SKYLAR RAINE ZOTIGH (NPI# 1386132785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386132785 |
| Entity Type | Individual |
| Full Name | SKYLAR RAINE ZOTIGH |
| Practice Address |
510 Whispering Wind Dr Tracy CA 95377-8119 |
| Mailing Address |
Po Box 5157 Modesto CA 95352-5157 |
| Practice Telephone | 2098327756 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | RBT-18-54579 | CA | Behavioral Health & Social Service Providers |
| Street Address |
510 WHISPERING WIND DR |
| City | TRACY |
| State | CA |
| Zip Code | 95377-8119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538384946 | Margarita Marie Polk | Behavioral Analyst | 510 Whispering Wind Dr, Tracy, CA 95377-8119 | 2007-04-13 |
| 1457963555 | Camryn Abelar | Behavior Technician | 510 Whispering Wind Dr, Tracy, CA 95377-8119 | 2020-08-19 |
| 1396376547 | Kyra Mcalary | Behavior Technician | 510 Whispering Wind Dr, Tracy, CA 95377-8119 | 2020-01-27 |
| 1558846162 | Denise Amarillas | Behavior Technician | 510 Whispering Wind Dr, Tracy, CA 95377-8119 | 2018-09-28 |
| 1518445535 | Sergio Ray Jacquez | Behavior Technician | 510 Whispering Wind Dr, Tracy, CA 95377-8119 | 2018-08-01 |
| 1386121036 | Amy Rose Chivers | Behavior Technician | 510 Whispering Wind Dr, Tracy, CA 95377-8119 | 2018-07-25 |
| 1255818092 | Alexa Peraza | Behavior Technician | 510 Whispering Wind Dr, Tracy, CA 95377-8119 | 2018-07-24 |
| 1154807386 | Esmeralda Chavez | Behavior Technician | 510 Whispering Wind Dr, Tracy, CA 95377-8119 | 2018-07-11 |
| 1598251548 | Stanly Young | Behavior Technician | 510 Whispering Wind Dr, Tracy, CA 95377-8119 | 2018-07-02 |
| 1942795786 | Cynthia Lopez | Behavior Technician | 510 Whispering Wind Dr, Tracy, CA 95377-8119 | 2018-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787070 | Mehak Bhardwaj | Behavior Technician | 2434 Saffron Ct, Tracy, CA 95377 | 2020-07-22 |
| 1427510809 | Xiaorui Yang | Behavior Technician | 1951 W Middlefield Dr Apt 224, Tracy, CA 95377 | 2019-04-03 |
| 1962936328 | Duc Nguyen | Pharmacist | 2941 W. Lowell Ave, Apt# 21, Tracy, CA 95377 | 2017-04-12 |
| 1053735043 | Luke Rond | Emergency Medicine | 763 Quail Run Cir, Tracy, CA 95377 | 2014-02-11 |
| 1578862553 | Nhan Duong | Pharmacist | 3250 W. Grant Line Road, Tracy, CA 95377 | 2011-03-16 |
| 1952570582 | Tech Diamond Health Care | Home Health | 2098 Babcock Lane, Tracy, CA 95377 | 2008-02-28 |
| 1316058795 | Wandisan and Rosete Medical Group Professional Corporation | Internal Medicine | 4600 S Tracy Blvd #107, Tracy, CA 95377 | 2006-08-31 |
| 1801838610 | Rollie Duyao Rosete | Internal Medicine | 4600 S Tracy Blvd, #107, Tracy, CA 95377 | 2006-06-13 |
| 1649274663 | Wivina Talabis Urbano | Pediatrics | 4600 South Tracy Blvd, Suite 110, Tracy, CA 95377 | 2005-06-08 |
| 1770586448 | Mitchell Edward Blum | Otolaryngology | 2160 W. Grantline Rd, Suite 250, Tracy, CA 95377 | 2005-05-24 |
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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 |
|---|---|---|---|---|
| 1124501929 | Monica Christina Lopez | Assistant Behavior Analyst | 1163 Montgomery Ln, Tracy, CA 95377-7928 | 2018-09-08 |
| 1477057743 | Yasmin Gomez | Assistant Behavior Analyst | 35 E 10th St Ste 1, Tracy, CA 95376-4058 | 2018-03-21 |
| 1497365605 | Irene Diaz | Assistant Behavior Analyst | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2020-08-03 |
| 1538786025 | Keanna Dunn | Assistant Behavior Analyst | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2020-06-30 |
| 1295381622 | Saveth Phon | Assistant Behavior Analyst | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2019-08-12 |
| 1598231748 | Jacqueline Barragan | Assistant Behavior Analyst | 2850 N Tracy Blvd Ste 202, Tracy, CA 95376-7767 | 2018-10-15 |
| 1740778265 | Andrea Bean | Assistant Behavior Analyst | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2018-04-30 |
| 1477066678 | Julie Lynn Hall | Assistant Behavior Analyst | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2017-11-09 |
| 1043731847 | Rosalie Gwerder | Assistant Behavior Analyst | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2017-06-30 |
| 1730600537 | Staci Saylors | Assistant Behavior Analyst | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2017-06-30 |
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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.