JESSICA N WILSON (NPI# 1427566934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427566934 |
| Entity Type | Individual |
| Full Name | JESSICA N WILSON |
| Practice Address |
12125 Day St Ste E301 Moreno Valley CA 92557-6704 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 9513442166 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 1529 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068411 | Jessica Lauren Wilson | Nutritionist | 1925 Brady Ave, Arbutus, MD 21227-4109 | 2020-09-16 |
| 1235754086 | Jessica Vienna Wilson | Massage Therapist | 13 Radnor Ave Fl 2, Croton On Hudson, NY 10520-2621 | 2020-06-08 |
| 1831749654 | Jessica Keely Wilson | Licensed Vocational Nurse | 3356 County Road 313, Dublin, TX 76446-6631 | 2019-09-13 |
| 1629622162 | Jessica Patreece Wilson | Nurse Practitioner | 7303 Brittney Lane, Kenly, NC 27542 | 2019-08-01 |
| 1346808623 | Jessica Wilson | Behavior Technician | 415 N Richard Jackson Blvd Ste 209, Panama City Beach, FL 32407-3694 | 2019-06-03 |
| 1336640820 | Jessica Wilson | Registered Nurse | 25 Connecticut Ave, Midlothian, TX 76065-6747 | 2018-02-21 |
| 1912447616 | Jessica Wilson | Nurse Practitioner | 740 S Limestone J401, Lexington, KY 40536-0001 | 2017-02-28 |
| 1215387253 | Jessica Evelynne Wilson | Speech-Language Pathologist | 210 Spring Creek Ave Apt A, Bowling Green, KY 42101-5478 | 2016-06-21 |
| 1295101061 | Jessica Elaine Wilson | Marriage & Family Therapist | 983 Norumbega Dr, Monrovia, CA 91016-1826 | 2015-08-17 |
| 1073915815 | Jessica Wilson | Licensed Practical Nurse | 1292 County Road 182, Kitts Hill, OH 45645-9081 | 2014-09-24 |
| Street Address |
12125 DAY ST STE E301 |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92557-6704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811522022 | Madison Marie Alfaro | Behavioral Analyst | 12125 Day St Ste E301, Moreno Valley, CA 92557-6704 | 2020-03-08 |
| 1952934085 | Melissa Gonzalez | Behavior Technician | 12125 Day St Ste E301, Moreno Valley, CA 92557-6704 | 2020-02-17 |
| 1952932071 | Alexis Marie Vasquez | Behavior Technician | 12125 Day St Ste E301, Moreno Valley, CA 92557-6704 | 2020-01-28 |
| 1912547258 | Michelle Guzman | Behavioral Analyst | 12125 Day St Ste E301, Moreno Valley, CA 92557-6704 | 2020-01-15 |
| 1649810086 | Monica Hermosillo | Behavioral Analyst | 12125 Day St Ste E301, Moreno Valley, CA 92557-6704 | 2020-01-14 |
| 1124668843 | Johnny Gabriel Dominguez | Behavior Technician | 12125 Day St Ste E301, Moreno Valley, CA 92557-6704 | 2020-01-10 |
| 1417596263 | Reyna Preciado | Behavior Technician | 12125 Day St Ste E301, Moreno Valley, CA 92557-6704 | 2019-12-26 |
| 1861039265 | Eufrocina Guerrero | Behavior Technician | 12125 Day St Ste E301, Moreno Valley, CA 92557-6704 | 2019-12-04 |
| 1518501196 | Michaela Thomas | Behavioral Analyst | 12125 Day St Ste E301, Moreno Valley, CA 92557-6704 | 2019-11-06 |
| 1538718010 | Jacob Scott Boele | Behavioral Analyst | 12125 Day St Ste E301, Moreno Valley, CA 92557-6704 | 2019-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598314577 | Knight Rider Transport Inc | Private Vehicle | 21334 Ocasey Ct, Moreno Valley, CA 92557 | 2019-09-11 |
| 1679041495 | Shaping Pathways | Community/Behavioral Health | 11627 Mccully Court, Moreno Valley, CA 92557 | 2018-11-09 |
| 1710485644 | Torie Curiel | Behavior Technician | 12125 Day St E301, Moreno Valley, CA 92557 | 2018-01-25 |
| 1164949921 | Phyllis Yvonne Miller | Behavioral Analyst | 15450 Casa Grande St, Moreno Valley, CA 92557 | 2017-08-23 |
| 1255855912 | Natalie Maria-vega Cortinas | Specialist/Technologist | 12348 Kasota Ct., Moreno Valley, CA 92557 | 2017-08-03 |
| 1942720263 | Shenna Pontier Brown | Licensed Vocational Nurse | 12031 Poutous Ct, Moreno Valley, CA 92557 | 2017-06-27 |
| 1104209733 | Saira Medrano | Counselor | 11966 Villa Hermosa, Moreno Valley, CA 92557 | 2015-07-01 |
| 1295071405 | Maura Sauls | Counselor | 9963 Paseo Corralito, Moreno Valley, CA 92557 | 2012-12-14 |
| 1992919583 | Jody Willetts | Technician, Other | 11480 Tiffany Lane, Moreno Valley, CA 92557 | 2007-05-10 |
| 1457564841 | Derrick Trigenza Smith | Dental Hygienist | 23569 Sunnymead Ranch Parkway, Moreno Valley, CA 92557 | 2007-05-08 |
| Find all providers in zip 92557 | ||||
| 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 |
|---|---|---|---|---|
| 1538769716 | Kathia Nava | Behavior Technician | 11617 Mccully Ct, Moreno Valley, CA 92557-7910 | 2020-10-28 |
| 1922605286 | Genesis Ivana Quintero | Behavior Technician | 24342 Kurt Ct, Moreno Valley, CA 92551-3658 | 2020-10-08 |
| 1598379422 | Colleen Mundy | Behavior Technician | 15435 Caballo Rd, Moreno Valley, CA 92555-2919 | 2020-09-08 |
| 1619525227 | Jessica Touray | Behavior Technician | 25202 Desert Willow Dr, Moreno Valley, CA 92553-7195 | 2019-08-27 |
| 1063067064 | Kiana Isela Paris | Behavior Technician | 10875 Fenton Rd, Moreno Valley, CA 92557-4037 | 2019-08-06 |
| 1982257564 | Keisha Lanette Muhammad | Behavior Technician | 12125 Day St Ste 301, Moreno Valley, CA 92557-6702 | 2019-07-22 |
| 1356908081 | Jasmine Smith | Behavior Technician | 15323 Avenida Fiesta, Moreno Valley, CA 92555-4119 | 2019-05-29 |
| 1801450192 | Salvador Villalvazo | Behavior Technician | 13311 Harewood Dr, Moreno Valley, CA 92553-6221 | 2019-04-23 |
| 1679033898 | Maria Leon | Behavior Technician | 21705 Del Amo St, Moreno Valley, CA 92557-8579 | 2019-03-22 |
| 1023577426 | Ashley Nichole Mcginnis | Behavior Technician | 16358 Heather Glen Rd, Moreno Valley, CA 92551-9248 | 2019-03-15 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92557 |
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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.