ANGELICA JOHANNA CHAM (NPI# 1437704848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437704848 |
| Entity Type | Individual |
| Full Name | ANGELICA JOHANNA CHAM |
| Other Name | ANGELICA JOHANNA REYNAGA |
| Practice Address |
2009 Las Estrellas Ct Camarillo CA 93012-4070 |
| Mailing Address |
126 N 12th St Apt D Santa Paula CA 93060-2995 |
| Practice Telephone | 8054074533 |
| Mailing Telephone | 8059948442 |
| Enumeration Date | 2019-08-03 |
| Last Update Date | 2019-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 5397298 | 05 |
| Street Address |
2009 LAS ESTRELLAS CT |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93012-4070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073081741 | Tyler Briann Aliano-kirksey | Counselor | 2009 Las Estrellas Ct, Camarillo, CA 93012-4070 | 2018-11-11 |
| 1689275018 | Sylvia Ramirez | Behavior Technician | 2009 Las Estrellas Ct, Camarillo, CA 93012-4070 | 2020-11-03 |
| 1497356737 | Diego Corral | Behavioral Analyst | 2009 Las Estrellas Ct, Camarillo, CA 93012-4070 | 2020-11-03 |
| 1992320865 | Jacqueline Mancilla | Behavior Technician | 2009 Las Estrellas Ct, Camarillo, CA 93012-4070 | 2020-06-16 |
| 1801419957 | Camille Elizabeth Callahan | Behavioral Analyst | 2009 Las Estrellas Ct, Camarillo, CA 93012-4070 | 2020-05-23 |
| 1639792732 | Carla Rodriguez - Valadez | Behavioral Analyst | 2009 Las Estrellas Ct, Camarillo, CA 93012-4070 | 2020-05-22 |
| 1750904975 | Dejuan Xzavier Holmes | Behavior Technician | 2009 Las Estrellas Ct, Camarillo, CA 93012-4070 | 2020-05-21 |
| 1487276119 | Andrea Jean Manning | Assistant Behavior Analyst | 2009 Las Estrellas Ct, Camarillo, CA 93012-4070 | 2020-05-15 |
| 1144871252 | Tanner Lynn Markham | Behavior Technician | 2009 Las Estrellas Ct, Camarillo, CA 93012-4070 | 2019-09-20 |
| 1962061754 | Harrison P Pope | Behavior Technician | 2009 Las Estrellas Ct, Camarillo, CA 93012-4070 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322895 | Natasha Nichole Johnson | Licensed Vocational Nurse | 1750 A S Lewis Rs, Camarillo, CA 93012 | 2020-06-26 |
| 1609392604 | Dain Emmanuel Acevedo | Counselor | 5284 Adolfo Road Suite 100, Camarillo, CA 93012 | 2017-08-21 |
| 1679093751 | Emily Sophia Rodriguez | Counselor | 5284 Adolfo Rd. Suite 100, Camarillo, CA 93012 | 2017-06-21 |
| 1164952750 | Valerie Marie Inez Rivera | Counselor | 5284 Adolfo Rd #100, Camarillo, CA 93012 | 2017-06-15 |
| 1457890709 | Constance Walsh | Prosthetic/Orthotic Supplier | 795 Camarillo Springs Rd, Suite C, Carmarillo, CA 93012 | 2017-02-20 |
| 1902349020 | Ferdinand Fortune Cuico | Registered Nurse | 421 Brister Park Ct, Camarillo, CA 93012 | 2016-11-21 |
| 1699226795 | Lauren Streiter | Counselor | 1750b S Lewis Rd, Camarillo, CA 93012 | 2016-10-24 |
| 1972955649 | Evolve Growth Initiatives, LLC | Community Based Residential Treatment Facility, Mental Illness | 799 Camarillo Springs Road, Ventura, CA 93012 | 2016-07-06 |
| 1083075089 | Justin Rodriguez Urbano | Dental Hygienist | 4422 Corte Arbusto, Camarillo, CA 93012 | 2016-03-18 |
| 1578924619 | Leslie Winn | Counselor | 291 Camino Leon, Camarillo, CA 93012 | 2016-03-17 |
| Find all providers in zip 93012 | ||||
| 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 |
|---|---|---|---|---|
| 1669072005 | Jenna Goldstein | Behavior Technician | 400 Mobil Ave # Unitec1, Camarillo, CA 93010-6338 | 2020-10-26 |
| 1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
| 1538789870 | Shauna Ruiz | Behavior Technician | 400 Mobil Ave Ste A-100, Camarillo, CA 93010-6338 | 2020-04-16 |
| 1679109250 | Alejandro Chavez | Behavior Technician | 421 Loma Dr, Camarillo, CA 93010-2323 | 2020-03-16 |
| 1629601935 | Christine Elizabeth Irvine | Behavior Technician | 1630 Paseo Maravilla, Camarillo, CA 93012-4005 | 2020-02-14 |
| 1609407675 | Hanna Dangiapo | Behavior Technician | 728 Corte Sol, Camarillo, CA 93010-9112 | 2020-01-29 |
| 1356989669 | Caryn Cuesta | Behavior Technician | 400 Mobil Ave Ste A-400, Camarillo, CA 93010-6338 | 2019-12-17 |
| 1578108932 | Margarita Ortiz | Behavior Technician | 400 Mobil Ave Unit C, Camarillo, CA 93010-6338 | 2019-11-08 |
| 1558903948 | Makayla Campbell | Behavior Technician | 440 W Ventura Blvd, Camarillo, CA 93010-9303 | 2019-10-17 |
| 1699266676 | Veronica Urango | Behavior Technician | 400 Mobil Ave Ste A3, Camarillo, CA 93010-6369 | 2018-05-24 |
| Find all providers in CAMARILLO | ||||
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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.