Irma Elisa Canela | Behavior Technician | 792 Begonia Dr, Brentwood, CA 94513-5492 | 2020-03-30 |
| 1427695873 | Karen Natalia Sanchez | Behavior Technician | 430 Roundhill Dr, Brentwood, CA 94513-7044 | 2019-12-04 |
| 1437633039 | Saira Isabel Narez | Behavior Technician | 1280 Walnut Blvd, Brentwood, CA 94513-4540 | 2018-09-19 |
| 1881180529 | Talita Santos | Behavior Technician | 181 Sand Creek Rd, Brentwood, CA 94513-2257 | 2018-07-05 |
| 1366934119 | Paula Villicana | Behavior Technician | 8325 Lone Tree Way, Brentwood, CA 94513-2118 | 2018-06-06 |
| 1164929659 | Rosario Garcia | Behavior Technician | 825 Nicholas Ct, Brentwood, CA 94513-2404 | 2018-04-10 |
| 1891295416 | Adrienne Rachelle Bailey | Behavior Technician | 399 Madera St, Brentwood, CA 94513-6328 | 2018-02-20 |
| 1609485861 | Hung Chi Lu | Behavior Technician | 181 Sand Creek Rd # C-1, Brentwood, CA 94513-2257 | 2020-07-23 |
| 1598373151 | Tidja Marie-renee Parnell | Behavior Technician | 1210 Central Blvd Ste A, Brentwood, CA 94513-2379 | 2020-07-20 |
| 1013535574 | Kyla Mariah Hawkins | Behavior Technician | 181 Sand Creek Rd # C-1, Brentwood, CA 94513-2257 | 2020-07-10 |
| Find all providers in BRENTWOOD | ||||
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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.