AZUCENA MENDOZA (NPI# 1306340039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306340039 |
| Entity Type | Individual |
| Full Name | AZUCENA MENDOZA |
| Practice Address |
1485 Saratoga Avenue Suite 200 San Jose CA 95129-4965 |
| Practice Telephone | 8779910009 |
| Practice Fax Number | 8772079553 |
| Mailing Telephone | 8779910009 |
| Mailing Fax Number | 8772079553 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1485 Saratoga Avenue, Suite 200, San Jose, CA 951294965 | 8779910009 | 8772079553 |
| Street Address |
1485 SARATOGA AVENUE SUITE 200 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95129-4965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932603677 | Marisol Velazquez | Behavior Technician | 1485 Saratoga Avenue, Suite 200, San Jose, CA 95129-4965 | 2018-03-19 |
| 1316441587 | Michaela Anne Clay | Behavior Technician | 1485 Saratoga Avenue, Suite 200, San Jose, CA 95129-4965 | 2018-03-21 |
| 1932603693 | Luan V Nguyen | Behavior Technician | 1485 Saratoga Avenue, Suite 200, San Jose, CA 95129-4965 | 2018-03-19 |
| 1568966224 | Arlina Ayanna Phillips | Behavior Technician | 1485 Saratoga Avenue, Suite 200, San Jose, CA 95129-4965 | 2018-03-19 |
| 1407350176 | Jose Emanuel Valenzuela Puentes | Behavior Technician | 1485 Saratoga Avenue, Suite 200, San Jose, CA 95129-4965 | 2018-03-19 |
| 1689178329 | Maverick Tanuhandacu Comparan | Behavior Technician | 1485 Saratoga Avenue, Suite 200, San Jose, CA 95129-4965 | 2018-03-19 |
| 1104320845 | Zhen Li | Behavior Technician | 1485 Saratoga Avenue, Suite 200, San Jose, CA 95129-4965 | 2018-03-19 |
| 1982108643 | Alexandra Jean Sherman | Behavior Technician | 1485 Saratoga Avenue, Suite 200, San Jose, CA 95129-4965 | 2018-03-19 |
| 1811491574 | Karen Suastegui | Behavior Technician | 1485 Saratoga Avenue, Suite 200, San Jose, CA 95129-4965 | 2018-03-19 |
| 1447754163 | Isabella Serratos Contreras | Behavior Technician | 1485 Saratoga Avenue, Suite 200, San Jose, CA 95129-4965 | 2018-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528535176 | Sunlife Acupuncture Health Center Inc. | Acupuncturist | 6172 Bollinger Rd., San Jose, CA 95129 | 2018-10-31 |
| 1710472642 | Shen Zhang | Acupuncturist | 1072 S De Anza Blvd Ste A108, San Jose, CA 95129 | 2018-06-23 |
| 1023531217 | Rachana Vyas Dds Inc | Clinic/Center | 1002 S Deanza Blvd, #d, San Jose, CA 95129 | 2017-07-20 |
| 1477908119 | Emily O. Perrotta | Marriage & Family Therapist | 1745 Saratoga Ave #204, San Jose, CA 95129 | 2016-05-02 |
| 1306214325 | Amanda Montgomery | Psychologist | 4300 Stevens Creek Blvd Ste 260, San Jose, CA 95129 | 2015-09-08 |
| 1891065686 | Bobbie Edwards | Behavioral Analyst | 1479 Saratoga Ave, San Jose, CA 95129 | 2012-01-10 |
| 1659640753 | Gail Elizabeth Nabarrete | Social Worker | 780 Saratoga Ave, S310, San Jose, CA 95129 | 2011-12-19 |
| 1891063574 | Elizabeth Duell | Dentist | 4635 Piper Drive, San Jose, CA 95129 | 2011-12-08 |
| 1033486519 | Stephanie Truvonne Hawkins | Family Medicine | 9292 De Anza Blvd, Suite 101, San Jose, CA 95129 | 2011-11-28 |
| 1568607828 | Irina Vaynshteyn | Dentist | 1888 Saratoga Ave Ste 102, San Jose, CA 95129 | 2008-12-15 |
| Find all providers in zip 95129 | ||||
| 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 |
|---|---|---|---|---|
| 1407457583 | Jennifer Carrillo | Behavior Technician | 1682 Virginia Ave Apt 1, San Jose, CA 95116-2944 | 2020-11-04 |
| 1720689268 | Elizabeth Bigelow | Behavior Technician | 5751 Via Monte Dr Apt B, San Jose, CA 95118-3271 | 2020-11-02 |
| 1720685357 | Natia Chitadze | Behavior Technician | 5875 Charlotte Dr Apt 307, San Jose, CA 95123-6871 | 2020-10-06 |
| 1235746306 | Patricia Yazmin Landa Garibay | Behavior Technician | 820 N Jackson Ave, San Jose, CA 95133-1223 | 2020-09-23 |
| 1134739022 | Esperanza Garnica | Behavior Technician | 346 Menker Ave, San Jose, CA 95128-2401 | 2020-08-05 |
| 1629688593 | Jael Nunez Saavedra | Behavior Technician | 1497 Saratoga Ave, San Jose, CA 95129-4938 | 2020-08-05 |
| 1194334839 | Jason Sanders Jr. | Behavior Technician | 1590 De Rose Way, San Jose, CA 95126-4141 | 2020-07-29 |
| 1134738875 | Ugochukwu Kas-osoka | Behavior Technician | 164 Park Sharon Dr, San Jose, CA 95136-2535 | 2020-07-29 |
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1114544376 | Katrina Chua | Behavior Technician | 369 Longhill Ct, San Jose, CA 95138-1392 | 2020-07-02 |
| Find all providers in SAN JOSE | ||||
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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.