DEJA MAREE JANE STOCKDALE (NPI# 1336754589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336754589 |
| Entity Type | Individual |
| Full Name | DEJA MAREE JANE STOCKDALE |
| Practice Address |
6221 Heatherwood Dr Riverside CA 92509-6163 |
| Mailing Address |
255 E Rincon St Corona CA 92879-1367 |
| Practice Telephone | 9519922441 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
6221 HEATHERWOOD DR |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92509-6163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720530744 | Leesette De Santiago | Dental Assistant | 6130 Camino Real #12, Riverside, CA 92509 | 2016-10-25 |
| 1043646383 | Andy R Moreno | Counselor | 7790 Big Rock Dr., Riverside, CA 92509 | 2013-09-18 |
| 1275845018 | Myra Agnes Harrison | Pharmacist | 8015 Limonete, Rite Aid, Riverside, CA 92509 | 2010-07-09 |
| 1740424415 | Lin Chew Ota | Obstetrics & Gynecology | 6250 Clay Street, Riverside, CA 92509 | 2009-04-27 |
| 1164660106 | Ramona Jean Carver | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Riverside, CA 92509 | 2009-01-29 |
| 1568627925 | Lisa Anne Razo | Marriage & Family Therapist | 6580 45th St, Riverside, CA 92509 | 2008-07-25 |
| 1215106810 | Xia L. Liu Professional Dentl Corp | Dentist | 8880 Limonite Ave, Pedley, CA 92509 | 2008-02-27 |
| 1467658385 | Riverside County Rubidoux Pharmacy | Pharmacy | 5256 Mission Ave, Rubidoux, CA 92509 | 2007-06-26 |
| 1366644429 | Cynthia Stover | Physician Assistant | 5256 Mission Boulevard, Riverside, CA 92509 | 2007-06-01 |
| 1942327499 | Sober Living By The Sea, Inc | Substance Abuse Rehabilitation Facility | 6690 Limonite Frontage Rd, Riverside, CA 92509 | 2007-03-22 |
| Find all providers in zip 92509 | ||||
| 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 |
| 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 |
| 1801429097 | Daisy Tseng | Behavior Technician | 3080 Iowa Ave, Riverside, CA 92507-2811 | 2020-02-17 |
| 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.