MOKTAR MICHAEL DOUMBIA (NPI# 1316423700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316423700 |
| Entity Type | Individual |
| Full Name | MOKTAR MICHAEL DOUMBIA |
| Practice Address |
66 Barlow Ct Fairfield CA 94533-6736 |
| Practice Telephone | 7076392208 |
| Mailing Telephone | 7076392208 |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
66 BARLOW CT |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-6736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| 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 |
|---|---|---|---|---|
| 1831750918 | Stephanie Lopez | Behavioral Analyst | 1403 Clementine Ln, Fairfield, CA 94533-8035 | 2019-06-27 |
| 1720562390 | Sara Jardin | Behavioral Analyst | 744 Empire St # 160, Fairfield, CA 94533-5562 | 2018-09-19 |
| 1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
| 1740772458 | Dina Pollard | Behavioral Analyst | 5173 Amberwood Cir, Fairfield, CA 94534-6850 | 2018-05-30 |
| 1073000626 | Melanie Varian | Behavioral Analyst | 292 Hemlock Hills Rd N, Fairfield, CT 06824-1869 | 2018-04-19 |
| 1396283362 | Jan Marie Brosas Vista | Behavioral Analyst | 420 Mountain Meadows Dr, Fairfield, CA 94534-6759 | 2017-02-09 |
| 1801331806 | Missyanne Sandoval | Behavioral Analyst | 801 Jefferson St Ste 4, Fairfield, CA 94533-5557 | 2016-12-29 |
| 1689120842 | Daniella Ponce | Behavioral Analyst | 616 Parisio Cir, Fairfield, CA 94534-6753 | 2016-08-28 |
| 1831643634 | Colleen Carlos | Behavioral Analyst | 2901 Willow Ct, Fairfield, CA 94533-7743 | 2016-08-09 |
| 1396192035 | Kathryn Hepp | Behavioral Analyst | 887 Stratfield Rd, Fairfield, CT 06825-1655 | 2016-05-23 |
| Find all providers in FAIRFIELD | ||||
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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.