GUSTAVO BARRAZA SANCHEZ (NPI# 1326589979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326589979 |
| Entity Type | Individual |
| Full Name | GUSTAVO BARRAZA SANCHEZ |
| Practice Address |
4305 University Ave Suite 410 San Diego CA 92105-1645 |
| Practice Telephone | 7605543185 |
| Mailing Telephone | 7605543185 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |
| 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 |
| Street Address |
4305 UNIVERSITY AVE SUITE 410 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92105-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932180262 | Ruth Barretta | Registered Nurse | 4305 University Ave, Ste 150, San Diego, CA 92105-1601 | 2005-11-14 |
| 1689038465 | Catherine Tan | Dentist | 4305 University Ave, San Diego, CA 92105-1645 | 2016-04-07 |
| 1093174435 | Chelsea Hyun | Student in an Organized Health Care Education/Training Program | 4305 University Ave, San Diego, CA 92105-1645 | 2016-02-13 |
| 1437532538 | Esmeralda Vazquez | Case Manager/Care Coordinator | 4305 University Ave, Suite 410, San Diego, CA 92105-1645 | 2015-07-07 |
| 1992193726 | Rona Bodman | Dentist | 4305 University Ave, San Diego, CA 92105-1645 | 2015-01-01 |
| 1275977993 | Home Start | Case Management | 4305 University Ave, 410, San Diego, CA 92105-1645 | 2013-04-24 |
| 1659490308 | La Maestra Family Clinic Inc. | Clinic/Center | 4305 University Ave, Suite 150, San Diego, CA 92105-1645 | 2007-03-27 |
| 1891827184 | Bryan H Nghiem | Dentist | 4305 University Ave, Suite 150, San Diego, CA 92105-1645 | 2007-03-12 |
| 1033197850 | Blanca A Casaubon | Registered Nurse | 4305 University Ave, Ste 150, San Diego, CA 92105-1601 | 2006-01-03 |
| 1033195409 | Janice Baietto | Nurse Practitioner | 4305 University Ave, Ste 150, San Diego, CA 92105-1601 | 2005-12-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934798 | Point Loma Nazarene University | Nurse Practitioner | Point Loma Nazarene University Health Promotion Center, 4101 University Avenue, San Diego, CA 92105 | 2019-10-23 |
| 1104478809 | Kristin Lynn Nichols | Counselor | 4823 El Cajon Blvd Suite #115, San Diego, CA 92105 | 2019-07-12 |
| 1205343076 | Momentum Learning | Counselor | 3720 El Cajon Blvd., Sd, CA 92105 | 2018-01-03 |
| 1306352695 | Nathan Hien Le, Dds. Inc | Dentist | 4170 Fairmount Ave., San Diego, CA 92105 | 2017-12-21 |
| 1073038071 | Aika Mary Erlandson | Student in an Organized Health Care Education/Training Program | 5296 University Ave. Suite F-2, San Diego, CA 92105 | 2017-08-10 |
| 1457872178 | Ride-in Transport LLC | Non-emergency Medical Transport (VAN) | 4061 Fairmount Ave, San Diego, CA 92105 | 2017-07-03 |
| 1598205346 | Ahmed Mooge | Ambulance | 4061 Fairmout Ave, San Diego, CA 92105 | 2017-02-27 |
| 1083152748 | Rady Childrens Hospital-san Diego | Psychiatric Unit | 4305 University Avenue, Suite 150, San Diego, CA 92105 | 2017-02-02 |
| 1730634098 | Med Specialty Sai Inc. | Pharmacy | 4153 University Avenue, Suite B, San Diego, CA 92105 | 2016-08-16 |
| 1568857464 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 4074 Fairmount Avenue, Suite B, San Diego, CA 92105 | 2015-03-30 |
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| 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 |
|---|---|---|---|---|
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1548829310 | Nathaniel Wehner | Assistant Behavior Analyst | 5763 Riley St Apt 6, San Diego, CA 92110-1700 | 2019-06-06 |
| 1619439882 | Alison M Hranek | Assistant Behavior Analyst | 8996 Miramar Rd, San Diego, CA 92126-4451 | 2019-04-04 |
| 1194248773 | Charmin Campano | Assistant Behavior Analyst | 7860 Mission Center Ct Ste 100, San Diego, CA 92108-1330 | 2017-07-25 |
| 1679019087 | Karyn Rose Giaquinto Fistonich | Assistant Behavior Analyst | 10060 Old Grove Road, San Diego, CA 92131 | 2017-01-09 |
| 1811336910 | Mebe San Diego | Assistant Behavior Analyst | 3878 Ruffin Rd Ste B, San Diego, CA 92123-1842 | 2013-06-21 |
| 1245831775 | Karla Samantha Wade | Assistant Behavior Analyst | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-11-02 |
| 1861028334 | Rebecca Lynn Collins | Assistant Behavior Analyst | 8885 Rio San Diego Dr Ste 340, San Diego, CA 92108-1669 | 2020-03-17 |
| 1679109193 | Seo Hyun Park | Assistant Behavior Analyst | 501 W Broadway Ste 800, San Diego, CA 92101-3546 | 2020-03-16 |
| 1427609114 | Mary Mcnew | Assistant Behavior Analyst | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128-2426 | 2019-09-24 |
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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.